Left micro fracture and meniscal repair in a patient with lateral knee pain

-Can you guess why this gentleman has the lateral knee pain on the left side? Q angle is approximately 12°, pain upon valgus stress and compression on the left side. Degenerative changes noted on x-ray. Otherwise negative knee exam. Bilateral femoral retro torsion with bilateral internal tibial torsion and a forefoot supinatus with a forefoot adductus

Let’s look at those mechanics a little closer: Valgus knee stress over time caused increased pain on the lateral condyle. His internal tibial torsion and femoral retro torsion has him externalmy rotate both of his legs which puts him with an increased progression angle and weight bearing somewhat on the outside of his feet. Combine this with the forefoot supinatus and an inability to get the right first ray down and you have the prescription for increasing knee valgus with every step. Overtime, this compression slowly wore away his lateral femoral condyle and tibial plateau

How well do you think this micro fracture and medial meniscus repair will do on its own without intervention to decrease knee valgus and improve internal rotation of the hips?

#Microfracture #Pain#valgus#qangle#gaitevaluation #InternalTibialTorsion #FemoralRetroTorsion #femoralretroversion