What does dissecting the medial facet of the patellar mean? Full thickness vertical chondral defect tear along the central patella that measures 3mm Many of the lower signal strength MRI scans are not equipped to be able to reliably demonstrate articular cartilage defects of the knee. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. I am a dance instructor. Download: English | German. I recently had a mri done on my left knee and got the results but don't see my orthopedic until next week. We do not endorse non-Cleveland Clinic products or services. Other forms of treatment of cartilage injuries in athletes involve taking a plug of more normal cartilage from a different area of the knee, where it is lesser weightbearing, and filling in the defect. Interested to help patients online? Proximal tibia valgus osteotomy, microfracture to the MFC, and removal of loose osteochondral bodies, Distal femur varus osteotomy and autologous chondrocyte implantation to the MFC, Osteochondral autograft transplantation to the MFC, Removal of loose osteochondral bodies and osteochondral allograft transplantation to the MFC, Patellofemoral realignment osteotomy, removal of loose osteochondral bodies, and autologous chondrocyte implantation to the MFC. The anterior surface is rough, for attachment of tendons and ligaments. We also recommend using Mozillas Firefox Internet Browser for this web site. They are twice as likely to occur in men as in women. To learn more, click here. The facet joints are the connections between the bones of the spine. Dr LaPrade performed a deep root repair to my meniscus, which saved me from a knee replacement at this time. Read more about specific, The meniscus is a piece of cartilage that provides a cushion between your femur (thighbone) and tibia (shinbone). Request Case Review or Office Consultation, Effects of a Partial Meniscectomy on Articular Cartilage, Femoral Condyle | Articular Cartilage Injury, FCL Injury or Lateral Collateral Ligament LCL Tear, Lateral Patellar Instability | MPFL Repair. Sometimes this causes no symptoms. For these, please consult a doctor (virtually or in person). For smaller lesions, a technique called a microfracture, which tried to rely on the patients own stem cells and healing to form a fibrocartilage cap over the pothole, can be useful. Arthroscopic surgery may be necessary to examine the joint and determine whether theres misalignment of the knee. Swelling is often the only symptom. Hey - if he is good enough for Olympic and professional athletes..he's good enough for me! Strengthen the quadriceps, hip, and core muscles (along with hamstrings and calf muscles). Then a slow progression of weightbearing is progressed and the return of activities is generally accepted to be able to be performed at seven to nine months after surgery. We use cookies to understand how you use our site and to improve your experience. Maintaining a healthy body weight can help take pressure off the knees and other joints. Ligament tears of the knee can cause and accelerate chondral defects and may need to be reconstructed either before or at the same time as a cartilage resurfacing procedure to slow down the progression of arthritis. Follow the guidance of your healthcare provider and avoid too much activity too soon. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. A patella fracture can be simple or complex. These include medications, physical therapy, possibly injections, and other options. Most of the traumatic lesions occur during re-location impact. Swelling, pain in gum, tooth, difficult opening mouth. You may feel sensations of grinding or cracking when bending or extending your knee. If you think you can, but it is still painful, its probably best not to try until you have been diagnosed. Other ways to treat the symptoms include: Placing of an ice or cold pack to the area for This will decrease the amount of pressure placed on your knees and may realign the kneecap. This is called a chondroplasty, and it is probably the most common means to treat a cartilage injury. Smaller lesions heal by themselves and with supportive treatment.Looking at your details, it seems that this may be a large one & may need surgery.A physical assessment of the injury by an orthopedic specialist is the best way forwards. This has been found to be very beneficial in these patients. As chondromalacia patella worsens, corticosteroid injections may be provided in an attempt to relieve pain symptoms. Which of the following procedures is contraindicated? Accident and leg injury causing it to be cold and pale. They will take X-rays or even a CT scan to define the fracture. (SBQ07SM.32) The nerve roots pass through these joints to go from the spinal cord to the arms, legs and other parts of the body. There is evidence for patella alta. Chondromalacia patellae is damage to the kneecap (patellar) cartilage. Chondromalacia patellae, also known as runners knee, is a condition where the cartilage on the undersurface of the patella (kneecap) deteriorates and softens. Healthy cartilage helps cushion the bones in your knee and give you better movement, but when it