Medial tibial crest friction syndrome
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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.
Patients typically present with pain and swelling approximately 2.5 cm inferior to the medial joint space 1,2.
Identifying the correct anatomical location is key to the diagnosis and the differential diagnosis.
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)
- 1. Klontzas M, Akoumianakis I, Vagios I, Karantanas A. MR Imaging Findings of Medial Tibial Crest Friction. Eur J Radiol. 2013;82(11):e703-6. doi:10.1016/j.ejrad.2013.07.024 - Pubmed
- 2. Khan I, Ashraf T, Saifuddin A. Magnetic Resonance Imaging of Impingement and Friction Syndromes Around the Knee. Skeletal Radiol. 2020;49(6):823-36. doi:10.1007/s00256-020-03379-y - Pubmed
- 3. Johnson W, Johnson A, Payne J. A Case of Medial Tibial Crest Friction Syndrome: A Rare Cause of Medial Knee Pain. Clin J Sport Med. 2021;31(4):e210-2. doi:10.1097/JSM.0000000000000782 - Pubmed