Cartilage Injury of the Knee: Current Controversies in 2022 (AANA22)-Cartilage Cases

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Video Summary

A 55-year-old woman with worsening medial knee pain unresponsive to six months of non-surgical treatments underwent detailed evaluation revealing early degenerative changes, meniscus issues, and bone marrow edema. Despite good alignment, her condition was complex, and surgery risked accelerating damage. Treatment included bone marrow aspirate concentration (BMAC) injection with decompression of tibial bone edema, leading to immediate and lasting pain relief after protected weight-bearing. Experts discussed balancing conservative management, limited cartilage repair options, and surgical considerations, emphasizing personalized care for middle-aged patients with compartmental arthritis. The case highlights evolving approaches to bone marrow lesions and meniscal pathology in degenerative knees.

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Aaron J. Krych, M.D.

Keywords

medial knee pain

bone marrow aspirate concentration

meniscus degeneration

tibial bone edema

compartmental arthritis