Case Report
Fabella Syndrome as an Uncommon Cause of Posterolateral Knee Pain after Total Knee Arthroplasty: A Case Report and Review of the Literature
Table 1
Previous reports on fabella syndrome after TKA.
| Previous report (published year) | Age/sex M: male F: female | Onset time after TKA | Symptoms | Movement that causes symptoms | Etiology | Treatment |
| Jaffe et al. 1988 [3] | 63 F | 6 days | Pain located in the posterolateral part of the knee & snapping & clicking | Knee flexion at 90° | The posterior edge of the polyethylene component | Fabellectomy |
| Laird 1991 [9] | 68 M | 3 months | Pain behind the knee & hard lump | During knee flexion & extension | Posterior condyle of the prosthesis | Fabellectomy |
| Larson and Becker 1993 [10] | 67 F | 3 months | Pain localized to the posterolateral aspect of the knee & catching | During knee motion | Moderate mediolateral laxity & polyethylene insert | Changed to a thicker polyethylene & fabellectomy |
| Erichsen 1997 [11] | 64 F | 1 year | Pain in the lateral part of popliteal fossa & clicking | When the knee was extended from full flexion | The edge of the femoral component | Fabellectomy |
| Segal et al. 2004 [12] | 53 F | 8 weeks | Pain at the posterolateral aspect of the popliteal fossa & crepitus | Knee flexion & extension | Lateral edge of the prosthetic femoral condyle | Fabellectomy |
| Present study | 66 F | 1 week | Posterolateral knee pain & snapping | Active knee flexion at 80–90° | Lateral edge of the femoral component and femoral condyle | Fabellectomy |
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