MPFL and ACL tear with patella lateralization

Case contributed by Dr Sajoscha Sorrentino

Presentation

Patient presented with knee pain, reporting he fell on his knee in a dancing accident - meaning he was drunk as a lord and fell off a table while dancing to German volksmusik ...

Patient Data

Age: 45 years
Gender: Male

Marked lateralization of the patella, gonarthrosis, effusion / hemarthrosis and remnants of Osgood-Schlatter disease, and a fabella, too.

Tear of the medial patello-femoral ligament (MPFL) and the anterior cruciate ligament (ACL).

Effusion/hemarthrosis.

Marked lateralization of the patella.

Medial meniscal tear is evident .

Remnants of Osgood-Schlatter disease.

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