OCAD MSK

History

10 y/o M. pain and crunchy sound in knee

Figure 1 for case Loose ostechondral fragment from trochlea — Figure 1

Figure 2 for case Loose ostechondral fragment from trochlea — Figure 2

Figure 3 for case Loose ostechondral fragment from trochlea — Figure 3

Figure 4 for case Loose ostechondral fragment from trochlea — Figure 4

Figure 5 for case Loose ostechondral fragment from trochlea — Figure 5

Figure 6 for case Loose ostechondral fragment from trochlea — Figure 6

Discussion

Cute case. When history is given that sounds different from the norm, I typically believe the patient and look for an explanation. This kid described it well. Also when you see a hole in the cartilage, look for the missing piece. Sometimes youll find it! This one wasnt a challenge.

Diagnosis

Loose ostechondral fragment from trochlea

Phillip Tirman, MD

Courtesy

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