Ultrasound Evaluation and Surgical Excision of a Fabella Causing Peroneal Neuropathy in a Track Athlete

Background. There are multiple causes of posterior knee pain and radicular symptoms. A symptomatic fabella is a rare cause but should be considered in the differential diagnosis. Purpose. Physicians should consider a symptomatic fabella as a diagnosis when common treatments for posterior knee pain h...

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Bibliographic Details
Published in:Case reports in orthopedics 2018, Vol.2018 (2018), p.1-5
Main Authors: Moorman, Claude T., Boggess, Blake, Boggess, Samuel B., Dale, Kevin M.
Format: Article
Language:English
Subjects:
Arthritis
Bone surgery
Case Report
Case reports
Joint surgery
Knee
Pain
Patients
Physical therapy
Primary care
Sports medicine
Trauma
Ultrasonic imaging
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Summary:Background. There are multiple causes of posterior knee pain and radicular symptoms. A symptomatic fabella is a rare cause but should be considered in the differential diagnosis. Purpose. Physicians should consider a symptomatic fabella as a diagnosis when common treatments for posterior knee pain have not alleviated the symptoms. Study Design. Case report. Methods. Review of clinical documentations of an orthopedist, physiatrist, physical therapist, 2 primary care sports medicine physicians, and the surgical report of an orthopedist. Results. It took time and resources including several referrals and imaging modalities to make a final diagnosis. Conclusion. Symptomatic fabellae are an uncommon finding but should be considered in the differential diagnosis with an athlete with posterior knee pain. Clinical Relevance. Considerable time and resources were used to ultimately diagnose and treat a NCAA Division 1 athlete. Surgical excision was required of a sesamoid bone that is present in 30% of individuals.
ISSN:2090-6749
2090-6757
DOI:10.1155/2018/2371947