Presentation
Pain in both knees following ski trip a few months ago. Pain with extending both knees, worse on the left.
Patient Data
Quadriceps and patellar tendons are intact. Fluid and high signal involving the quadriceps continuation fibers over the anterior patellar. Fluid extends into the medial patellofemoral ligament insertion. Small prepatellar bursal effusion.
No acute mensicoligamentous injury. Distal femoral cortical irregularity (cortical desmoid) at the medial gastrocnemius enthesis.
Quadriceps and patellar tendons are intact. Fluid and high signal involving the quadriceps continuation fibers over the anterior patellar. Fluid extends into the medial patellofemoral ligament insertion. No prepatellar bursal effusion.
Partial-thickness chondral defect medial patellar facet with an adjacent mildly thickened medial patellar plica.
No acute mensicoligamentous injury.
Case Discussion
Prepatellar quadriceps continuation lesions are very rare. They are most often treated non-operatively and respond well to physiotherapy.
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