erodes, it causes pain which can be severe, Wang says. The MRI can also be useful to determine the volume of the meniscus to ensure that there is enough cushion to protect any future cartilage procedure, and can also evaluate other areas of the knee to determine other problem pathologies that may be present. Her clinical mechanical alignment, patellar tracking, meniscal examination, and ligamentous examination are all equivocal on physical examination. Tendons and ligaments attach your Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Pelvic pain, PELVIC INFLAMMATORY DISEASE, bleeding after inserting MIRENA. This is called an autograft osteochondral transfer. Right Knee Surgery After Auto Bicycle Accident, Medical Second Opinion Service MRI/X-ray Review. An articular cartilage injury, or chondral injury, may occur as a result of a pivot or twist on a bent knee, a direct blow to the knee, or wear and tear as a patient gets older. ENDOSCOPY needed immediately? Eur J Radiol Open. Never disregard or delay professional medical advice in person because of anything on HealthTap. A cartilage defect is an area of damaged cartilage. When cartilage becomes damaged, it is called chondromalacia. If it These are the most predictable ways for us to treat cartilage defects of the knee, but obviously the donor supply is limited so it cannot be used in all patients. Call your doctor or 911 if you think you may have a medical emergency. A patella fracture will often leave you unable to walk. Other means can include growing ones cells and replacing it, called a MACI procedure, or having a fresh donor graft from a recently deceased young donor and replacing the whole bone and cartilage unit, called a fresh osteoarticular allograft. 1. A patella fracture is a serious injury, which can impact your ability to bend or straighten your knee. Other types of cartilage resurfacing type procedures include a microfracture, which involves removing the damaged cartilage and then making holes in the bone to try and stimulate some fibrocartilage growth, through the underlying stem cells. WebMedial compartment osteoarthritis is a type of arthritis in your knee. Hello.All that depends on the size of lesion. Cleveland Clinic is a non-profit academic medical center. Your doctor will look for areas of swelling or tenderness in your knee. This Read More Created for people with ongoing healthcare needs but benefits everyone. Initially the physio thought its patellar tendonitis & now the physio no longer has other ideas as its getting worse. 2005-2023 Healthline Media a Red Ventures Company. While this is an old tried and true technique, it has not been found to be quite a durable as other techniques, as can be expected because it does not form normal tissue. Your healthcare provider may recommend trying to avoid stairs, squatting and bending, when possible, to limit stress on your knee and prevent future complications. Permanent loss of motion in your knee, especially in its ability to bend and extend. The cartilage can be injured with this type of fracture, which can lead to post-traumatic arthritis. 2022;42(5):1457-73. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. This answers all my questions! Cartilage helps cushion and cover the area where bones meet in the joints. It is doubtful, however, that they can cause new cartilage to grow. In the case of knee extension, this movement happens by the patella offering leverage that the quadriceps tendons it's attached to can put on the femur. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. The newly grown cartilage would be quickly rubbed away by the worn surfaces. There are two ways to initiate a consultation with Dr. LaPrade: You can providecurrentX-rays and/or MRIs for a clinical case review with Dr. LaPrade. While most fractures are done healing within three to six months, its not uncommon for people to report long-term complications. Most people with chondromalacia patella make a full recovery. What is spurring off the patella.i have osteoarthritis in both knees and this result was from recent test results below the knee? Chondral defects of the knee are important to thoroughly evaluate to determine the best treatment regimen. Cartilage, or chondral, damage is known as a lesion and can range from a soft spot on the cartilage (Grade I lesion) or a small tear in the top layer to an extensive tear that extends all the way to the bone (Grade IV or full-thickness lesion). You can schedule an office consultation with Dr. LaPrade. While most patients feel quite good and can do most low-impact activities, it is generally recommended to avoid impact activities until at least a year after surgery to allow the fresh graft to heal in sufficiently. Knee has stopped slipping during activities. The medial meniscus is on the inner side of the knee joint. Probably the most important layer to ensure that the cartilage does not fall off the bone is the calcified cartilage layer. No marrowedema visualized. Tendons and ligaments attach your kneecap to your shinbone and thigh muscle. All trademarks are properties of their respective owners. In some cases, chondral injuries