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Bone infarction

Case contributed by Sebastian Tschauner
Diagnosis certain

Presentation

Patient under long-term corticosteroid therapy due to an autoimmune disease. Increasing pain in both knee joints.

Patient Data

Age: 25 years
Gender: Female

Radiographs of both knees

x-ray

Serpiginous sclerotic medullary bone lesions are found around both knees.
No signs of osteolytic changes.
Lateral tibial plateau fracture in the left knee.

Case Discussion

Typical radiographic features of bone infarctions are seen around both knee joints:

  • medullary lesions
  • serpiginous borders
  • most common in metaphyses
  • often symmetrical and/or multiple infarcts

Status post lateral tibial plateau fracture noted on the left side.

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