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Review Question - QID 214050

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QID 214050 (Type "214050" in App Search)
A 24-year-old male presents with complaints of recurrent left knee effusions for the past 3 years. He believes this pain is exacerbated with exercise. He denies any history of trauma or instability. Physical examination is remarkable for a boggy, nontender effusion with near full range of motion of the knee. He undergoes a diagnostic knee arthroscopy as seen in Figure A. This condition is most likely driven by?
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