Knee Osteoarthritis Case

Knee Osteoarthritis Case

Clinical information

Patient is a 51 year old male referred to physical therapy with chronic R knee pain that the patient thought was his IT band. Patient has pain descending stairs and playing racquetball, tennis, and lifting weights. The patient did have MRI one year prior to PT and MSK US that showed meniscal fraying and patient had subsequent arthroscopic procedure performed.

Brief description

MSK US of the R knee was performed indicating degenerative changes in both medial and lateral compartments. Additionally, swelling in the suprapatellar pouch was seen with loss of trochlear cartilage seen in the sunrise view. The pez ansirine insertion was unremarkable as was the patellar ligament and quadriceps tendon.

Ultrasound Images & Clips

Suprapatellar pouch
Suprapatellar pouch
Medial Joint Line
Medial Joint Line
Pez Ansirine Insertion
Pez Ansirine Insertion
Patellar Ligament
Patellar Ligament
Lateral Knee Compartment
Lateral Knee Compartment
Trochlear Cartilage Sunrise View
Trochlear Cartilage Sunrise View

Conclusion

Point of care ultrasound can differentiate tendon vs joint related structures and pain generators. The patient was surprised to learn his pain was coming from the joint articulation instead of his IT band. OA of both compartments was able to be visualized on this case as well as swelling in the suprapatellar pouch which is indicative of pathology within the joint.

Details

  • Sex: Male
  • Age: 51
  • Body part: R Knee