Almutairi Khawla Mansour, Almutairi Reem Mohammed, Almogbil Ismail Hamad
College of Medicine Qassim University, Qassim, Kingdom of Saudi Arabia.
Department of Surgery, College of Medicine Qassim University, Qassim, Kingdom of Saudi Arabia.
Orthop Rev (Pavia). 2024 Oct 30;16:124774. doi: 10.52965/001c.124774. eCollection 2024.
Medial hamstring snapping knee syndrome is an infrequent clinical entity, with osteochondroma being an exceptionally rare etiology. This report details a case of a 21-year-old female presenting with a 4-month history of persistent left knee pain, snapping, and clicking, which developed following a fall. Despite initial conservative management, the symptoms persisted. Advanced imaging, including MRI, revealed a small osteochondroma on the medial aspect of the proximal tibia, which was the underlying cause of the snapping. A targeted physiotherapy regimen emphasizing quadriceps and hamstring strengthening was subsequently employed, leading to effective symptom management. This case highlights the necessity of a meticulous clinical evaluation and the role of advanced imaging in diagnosing rare etiologies of snapping knee syndrome. Furthermore, it demonstrates the efficacy of focused physiotherapy in managing such conditions.
腘绳肌内侧弹响膝综合征是一种不常见的临床病症，骨软骨瘤作为其病因极为罕见。本报告详细介绍了一例21岁女性病例，该患者在跌倒后出现持续4个月的左膝疼痛、弹响和喀哒声。尽管最初采取了保守治疗，但症状仍持续存在。包括MRI在内的高级影像学检查显示，胫骨近端内侧有一个小的骨软骨瘤，这是弹响的根本原因。随后采用了以股四头肌和腘绳肌强化为重点的针对性物理治疗方案，有效控制了症状。该病例强调了细致临床评估的必要性以及高级影像学在诊断弹响膝综合征罕见病因中的作用。此外，它还证明了针对性物理治疗在管理此类病症方面的有效性。
