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 TKASymptomsMovement that causes symptomsEtiologyTreatment

Jaffe et al.
1988 [3]
63 F6 daysPain located in the posterolateral part of the knee & snapping & clickingKnee flexion at 90°The posterior edge of the polyethylene componentFabellectomy

Laird
1991 [9]
68 M3 monthsPain behind the knee & hard lumpDuring knee flexion & extensionPosterior condyle of the prosthesisFabellectomy

Larson and Becker 
1993 [10]
67 F3 monthsPain localized to the posterolateral aspect of the knee & catchingDuring knee motionModerate mediolateral laxity & polyethylene insertChanged to a thicker polyethylene & fabellectomy

Erichsen
1997 [11]
64 F1 yearPain in the lateral part of popliteal fossa & clickingWhen the knee was extended from full flexionThe edge of the femoral componentFabellectomy

Segal et al.
2004 [12]
53 F8 weeksPain at the posterolateral aspect of the popliteal fossa & crepitusKnee flexion & extensionLateral edge of the prosthetic femoral condyleFabellectomy

Present study66 F1 weekPosterolateral knee pain & snappingActive knee flexion at 80–90°Lateral edge of the femoral component and femoral condyleFabellectomy