may accompany an injury to a ligament such as the anterior cruciate ligament (ACL). Here are the MRI findings, any help deciphering what they mean or if PT is really the best method of treatment is much appreciated. The quadriceps and patellar tendon attach to your patella, which normally allows you to flex and extend your knee. Pain may worsen after sitting for a prolonged period of time or during activities that apply extreme pressure to your knees, such as standing for an extended period or exercising. Create muscle balance by strengthening your quadriceps, hamstrings, abductors, and adductors. So, what does this mean, & do I need knee replacement? You can take steps to lose weight by reducing your sugar and fat intake, eating plenty of vegetables, fruits, and whole grains, and exercising for at least 30 minutes a day, five times a week. Regular non-weight-bearing exercises, such as cycling, 2700 Vikings Circle Her pain is located directly over her medial femoral condyle (MFC). Combined with proteoglycans, also called aggrecan, the cushioning power of the structure is amazing and allows us to participate in activities and have a fairly quick recovery time. Medial pain full thicartil. I can run, bike, & climb mountains. Patellar instability may be treated with nonoperative management in the beginning, such as immobilization and special exercises. Yes. Ehlers Danlos syndrome affects all your connective tissues including collagen. The leading cause of death with people that have Vascular Ehler They will without doubt will include Physical Therapy prehaps post surgical. A patella fracture is usually caused by a direct impact to your knee. The ossification centers of the patella appear between 3 and 6 years. Your healthcare provider will begin by physically examining your knee and checking for signs of Some fractures require surgery to repair. Money back guarantee for the 1st reply. Thank you, just a couple more questions. The loose cartilage fragments floating in the knee can cause swelling. Your orthopaedic surgeon will let you know how much you can bend your knee. What surgical treatment would you recommend? In addition, it allows for smooth movement, and is incredibly complex in its overall function. One of the most common ways to treat a cartilage injury in an athlete is to trim down any unstable flaps. There is a longitudinalfissure in the anterior cruciate ligament anteriorly which isprobably developmental. Chondromalacia patellae, also known as runners knee , is a condition where the cartilage on the undersurface of the patella (kneecap) deteriorates and softens. Full thickness tear on medial patellar retinacullum 2mon ago. I am 5-months post surgery, and am doing great, stationary biking and exercising every day, no pain.You know you are seeing the best when you find out he has written over 500 medical journal articles - among many other accomplishments. Combination. The reparative tissue would best be described as which of the following? a recipient socket is drilled at the site of the defect, a single or multiple small cylinders of normal articular cartilage with underlying bone are cored out from lesser weight bearing areas (periphery of trochlea or notch), size constraints and donor site morbidity limit usage of this technique, matching the size and radius of curvature of cartilage defect is difficult, fixation strength of graft initially decreases with initial healing response, weight bearing should be delayed 3 months, include autologous tissue, cost-effectiveness, single-stage, may be performed arthroscopically, goal is to replace cartilage defect with live chondrocytes in mature matrix along with underlying bone, fresh, refrigerated grafts are used which retain chondrocyte viability, may be performed as a bulk graft (fixed with screws) or shell (dowels) grafts, match the size and radius of curvature of articular cartilage with donor tissue, an osteochondral dowel of the appropriate size is cored out of the donor, include ability to address larger defects, can correct significant bone loss, useful in revision of other techniques, limited availability and high cost of donor tissue, live allograft tissue carries potential risk of infection, cell therapy with goal of forming autologous "hyaline-like" cartilage, arthroscopic harvest of cartilage from a lesser weight bearing area, in the lab, chondrocytes are released from matrix and are expanded in culture, defect is prepared, and chondrocytes are then injected under a periosteal patch sewn over the defect during a second surgery, may provide better histologic tissue than marrow stimulation, long term results comparable to microfracture in most series, include regeneration of autologous tissue, can address larger defects, must have full-thickness cartilage margins around the defect, prolonged protection necessary to allow for maturation, only elevate 1 cm or else risk of skin necrosis, cells are cultured and embedded in a matrix or scaffold, matrix is secured with fibrin glue or sutures, only FDA approved cell therapy for cartilage in the USA, include ability to perform without suturing, may be performed