Dear colleagues,
I’d appreciate your thoughts on a chronic knee pain case with MRI findings of thickened cartilage in the tibia and femur (suspected congenital), irregular signal changes with cystic alterations, and mild downward-facing medial/lateral tibial joint surfaces.
ACL, PCL, collateral ligaments, quadriceps tendon, and patellar ligament: Normal.
Minimal posterior degeneration in the medial meniscus.
History: Chronic pain since childhood, no major trauma, recurrent episodes after minor twists, resolves with rest.
Exam: Thin leg muscles, no swelling/effusion, full ROM, localized pain lateral knee → fibular head, normal stability.
Could this be isolated congenital thickening or part of a broader syndrome?
Love to hear your insights
Best,
Volker
