Unusual Presentation of Anterior Knee Pain in Elite Female Athletes: Report of Two Cases

Two elite female athletes presented with anterior knee pain with range of motion and reproducible tenderness to palpation. Diagnostic arthroscopy was performed in both cases resulting in excision of a nodular pigmented villonodular synovitis (PVNS) in the first patient and scar tissue in the second...

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Bibliographic Details
Published in:Orthopedic Reviews 2016-03, Vol.8 (1), p.6291-6291
Main Authors: Li, Xinning, Williams, Phillip, Curry, Emily J, Hannafin, Jo A
Format: Article
Language:English
Subjects:
Anterior knee pain
Case Report
elite female athletes
Knee
Magnetic resonance imaging
Pain
Patients
pigmented villonodular synovitis
scar tissue
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Summary:Two elite female athletes presented with anterior knee pain with range of motion and reproducible tenderness to palpation. Diagnostic arthroscopy was performed in both cases resulting in excision of a nodular pigmented villonodular synovitis (PVNS) in the first patient and scar tissue in the second patient. Correct diagnosis of anterior knee pain in the elite female athlete can present a challenge to clinicians. Although patellofe-moral pain is the most common diagnosis, other uncommon causes include PVNS and residual scar formation in patients with a history of surgery or trauma. Magnetic resonance imaging (MRI) images are helpful in confirming the diagnosis, however, in a subset of patients, the physician must rely on clinical suspicion and physical exam to make the proper diagnosis. Given the possibility of a false negative MRI images, patients with persistent anterior knee pain with a history of knee surgeries and focal tenderness reproducible on physical exam may benefit from a diagnostic arthroscopy.
ISSN:2035-8237
2035-8164
2035-8164
DOI:10.4081/or.2016.6291