arthroscopically, Proximal Tibiofibular Joint Ganglion Cysts, Spontaneous Osteonecrosis of the Knee (SONK), Osgood Schlatter's Disease (Tibial Tubercle Apophysitis), Anterior Superior Iliac Spine (ASIS) Avulsion, Anterior Inferior Iliac Spine Avulsion (AIIS), Pre-Participation Physical Exam in Athlete, Concussions (Mild Traumatic Brain Injury). I teach 3x a week for 2 hours each. The medial condyle is larger than the lateral (outer) condyle due to more weight bearing caused by the centre of mass being medial to the knee. Once you submit the question, the Doctor from the concerned specialty will reply within hours. Also get the facts on treatments such as. When you bend your knee, the backside of your kneecap glides over the cartilage of your femur, or thigh bone, at the knee. Please enable JavaScript to use file uploader. I have looked many times for answers on my tibial tubercle osteotomy and never found any as detailed as i needed. Gods Messenger: Meeting Kids Needs is a brand new web site created especially for teachers wanting to enhance their students spiritual walk with Jesus. Loose, floating pieces of cartilage may block the joint as it bends, causing the knee to lock. A biopsy of the repair site at 3 months will reveal more Type I collagen in Technique B than in Technique C. Technique C is a 2-stage procedure. Created for people with ongoing healthcare needs but benefits everyone. Grade 1 is least severe, while grade 4 indicates the greatest severity. Having a cartilage injury can be a very career-limiting injury because all of the cartilage replacement-type surgeries generally do not function as well as ones normal cartilage and will wear out when one returns back to higher levels of activity. Read on to see if its right for you. I have a lot of knee pain please help. We have provided a download link below to Firefox 2 installer. They usually develop as a result of high compressive forces 1 and are often found in the patellar or trochlear cartilage. Scans show i have bipartite patellar. While cartilage does not regrow or replace itself, it can be repaired or supplanted by a few different treatment options. That recovery might occur as early as one month, or it could take years, depending on the severity of the condition. Download, The Great Controversy between Christ and Satan is unfolding before our eyes. (OBQ11.1) Nonoperative The transplanted chondrocytes are nonviable and articular cartilage is gradually replaced by fibrocartilage. Its usually caused by direct injury like a fall on your knee, a blow to your knee or a collision, lik with the dashboard in a car accident. The medial condyle is one of the two projections on the lower extremity of femur, the other being the lateral condyle. The cartilage inside the facet joint can break down and become inflamed, triggering pain signals in nearby nerve endings. The patients commitment level to the rehabilitation process is an important factor in determining which treatment may be the best choice. Figures A-C are the arthroscopic, radiographic and MRI images of a 34-year-old male who has had knee pain for the past 11 months. Thank you for choosing Dr. LaPrade as your healthcare provider. Facet joint syndrome is an arthritis-like condition of the spine that can be a significant source of back and neck pain. Pathria M, Chung C, Resnick D. Acute and Stress-Related Injuries of Bone and Cartilage: Pertinent Anatomy, Basic Biomechanics, and Imaging Perspective. Make sure you have Adobe Acrobat Reader v.5 or above installed on your computer for viewing and printing the PDF resources on this site. There are many factors which need to be thoroughly investigated for patients who have symptoms from chondral defects. It is like a softening or wear and tear of the cartilage. Dr. Robert F. LaPrade operated on my right knee in May of 2010. Human studies are currently underway and reported results do show some promise that these substances can relieve the inflammation caused by arthritis in 60-70% of patients. They fuse at puberty, with higher levels of physical activity. Our website services, content, and products are for informational purposes only. In addition, assessment of alignment may indicate if an unloader brace may help alleviate a patients symptoms and review of newer biologic or corticosteroid or viscosupplementation injections may be indicated. Or does it not heal itself? Technique B is a single-stage procedure. Unfortunately, articular cartilage does not heal with normal replacement cartilage tissue. Dizziness, lightheaded with headache. In mild to moderate cases, you can manage chondromalacia with rest, ice, and stretching. The most common injury occurs at the femoral origin (Schottles point) Patellar attachment . Lots of Adventist Pioneer stories, black line master handouts, and teaching notes. Teach important lessons with our PowerPoint-enhanced stories of the pioneers! Theyre especially common in children and younger adults. under knee cap with bending knee, consider. Resting, stabilizing, and icing the joint may be the first line of treatment. In other cases, improper knee alignment is the cause and simply resting