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CASE REPORT
Unexplained knee pain: A diagnostic challenge
https://upload.orthobullets.com/cases/102622/c63d1c19-e10a-4552-988c-435587c3581b_imagen_20-12-24_a_las_10.31_p.m..jpg https://upload.orthobullets.com/cases/102622/a8798bf5-1ea2-4d5e-8818-b21be0228b3a_imagen_20-12-24_a_las_10.32_p.m..jpg
A
Rodolfo J. Durán Ciarrochi MD
UCSC/ Las Higueras Hospital
VIEW EXPERT OPINIONS
HPI
A 36-year-old female presents to the emergency department with complaints of right knee pain, a sensation of swelling, and pulsation, currently accomp... anied by limitations in ambulation. The patient reports knee pain (gonalgia) persisting for over six months, denies any history of trauma, previous surgical interventions, or other significant medical events.The patient had consulted general practitioners and orthopedists on several occasions, who prescribed analgesia and physical therapy for probable meniscopathy.
388   votes
1
(P: 208952) Based on the imaging of a lytic lesion in the proximal tibia, which of the following diagnoses do you believe is most likely?
Giant Cell-Rich Osteosarcoma
12%
4/31
Fibrous dysplasia
0%
0/31
Conventional Chondrosarcoma (Grade 2/3)
9%
3/31
Giant Cell Tumor of Bone (GCTB)
54%
17/31
Chondromyxoid Fibroma (CMF)
0%
0/31
Clear Cell Chondrosarcoma
9%
3/31
Aneurysmal Bone Cyst (secondary to another lesion)
6%
2/31
Infection (e.g., osteomyelitis, Brodie’s abscess)
3%
1/31
Chondroblastoma
3%
1/31
9   Surgeons
1
Rodolfo Durán Ciarrochi, MD UCSC/ Las Higueras Hospital
TOP 5 %
Patient Care
Venezuela (Bolivarian Republic of)
Last Week
Venezuela (Bolivarian Republic of)
2
Ali Ali zagazig, EG
TOP 5 %
Patient Care
Egypt
Last Year
Egypt
3
Inayat Urrehman Peshawar, PK
TOP 5 %
Patient Care
Pakistan
Last Year
Pakistan
4
Kagan Tanriver, MD ANKARA, TR
Turkey
5
mohamed Hamed, RN Mansoura, EG
Egypt
15   Countries
1
United States of America
6 surgeons
2
Greece
3 surgeons
3
Egypt
2 surgeons
4
Saudi Arabia
2 surgeons
5
Spain
2 surgeons
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Biopsy Principles
PMID: 7130225 J Bone Joint Surg Am. 1982 Oct;64(8):1121-7.
D
post

The hazards of biopsy in patients with malignant primary bone and soft-tissue tumors.

H J Mankin
T A Lange
S S Spanier
The hazards of biopsy in patients with malignant primary bone and soft-tissue tumors.
Pubmed
Journal



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    The hazards of biopsy in patients with malignant primary bone and soft-tissue tumors.
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