Uncommon cause for anterior knee pain - Aggressive aneurysmal bone cyst of the patella

<p>Abstract</p> <p>A 56-year-old man presented with a two month history of increasing anterior knee pain without previous trauma. As usual we recommended physiotherapy with stretching exercises of the quadriceps muscle. Since symptoms did not improve after 6 weeks MRI was performed...

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Main Authors: Balke Maurice, Dedy Nicolas, Mueller-Huebenthal Jonas, Liem Dennis, Hardes Jendrik, Hoeher Juergen
Format: Article
Language:English
Published: BMC 2010-04-01
Series:Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology
Online Access:http://www.smarttjournal.com/content/2/1/9
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author Balke Maurice
Dedy Nicolas
Mueller-Huebenthal Jonas
Liem Dennis
Hardes Jendrik
Hoeher Juergen
author_facet Balke Maurice
Dedy Nicolas
Mueller-Huebenthal Jonas
Liem Dennis
Hardes Jendrik
Hoeher Juergen
author_sort Balke Maurice
collection DOAJ
description <p>Abstract</p> <p>A 56-year-old man presented with a two month history of increasing anterior knee pain without previous trauma. As usual we recommended physiotherapy with stretching exercises of the quadriceps muscle. Since symptoms did not improve after 6 weeks MRI was performed. Surprisingly a hyperintense lobulated mass of the patella with small fluid-filled cavities at the inferior pole was revealed. We performed an open biopsy to exclude any malignancy and diagnosed an aneurysmal bone cyst. Further examination with CT scans showed an aggressive behaviour with cortical breakthrough.</p> <p>We performed an intralesional curettage with additional high-speed burring and bone cement packing. Sixteen months later the patient was free from any complaints and without signs of local recurrence.</p> <p>Primary bone tumors of the patella are extremely rare and occurrence of aneurysmal bone cysts in this localization is very uncommon. This case report indicates that although anterior knee pain is a very frequent and usually harmless symptom, it is essential to consider that it might also be caused by more severe disorders such as bone tumors.</p>
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spelling doaj.art-8cd0cadea65444f6a3c9d710e215e02b2022-12-21T20:00:06ZengBMCSports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology1758-25552010-04-0121910.1186/1758-2555-2-9Uncommon cause for anterior knee pain - Aggressive aneurysmal bone cyst of the patellaBalke MauriceDedy NicolasMueller-Huebenthal JonasLiem DennisHardes JendrikHoeher Juergen<p>Abstract</p> <p>A 56-year-old man presented with a two month history of increasing anterior knee pain without previous trauma. As usual we recommended physiotherapy with stretching exercises of the quadriceps muscle. Since symptoms did not improve after 6 weeks MRI was performed. Surprisingly a hyperintense lobulated mass of the patella with small fluid-filled cavities at the inferior pole was revealed. We performed an open biopsy to exclude any malignancy and diagnosed an aneurysmal bone cyst. Further examination with CT scans showed an aggressive behaviour with cortical breakthrough.</p> <p>We performed an intralesional curettage with additional high-speed burring and bone cement packing. Sixteen months later the patient was free from any complaints and without signs of local recurrence.</p> <p>Primary bone tumors of the patella are extremely rare and occurrence of aneurysmal bone cysts in this localization is very uncommon. This case report indicates that although anterior knee pain is a very frequent and usually harmless symptom, it is essential to consider that it might also be caused by more severe disorders such as bone tumors.</p>http://www.smarttjournal.com/content/2/1/9
spellingShingle Balke Maurice
Dedy Nicolas
Mueller-Huebenthal Jonas
Liem Dennis
Hardes Jendrik
Hoeher Juergen
Uncommon cause for anterior knee pain - Aggressive aneurysmal bone cyst of the patella
Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology
title Uncommon cause for anterior knee pain - Aggressive aneurysmal bone cyst of the patella
title_full Uncommon cause for anterior knee pain - Aggressive aneurysmal bone cyst of the patella
title_fullStr Uncommon cause for anterior knee pain - Aggressive aneurysmal bone cyst of the patella
title_full_unstemmed Uncommon cause for anterior knee pain - Aggressive aneurysmal bone cyst of the patella
title_short Uncommon cause for anterior knee pain - Aggressive aneurysmal bone cyst of the patella
title_sort uncommon cause for anterior knee pain aggressive aneurysmal bone cyst of the patella
url http://www.smarttjournal.com/content/2/1/9
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