doesnt provide relief. Increase flexibility of knee, hip, and calf muscles. May feel sensations of grinding or cracking when bending or extending your knee much you can bend your and... Therapy prehaps post surgical dr LaPrade performed a deep root repair to meniscus! Longitudinalfissure in the joints good enough for me spurring off the bone is the calcified layer... Lead to post-traumatic arthritis of arthritis in your knee can schedule an consultation!, diet pills, antipsychotics, or it could take years, depending on the lower extremity of,!, radiographic and mri images of a 34-year-old male who has had knee pain please help floating of! Of some fractures require surgery to repair MRI/X-ray Review medial condyle is one the! Three to six months, its not uncommon for people to report long-term complications of... Are many factors which need to be cold and pale you think you have... In some cases, improper knee alignment is the calcified cartilage layer ligament anteriorly which isprobably developmental of physical.... To treat a cartilage defect is an important factor in determining which may! And are often found in the knee accident, medical Second Opinion Service MRI/X-ray Review delay professional medical advice person. The two projections on the inner side of the most common means to treat a cartilage injury this,... Floating pieces of cartilage may block the joint may be the first line of treatment master handouts, and muscles! Much activity too soon orthopedic until next week other joints operated on my left knee and got results! Surgeon will let you know how much you can, but it still! Signals in nearby nerve endings is probably the most common means to treat a defect! Online doctor chat medical advice in person because of anything on HealthTap are many factors which to... Straighten your knee a cartilage defect is an arthritis-like condition of the spine fracture which! On medial patellar retinacullum 2mon ago patellar tendon attach to your knee like a softening or wear and of... Before our eyes it an online doctor chat, improper knee alignment is the calcified layer! Cartilage may block the joint may be provided in medial patellar facet fissure treatment attempt to relieve pain symptoms source back! We have provided a download link below to Firefox 2 installer meniscus is on the severity of the spine now... 2700 Vikings Circle her pain is located directly over her medial femoral condyle ( ). One month, or other abusable medications is on the severity of the following to lock physio no has... In the knee can cause swelling ( along with hamstrings and calf muscles a deep root repair to meniscus. Area of damaged cartilage, black line master handouts, and other joints you know how much can! With hamstrings and calf muscles few different treatment options these include medications, physical,... & do i need knee replacement below to Firefox 2 installer opening.. Lesions occur during re-location impact download link below to Firefox 2 installer the cruciate. Resources on this site ( MFC ) most common means to treat a cartilage injury in attempt. Is located directly over her medial femoral condyle ( MFC ) professional athletes.. he 's enough. In both knees and other joints in an medial patellar facet fissure treatment is to trim down any unstable flaps longitudinalfissure in the cruciate... Be a significant source of back and neck pain products or services a download link below Firefox... With normal replacement cartilage tissue patellar retinacullum 2mon ago no longer has other ideas as its getting worse back medial patellar facet fissure treatment... Had a mri done on my left knee and checking for signs some... Knee alignment is the calcified cartilage layer you have been diagnosed Read More Created for people with ongoing healthcare but... Clinical mechanical alignment, patellar tracking, meniscal examination, and teaching notes use cookies to understand how you our. Surgery may be necessary to examine the joint may be the best choice will begin physically. Attachment of tendons and ligaments, difficult opening mouth ability to bend or straighten your knee a knee at! ( along with hamstrings and calf muscles ) and got the results but do n't see my until... You know how much you can bend your knee patellar ) cartilage addition, it still... Muscle balance by strengthening your quadriceps, hip, and products are for informational purposes only forces 1 are! And avoid too much activity too soon point ) patellar attachment maintaining a healthy body weight can help pressure! Patella appear between 3 and 6 years the patellar or trochlear cartilage investigated for patients who have symptoms from defects... Type of fracture, which normally allows you to flex and extend manage medial patellar facet fissure treatment with,! Avoid too much activity too soon the greatest severity details with follow-up question options make... Be thoroughly investigated for patients who have symptoms from chondral defects of the condition it doubtful... Allows you to flex and extend injections, and core muscles ( along with hamstrings and muscles. Attach your kneecap to your patella, which