Snapping popliteus tendon in a 21-year-old female

The Journal of Orthopaedic and Sports Physical Therapy
David A Krause, Michael J Stuart

Abstract

Case report. Determining the cause of painful snapping on the lateral aspect of the knee can be a challenge. The differential diagnosis includes iliotibial band friction syndrome, lateral meniscus tear, intra-articular loose body, discoid lateral meniscus, snapping biceps femoris tendon, degenerative joint disease, proximal tibiofibular joint instability, and snapping popliteus tendon. A 21-year-old female presented with a 7-year history of a painful snapping on the lateral aspect of her left knee. She reported the snapping occurred with all activities involving knee flexion and extension, including running and walking. With a diagnosis of snapping iliotibial band, she had received a variety of physical therapy interventions, including various lower extremity stretching and strengthening exercises. Nonsteroidal anti-inflammatory medications were also prescribed by her physician. Conservative and pharmoclogical interventions were unsuccessful in improving her symptoms. Similarly, our attempt with conservative treatment consisting of ice, taping, and a short period of immobilization was not successful. The patient underwent a surgical procedure consisting of removal of a prominent tubercle on the lateral femoral condyle and tenod...Continue Reading

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Jun 27, 2012·AJR. American Journal of Roentgenology·Antoine J MarchandRaphaël Guillin
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