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Fabela as a Cause of Knee Pain: Case Report and Review of Literature

Author(s): Sabic A, Sabic DZ, Cuvaj S, Becirovic A

Aim: The aim of this paper is to show the existence of sesamoid fabella bone as a cause of knee pain.

Methods: The female aged 54 with pain in her right knee that has lasted for 6 months. She has none a history of trauma and previous injuries. In the physical finding the right knee is slightly enlarged from the left, the surrounding skin neat looking. The patient is obese by gynoid type, BMI 31 kg / m2. An X-ray of both knees described minor marginal osteophytes on individual joint surfaces in terms of gonarthrotic changes and a fabella visible in the right popliteal fossa. She has dyslipidemia and glucose intolerance in laboratory findings. The patient was referred for a consultative orthopedic examination that promotes physical treatment, NSAID therapy and weight management.

Results: Physical treatment was carried out, she felt a slight improvement, but the pain was still present.

Conclusion: Given the pain of movement and previous patient reports indicate that surgical treatment is the fastest method to eliminate pain.

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  • Consultant General, Breast, MSK and Emergency Radiologist
    West Hertfordshire Hospitals NHS Trust
    St Albans City Hospital, England, United Kingdom
    E-mail: dremrep@yahoo.co.uk

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