This case report presents a teenage patient who initially was thought to have a sports-related injury but ultimately was diagnosed with a primary soft tissue tumor. A previously healthy 16-year-old softball player presented with a history of left knee joint line pain, clicking, and swelling. The patient was presumed to have a lateral meniscus tear. However, magnetic resonance imaging demonstrated an intra-articular mass. Arthroscopy revealed a 2.5- × 1.5-cm firm pedicular mass in the lateral joint. Histological exam demonstrated localized pigmented villonodular synovitis. The patient healed uneventfully and returned to sporting activities. This report re-emphasizes the possibility that "sports tumors" can mimic symptoms of a meniscal tear in young athletes.
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http://dx.doi.org/10.3113/jsoa.2012.0275 | DOI Listing |
Cureus
September 2024
Sports Medicine, Dr. Gerardo Perez Roman Orthopedics, San Juan, PRI.
Arthrofibrosis is the most common postoperative complication of anterior cruciate ligament (ACL) reconstruction. It is caused by an exaggerated immune reaction to a pro-inflammatory trigger that causes abnormal periarticular fibrosis and joint stiffness. The shoulder, elbow, and knee are especially prone to this condition, often following trauma, surgery, or adhesive capsulitis.
View Article and Find Full Text PDFJ Orthop Case Rep
August 2024
Department of Orthopaedics, Paras HMRI Hospital, Patna, Bihar, India.
Introduction: Bicondylar fractures are relatively common, yet those involving an elevated lateral tibial condyle fragment pose a unique challenge due to their atypical presentation. Existing classification systems inadequately describe this elevation, leading to varied terminology like "flip lid" or "reverse-Schatzker type" fractures in the literature.
Case Report: We present a case where the anterolateral osteochondral fragment was elevated and inverted, resulting from a rare mechanism where the left knee was crushed between two vehicles without axial force.
Knee Surg Sports Traumatol Arthrosc
January 2025
Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Gunma, Japan.
Purpose: To elucidate the features of bone cysts at attachment sites of medial meniscus posterior root tears (MMPRTs).
Methods: Knees treated using arthroscopic surgery for MMPRT between 2015 and 2022 were retrospectively reviewed. Patients without a memory of onset (painful popping), prior knee surgeries, concomitant ligament or meniscus injuries or fractures were excluded.
Skeletal Radiol
August 2024
Department of Orthopaedic Surgery and Sport Traumatology, Grenoble South Teaching Hospital, 38130, Echirolles, France.
Knee popping is a frequent symptom among knee disorders which requires further investigation in case of a recent evolution of the symptom or pathological associated ones. This article reports a rare presentation of pigmented villonodular synovitis (PVNS), identified as the cause of knee popping symptoms, by performing MRI sequences at various degrees of knee flexion for a patient complaining from a gradual onset of knee popping, occurring when bending the knee over 120° of flexion. MRI sequences were performed just before the popping occurs (flexion 90°) and right after it had occurred (flexion 120°).
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