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Related Experiment Videos

The "fabella syndrome": an update.

D S Weiner, I Macnab

    Journal of Pediatric Orthopedics
    |October 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Posterolateral knee pain in adolescents, often linked to the fabella, can be treated conservatively or with surgery. Surgical removal of the fabella or associated tissues provides immediate symptom relief for persistent cases.

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    Area of Science:

    • Orthopedics
    • Sports Medicine
    • Adolescent Health

    Background:

    • Posterior lateral knee pain is a common complaint in adolescents.
    • The fabella, a sesamoid bone within the gastrocnemius tendon, is a potential source of knee pain.
    • Symptoms are often exacerbated by knee extension and direct pressure on the fabella.

    Purpose of the Study:

    • To describe a specific syndrome of posterolateral knee pain in adolescents.
    • To identify the clinical features and age group most affected by this condition.
    • To evaluate the effectiveness of conservative and surgical management options.

    Main Methods:

    • Retrospective case series of sixteen adolescent patients (15-17 years old) presenting with posterolateral knee pain.
    • Clinical examination focused on localized tenderness over the fabella and pain with knee extension.

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  • Treatment outcomes were assessed for both conservative management and surgical intervention.
  • Main Results:

    • All sixteen patients experienced intermittent posterolateral knee pain, aggravated by extension.
    • Five patients improved with conservative treatment.
    • Eleven patients underwent surgery, with immediate symptom relief following the removal of the fabella (ossified or cartilaginous) or thickened gastrocnemius fibers.

    Conclusions:

    • A distinct syndrome of posterolateral knee pain related to the fabella region affects late adolescents.
    • Surgical intervention, specifically the removal of the fabella or associated structures, is highly effective for persistent symptoms.
    • This condition appears unique to the 15-17 year age group, suggesting specific developmental or biomechanical factors.