Hello all,
Sorry it took a while to get back to the list.There were several replies regarding this case. The consensus was delaminating injury of the medial prepatellar quadriceps continuation.
There is a very nice discussion here: Prepatellar Quadriceps Continuation: MRI of Cadavers with Gross Anatomic and Histologic Correlation (thank you Dr. Resnick for another great anatomical study).
Knowing the correct keyword to search certainly helps!
Thanks again to all who replied!
Scott
On Tue, Feb 13, 2024 at 10:34 AM Scott wrote:
Hello OCADers,The attached images are of a 36 year old male, 6 weeks s/p football injury. He has sharp pain when running at the anteromedial aspect of knee.
There is a fluid crescent interposed between the crural fascia and patella medially which I am thinking relates to stripping of the fascia from the patella associated with VMO strain, but I don’t believe I’ve seen this pattern before. With exception of a very small partial tear involving far superior fibers of the MPFL (seen on only one slice) the patellar attachment of the MPFL appears intact.
Thank you in advance for any help with this case.
