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Patellar tendinosis

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Anterior knee pain for the last 5 to 6 months. Active in gym and sports. On examination, tenderness at the lower pole of the patella.

Patient Data

Age: 25 years
Gender: Male
x-ray

There is a lateral patellar tilt. The femorotibial and the patellofemoral spaces are maintained. There is no fracture/ dislocation/ bone lesion.

ultrasound

The patellar tendon is intact. There is a focal hypoechoic area in the patellar tendon proximal fibers on the medial aspect. The rest of the ligament shows normal echopattern. Significant hypervascularity is present as compared to the asymptomatic side.

There is no anterior knee bursitis.

Case Discussion

The case shows a focal area of patellar tendinosis in a young male.

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