Presentation
Left-sided knee pain worsened upon exertion. Meniscal tear?
Patient Data
Age: 40 years
Gender: Female
From the case:
Excessive lateral pressure syndrome
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- Oblique horizontal tear of the dorsal horn of the medial meniscus, resultant protrusion.
- Increased trochlear sulcal angle: 150 degree. Trochlear dysplasia: Dejour A
- Patellar tilt increased: 21 degree - without subluxation finding suggestive of excessive lateral pressure syndrome.
- No facet asymmetry, TT-TG, trochlear depth, lateral trochlear inclination within normal range.
- Discrete joint effusion.
From the case:
Excessive lateral pressure syndrome
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Key images showing measurements.
Case Discussion
Increased patellar tilt without subluxation in a symptomatic patient is highly suggestive of excessive lateral pressure syndrome.