Anomalous band between fabella and semimembranosus tendon

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Chronic knee pain. Incidental finding.

Patient Data

Age: 45 years
Gender: Female
  • anomalous low signal ligamentous structure passing from fabella, running transversely across the popliteal fossa and integrating with the fibers of the semimembranosus tendon

  • abnormal intrasubstance increased fluid signal along with ACL fibers related to a chronic sprain

  • mild joint effusion

Low signal ligamentous structure passing from fabella, running transversely across the popliteal fossa and integrating with the fibers of the semimembranosus tendon.

Case Discussion

This entity referred to a ligamentous structure passing from fabella, running transversely across the popliteal fossa and integrating with the fibers of the semimembranosus, semitendinosus, and gracilis tendons.

Minor trauma to the knee joint leads to fibrosis of the band and impingement of the semimembranosus, semitendinosus, and gracilis tendons and causes posteromedial knee pain.

MRI can be used to assess the ligament complex in the posterior compartment and plays an important role in diagnosis and excluding impingement of the semimembranosus, semitendinosus, and gracilis tendons.

Knee arthroscopy can be used for establishing the diagnosis and conducting surgery.

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