HPI 39 yr. old male R knee pain + 1 yrs with occasional locking Pain is entirely medial Work injury 8 years ago, underwent loose body removal and abrasion.

Slides:

Advertisements

Similar presentations

CARTICEL® Case Studies

Advertisements

Beaumont Doctors Specializing in Sports Medicine Sports Medicine.

Articular Cartilage Injury The “Knee Blowout” Jon D. Koman, MD.

Kinzel Vera FRACS Parker David A FRACS Hanson Curtis MD

MedPix Medical Image Database COW - Case of the Week Case Contributor: MS-4 USU Teaching File Affiliation: Uniformed Services University.

by Louis S. Stryker, and David G. Lewallen

Koco Eaton, M.D. Team Physician – Tampa Bay Rays and Tampa Bay Buccaneers.

Case Discussions Lower Extremity. Case - NL 57 yo female s/p MVA No significant medical history LOS at scene, Pulmonary Contusion with CT Pain and deformity.

MedPix Medical Image Database COW - Case of the Week Case Contributor: David Victor Bode Affiliation: Uniformed Services University.

Total Knee Arthroplasty in Varus Knee

Degenerative Disease of the Knee in the Young Athlete William R. Beach, M.D. Orthopedic Research of Virginia.

January 18, 2007.

Don't forget the hip! Hip arthritis masquerading as knee pain

Beware the Bone Bruise Dr. John Pritchard, MD

Volume 27, Issue 11, Pages (November 2011)

Fig. 5. A 67-year old female patient with bilateral buttock pain who underwent L4-5-S1 fusion 12 years ago. Sagittal imbalance was found in a whole spine.

Acute vs Chronic Knee Injury- Basketball

Medial Para patellar versus Sub vastus approach in Total Knee Arthroplasty R.Kattimani, A.Sinha, T.Kumar, I.Smith Glan Clwyd hospital , Rhyl, United.

Panel Discussion M.Jabalameli MD.

An Alternative Technique to Avoid Injury to the Medial Femoral Condyle When Reaming the Femoral Tunnel During Anterior Cruciate Ligament Reconstruction

Case 15 yo male just diagnosed with MED

Patient 17 yo Female Right knee pain

ROCK Complex Case of the Month

ROCK Complex Case of the Month

Biologic Inlay Osteochondral Reconstruction: Arthroscopic One-Step Osteochondral Lesion Repair in the Knee Using Morselized Bone Grafting and Hyaluronic.

Figure 1 Imaging of a painful knee using radiography and MRI

2 year history of knee pain

Biologic Inlay Osteochondral Reconstruction: Arthroscopic One-Step Osteochondral Lesion Repair in the Knee Using Morselized Bone Grafting and Hyaluronic.

Takatomo Mine, M. D. , Koichiro Ihara, M. D. , Hiroyuki Kawamura, M. D

Christoph Offerhaus, M. D. , Maurice Balke, M. D. , Justin W. Arner, M

Changes in the T2 relaxation value of the tibiofemoral articular cartilage about 6 months after anterior cruciate ligament reconstruction using the double-bundle.

Problem case 6, primary varus

Arthroscopic Delivery of Injectable Bone Graft for Staged Revision Anterior Cruciate Ligament Reconstruction Kent T. Yamaguchi, M.D., Gina M. Mosich,

Title Slide Alternative 1

James D. Wylie, M.D., M.H.S., Travis G. Maak, M.D.

Guillem Gonzalez-Lomas, M. D. , Andrew P. Dold, M. D. , Daniel J

Title Slide Alternative 1

Meniscal Ramp Lesion Repair by a Trans-septal Portal Technique

18F-FDG PET-CT and MRI co-registered knee assessment after ACL transection in an in vivo canine model M. Menendez, D. Clark, K. Binzel, B. Hettlich,

Posterior Horn Repair Augmented With the Central Portion of Thickened Meniscus for Large Posterolateral Corner Loss Type of Discoid Lateral Meniscus

Bilateral cartilage T2 mapping 9 years after Mega-OATS implantation at the knee: a quantitative 3T MRI study P.M. Jungmann, P.U. Brucker, T. Baum, T.M.

Hidden osteophyte formation on plain X-ray is the predictive factor for development of knee osteoarthritis after 48 months – data from the Osteoarthritis.

