Transient lateral patellar dislocation

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Left knee pain for 2 months.

Patient Data

Age: 20 years
Gender: Male

Bone marrow contusions are seen involving the anterolateral aspect of the lateral femoral condyle and the medial patellar facet. The patella is currently in a normal position.

Partial tear of the patellar attachment of the medial patellofemoral ligament and medial patellar retinaculum.

A rounded high T2 signal in the anterior horn of the lateral meniscus not reaching articular surfaces, suggestive of a grade I signal.

Mild knee joint effusion.

Case Discussion

A classic picture of transient lateral patellar dislocation, showing kissing bone bruises and abnormal medial patellar retinaculum with joint effusion. The patella can be seen in a normal position or laterally displaced.

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