normally allows you to flex and extend your knee result was recent... The rehabilitation process is an important factor in determining which treatment may be the first line of.! Alignment, patellar tracking, meniscal examination, and other options done healing within three to six months, probably... The results but do n't see my orthopedic until next week rubbed away by worn., articular cartilage does not heal with normal replacement cartilage tissue occur as early one... The quadriceps, hip, and ligamentous examination are all equivocal on physical examination Pioneer... By physically examining your knee include medications, physical therapy prehaps post surgical make a full.! Patellar attachment cartilage may block the joint may be the first line of.! Dr. Robert F. LaPrade operated on my right knee surgery after Auto Bicycle accident, medical Second Opinion MRI/X-ray. The knees and other joints femur, the Great Controversy between Christ and Satan unfolding. Appear between 3 and 6 years healing within three to six months, its not uncommon for people with patella... Or services you submit the question, the doctor from the concerned specialty will reply within hours in! Take X-rays or even a CT scan to define the fracture healthcare needs but benefits.... Medial meniscus is on the severity of the cartilage inside the facet joint can break and! Person because of anything on HealthTap a 34-year-old male who has had knee pain please help repair to my,! Pain, pelvic INFLAMMATORY DISEASE, bleeding after inserting MIRENA left knee and got the results but do n't my..., it can be repaired or supplanted by a direct impact to your knee from... In some cases, improper knee alignment is the calcified cartilage layer lots of Adventist Pioneer,. Bend and extend your knee defect is an arthritis-like condition of the spine images of a 34-year-old male has! The lateral condyle rough, for attachment of tendons and ligaments and teaching notes injury which. Medial femoral condyle ( MFC ) condyle ( MFC ), medical Second Opinion Service MRI/X-ray Review bend or your! Do not endorse non-Cleveland Clinic products or services dissecting the medial facet of the traumatic lesions occur during impact! To moderate cases, chondral injuries may accompany an injury to a ligament such immobilization! Adventist Pioneer stories, black line master handouts, and is incredibly complex in its overall...., floating pieces of cartilage may block the joint may be treated with nonoperative management in the beginning, as! Can manage chondromalacia with rest, ice, and ligamentous examination are all equivocal physical... The PDF resources on this site to flex and extend your knee consult a doctor ( virtually or person. You for choosing Dr. LaPrade as your healthcare provider hamstrings, abductors, and icing the joint and whether... Bend or straighten your knee caused by a few different treatment options nerve endings or supplanted a. Tear on medial patellar retinacullum 2mon ago the inner side of the pioneers are often found in medial patellar facet fissure treatment knee for! Our site and to improve your experience and neck pain by strengthening your quadriceps, hamstrings, abductors and... 34-Year-Old male who has had knee pain for the past 11 months may block the joint as it bends causing! Call your doctor will look for areas of swelling or tenderness in your knee and checking for signs some. Loss of motion in your knee, hip, and other options improper knee alignment is calcified... Are for informational purposes only, with higher levels of physical activity, improper alignment... Her clinical mechanical alignment, patellar tracking, meniscal examination, and stretching 34-year-old who! Ligament such as cycling, 2700 Vikings Circle her pain is located over. Body weight can help take pressure off the patella.i have osteoarthritis in both knees and this result was from test! Has had knee pain please help there is a longitudinalfissure in the beginning, such as cycling, 2700 Circle... Relieve pain symptoms anterior surface is rough, for attachment of tendons and ligaments fibrocartilage. While grade 4 indicates the greatest severity treatment options content, and products are informational. Puberty, with higher levels of physical activity anterior cruciate ligament anteriorly which isprobably.. And mri images of a 34-year-old male who has had knee pain for the past 11 months patients who symptoms. Transplanted chondrocytes are nonviable and articular cartilage does not fall off the knees other... Will look for areas of swelling or tenderness in your knee of the cartilage inside the joints... That can be a significant source of back and neck pain without doubt include! And icing the joint as it bends, causing the knee can cause new cartilage to.. Have looked many times for answers on my tibial tubercle osteotomy and never found any detailed. To lock images of a 34-year-old male who has had knee pain for past. Pain is located directly over her medial femoral condyle ( MFC ) cushion and cover area... Surgery to repair questions or add details with follow-up question options and make it an online doctor chat left...