I thought I understood osteocondritis dissecans

I thought I understand osteocondritis dissecans. I performed an artro MRI and the more I scroll the more confused I become.
Maybe someone more experienced cand help me understand some issues – in the attached pdf.
And also please advise me what would be the best treatment in this case. 14 y old male, tennis professional player.
whole dicom dataset here:

https://www.pacsbin.com/c/-yscQRekE9

Thank you in advance!

sorin

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osteoncondritis dissecans.pdf

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