Quadriceps muscle partial rupture and lipohemarthrosis

Case contributed by Dr Eugen Divjak

Presentation

Patient experienced a sharp pain above the right knee after physical strain. Later, swelling of the knee developed, as well as reduced knee motion.

Patient Data

Age: 65
Gender: Female
Ultrasound

Ultrasound of the right knee was performed

A rupture of the deep fibers of quadriceps muscle is shown, with preserved muscle tendon and a large hematoma in suprapatellar recessus. In distal part a hyperechoic collection is found, which on closer inspection represents a fat-fluid level. Due to it being indicative of the fracture, an X-ray examination was indicated.

X-ray

X-ray of the right knee

Images acquired in upright and supine position show a fracture of the medial aspect of tibial plateau, with a free intraarticular bone fragment. A fat-fluid level is best visualized in supine position.

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Case information

rID: 63258
Published: 28th Sep 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: University Hospital Dubrava

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