Case 382

Medical History

A 17-year-old female presents to the office complaining of dull right knee pain, which she relates to a lesion provoked by falling from height. History of a similar episode 4 months ago, when was prescribed common analgesia. She had good initial response, although, the symptoms recurred, with a progressive worsening of the pain, despite the analgesia. Physical exam shows right knee effusion and discrepancy between tights’ circumference. Plain radiograph of the tight and right knee pointed a non-specific subperiosteal thickening. Magnetic resonance imaging (MRI) was performed (images 1 to 3).

Considering the case report and the findings on the MRI, which is the most adequate approach in this moment?

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