Knee
Management of an osteolytic lesion of the distal femur affecting the knee joint
This clinical case presents a 66-year-old patient suffering from mechanical pain in the left knee for several months. Clinical and imaging examinations reveal abnormalities that require thorough evaluation to determine the nature of the lesion.
Hopital Pierre Paul Riquet, Toulouse, France
Orthopaedic surgeon
Part one
Clinical presentation
- Male, 66 years old, hypertension, type 2 diabetes
- Mechanical pain in the left knee for 7–8 months prompting further investigations.
- Clinical examination: dry knee, 0/0/140°, localized tenderness on palpation of the medial femoral condyle
Imaging assessment
- CT-scan: Subchondral osteolytic lesion of the medial femoral condyle, with cortical breach.
- MRI: HypoT1, hyper T2, gado +