Proximal tibial resorption in a modern total knee prosthesis

Jonathan Piposar, M.D., Karen Sutton, M.D. Arthroscopy Techniques

Don't forget the hip! Hip arthritis masquerading as knee pain

Manuel Ignacio Olmos, M. D. , Bertrand Sonnery-Cottet, M. D

MRI morphological and quantitative evaluation of knee allograft repair at 3, 6 and 9 months post-op: early surveillance demonstrates nascent physiological.

DGEMRIC as a tool for measuring changes in cartilage quality following high tibial osteotomy: a feasibility study M. Rutgers, L.W. Bartels, A.I. Tsuchida,

Karan A. Patel, M. D. , David E. Hartigan, M. D. , Justin L

Volume 4, Issue 4, Pages (December 2018)

Things That Go Bump in the Body: Musculoskeletal Sports Medicine Magnetic Resonance Imaging Cases: Part 1 of 2 David A. Leswick, MD, FRCPC, J.M. Davidson,

Fresh Precut Osteochondral Allograft Core Transplantation for the Treatment of Femoral Cartilage Defects Kristofer J. Jones, M.D., Gina M. Mosich, M.D.,

Osteochondral Allograft Transplantation of the Medial Femoral Condyle With Orthobiologic Augmentation and Graft-Recipient Microfracture Preparation James.

Comments on Beattie et al

Luís Eduardo Passarelli Tírico, M. D. , Marco Kawamura Demange, M. D

Correlation between 18F-FDG and F-18 sodium fluoride (NaF) PET/MRI and gross morphology of the knee in a canine model of osteoarthritis. M.I. Menendez,

Two-Stage Revision Anterior Cruciate Ligament Reconstruction: Bone Grafting Technique Using an Allograft Bone Matrix Jorge Chahla, M.D., Chase S. Dean,

Fresh Osteochondral Allograft Transplantation for Uncontained, Elongated Osteochondritis Dissecans Lesions of the Medial Femoral Condyle Kristofer J.

Karan A. Patel, M. D. , David E. Hartigan, M. D. , Justin L

Volume 2, Issue 4, Pages (December 2016)

Konrad Malinowski, M. D. , Ph. D. , Adrian Góralczyk, M. D

Meniscal Ramp Lesion Repair by a Trans-septal Portal Technique

Fig. 1. A 21-year-old male patient underwent total hip arthroplasty for osteonecrosis of the femoral head. (A) Early postoperative radiograph shows well-implanted.

MRI in individuals with symptomatic knee osteoarthritis illustrating the structural abnormalities that discriminate symptomatic knee osteoarthritis best.

Osteochondral lesion of talar dome

Extensive Arthroscopic Chondroplasty for Cartilage Hyperplasia of the Femoral Condyle Causing Recurrent Knee Locking in a Patient With Multiple Epiphyseal.

Fig. 1. Right knee MRI of a 44-year-old male presenting with knee pain previously treated at an outside hospital. (a) Coronal fat-saturated T2 weighted.

Fig. 3. Follow-up right knee MRI of the patient at 7 weeks after the operation. (a) Coronal proton density weighted image displays hypertrophic regeneration.

Intraarticular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? Adverse events after intraarticular corticosteroid (IACS)

Presentation transcript:

HPI 39 yr. old male R knee pain + 1 yrs with occasional locking Pain is entirely medial Work injury 8 years ago, underwent loose body removal and abrasion chondroplasty, did well for 6.5 years. Had pain however since teenager in that knee. Heavy laborer 6’; 227 lbs, BMI 30.8 Failed injections and PT

ROCK Complex Case of the Month Justin S. Yang MD Southern California Permanente Medical Group

Sagittal MFC

Sagittal LFC

Coronals

Measurements Measures 18mm x 16mm on MRI Alignment is zone 2 on the right side, zone 3 on the left side

Plan Currently awaiting allograft match Plan on HTO and allograft OATs

Questions Would you do anything to the lateral femoral condyle lesion? Would you correct his alignment back to neutral or into the lateral compartment? Does his BMI/weight concern you? What is your BMI/weight limit for this procedure? Would you consider any other procedures as an alternative (microfracture/biocartilage, Cartiform, DeNovo, ACI, unicondylar arthroplasty?)