Spontaneous osteonecrosis of the knee

Case contributed by Ali Hekmatnia
Diagnosis almost certain

Presentation

Mountaineer with acute knee pain.

Patient Data

Age: 70 years
Gender: Male

Extensive bone marrow edema of the weight-bearing medial femoral condyle associated with subtle flattening of the medial femoral condyle and joint effusion. Medial meniscus shows grade II mucoid degeneration.

Case Discussion

Spontaneous osteonecrosis of the knee (SONK), also known as Ahlback disease, is a subchondral insufficiency fracture due to microtraumatic forces that has further collapsed.

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