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Orthopedics & Traumatology

Osteochondritis Dissecans, Left Knee

ICD-10 Code
M93.22

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents with chronic, activity-related left knee pain, localized to the [medial/lateral] femoral condyle. Reports intermittent mechanical symptoms including catching, locking, and localized swelling. Symptoms exacerbated by weight-bearing and high-impact activities. No history of acute trauma.

Clinical Examination Findings

Left knee examination reveals localized tenderness over the [medial/lateral] femoral condyle. Wilsonโ€™s test is [positive/negative] for pain. Mild joint effusion present. Range of motion is [full/restricted] with crepitus noted during flexion/extension. Ligamentous stability (ACL/PCL/MCL/LCL) is intact. No neurovascular deficits noted.

Treatment Protocol

Conservative management initiated: activity modification, non-weight bearing or protected weight-bearing with crutches, and physical therapy for quadriceps strengthening. If lesion is unstable or symptomatic despite conservative measures, surgical consultation for arthroscopic fixation or debridement is indicated.

Detailed clinical guide coming soon.