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 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.
Department of Orthopedic Surgery, Boston University School of Medicine , MA, USA.
Xinning
X
Li
Department of Orthopedic Surgery, Hospital for Special Surgery , New York, NY, USA.
Phillip
P
Williams
Department of Orthopedic Surgery, Boston University School of Medicine , MA, USA.
Emily J
EJ
Curry
Department of Orthopedic Surgery, Hospital for Special Surgery , New York, NY, USA.
Jo A
JA
Hannafin
Anterior knee pain; elite female athletes; magnetic resonance imaging; pigmented villonodular synovitis; scar tissue