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The JBJS Quiz of the Month is a collection of 10 relevant questions from each orthopaedic subspecialty. The questions are drawn from JBJS Clinical Classroom, which houses over 4,500 questions and 3,100 learning resources. Take the Quiz to see how you score against your peers!

NOTE: This quiz does not earn users CME credits. The questions must be answered within Clinical Classroom to earn CME credits.

A 16-year-old female patient who is a high school softball pitcher presents with failed treatment of an osteochondritis dissecans of the capitellum. Magnetic resonance imaging shows a contained lesion sized 6 x 6 mm with high signal and incongruency through the chondral cap. Treatment should include elbow arthroscopy with which of the following?
  • Fragment excision and marrow stimulation
    • The operative approach for small contained lesions includes excision and marrow stimulation and has good results.

  • Fragment excision and osteochondral autograft transfer
    • The operative approach for small contained lesions includes excision and marrow stimulation and has good results. Larger lesions are treated with osteochondral autograft transfers.

  • Bone marrow aspirate concentrate injection
    • The operative approach for small contained lesions includes excision and marrow stimulation and has good results.

  • Fragment excision and posterolateral ligament complex reconstruction
    • operative approach for small contained lesions includes excision and marrow stimulation and has good results. The ligaments are intact in these patients and do not require reconstruction.

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