» Introduction :
It is a condition in which there is a sessamoid bone in the lateral gastrocnemius. It is located behind the lateral (outer) femoral condyle. It is a normal variant in 10-20% people without any symptoms.
» Pathophysiology :
Continous rubbing of the sessamoid bone over the lateral femoral condyle can cause pain. This is called as the fabella syndrome.
» Clinical Features :
Pain and tenderness over posterior aspect of knee, best examined when the leg is straight.
» Investigations :
» Conservative Management
- Anti-inflammatory medications
- Heel lifts (shorten gastrocnemius)
» Surgical Management
Is indicated only when the conservative therapy as failed after a 6 month trial. In this case a surgical excision is done to relieve the symptoms.