Medial tibial crest friction syndrome, also known as medial tibial condyle friction syndrome, is a rare entity characterized by the symptomatic inflammation resulting from extra-capsular friction of the medial collateral ligament (MCL) of the knee on the medial tibial crest 1-3.
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Clinical presentation
Patients typically present with pain and swelling approximately 2.5 cm inferior to the medial joint space 1,2.
Radiographic features
Identifying the correct anatomical location is key to the diagnosis and the differential diagnosis.
MRI
bone marrow edema on the tibial crest
soft tissue edema surrounding the MCL at the point where the ligament meets the tibial crest
acute medial tibial crest (on average 8.1o lower crest angle compared to non-symptomatic)
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