Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive, localized pain in the left knee, specifically localized to the femoral condyle region. Pain is exacerbated by weight-bearing activities and often presents with nocturnal intensity. No history of acute trauma; symptoms are insidious in onset. Patient reports occasional mechanical symptoms, including catching or locking, and localized swelling.
Clinical Examination Findings
Physical examination of the left knee reveals localized tenderness to palpation over the medial/lateral femoral condyle. Range of motion is restricted due to pain. Effusion is noted upon inspection. Gait analysis demonstrates an antalgic limp favoring the left lower extremity. Ligamentous stability (ACL/PCL/MCL/LCL) is intact. No neurovascular deficits noted in the distal extremity.
Treatment Protocol
Initial management includes strict non-weight-bearing or partial weight-bearing status with assistive devices (crutches). Prescription of NSAIDs for inflammation control. Referral for physical therapy to maintain range of motion. Surgical consultation for potential core decompression, osteochondral grafting, or arthroplasty depending on Ficat-Arlet staging and lesion size.