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Case Reports in Orthopedics
Volume 2018, Article ID 6125676, 5 pages
https://doi.org/10.1155/2018/6125676
Case Report

The Benefits of an In-Office Arthroscopy in the Diagnosis of Unresolved Knee Pain

1Andrews Research & Education Foundation, Gulf Breeze, FL, USA
2Loma Linda University Medical Center, Loma Linda, CA, USA

Correspondence should be addressed to Garrett L. Chapman; moc.liamg@nampahc.l.tterrag

Received 28 July 2017; Accepted 3 October 2017; Published 21 January 2018

Academic Editor: Paul E. Di Cesare

Copyright © 2018 Garrett L. Chapman and Nirav H. Amin. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a patient who developed persistent knee pain with mechanical symptoms after an uncomplicated patellofemoral arthroplasty. The etiology of his knee pain remained inconclusive following magnetic resonance imaging due to metallic artifact image distortion. With the use of an in-office needle arthroscopy, an immediate and definitive diagnosis was obtained, preventing an unnecessary surgery for a diagnostic arthroscopy. We discovered a lateral meniscus tear, an anterior cruciate ligament tear, and a medial femoral condyle chondral defect for which the patient underwent arthroscopic partial meniscectomy, ligament reconstruction, and osteochondral allograft transplantation, with resolution of his knee pain.