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4b - Answer: 30-year-old male presents with right knee pain after motor vehicle accident

Pomeranz, Stephen
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
Includes DICOM files

History: This 30-year-old male presents with knee pain after a motor vehicle accident.

MOST LIKELY DIAGNOSIS: Infrapatellar tendinopathy

Using the diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.

CLINICAL CONSIDERATIONS:

This 30-year-old male presents with knee pain after a motor vehicle accident, but his imaging should have you immediately thinking about his athletic background. Which two sports stand out as his likely hobbies? Bonus points if you know a position in one of the sports that seems to see this injury even more frequently.

This man likely plays volleyball and / or basketball. He has “jumper’s knee” (arrows on sagittal MRI) or infrapatellar tendinopathy with retropatellar swelling. Middle blockers in volleyball are especially prone to this abnormality.

LESSON 2, TOPIC 12

Case Challenge: Knee MRI Cases

Case Challenge

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Content reviewed: November 3, 2021

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