%0 Journal Article
%T Unusual presentation of anterior knee pain in elite female athletes: report of two cases
%A Emily J. Curry
%A Jo A. Hannafin
%A Phillip Williams
%A Xinning Li
%J -
%D 2016
%R https://doi.org/10.4081/or.2016.6291
%X 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 patellofemoral 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.
%U https://www.pagepress.org/journals/index.php/or/article/view/6291