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Robert A. Yood, MD; Murray L. Janower, MD; Edward J. Dunn, MD

JAMA. 1984;251(6):769-770.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

History

A 69-year-old woman, previously in good health, awoke with the sudden onset of severe pain in the lateral aspect of her right knee. No history of trauma was obtained. On examination the right knee was cool and stable, with evidence of a small effusion. Tenderness over the lateral joint line of the knee was elicited. Roentgenograms of the knee were initially interpreted as being normal (Fig 1), and she was treated with indomethacin without receiving any benefit. One week later a 10-mL effusion in the joint was aspirated. A study of the synovial fluid showed a WBC count of 150/cu mm and an RBC count of 50/cu mm; the mucin clot was considered good. No crystals were present, and the results of the cultures were negative. Severe pain occurring both at rest and with ambulation continued. Eighteen days after the onset of pain, a technetium Tc 99m methylene diphosphonate . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Medicine (Dr Yood), Radiology (Dr Janower), and Orthopedics (Dr Dunn), St Vincent Hospital; and the Fallon Clinic (Dr Yood), Worcester, Mass.

Footnotes
Reprint requests to Department of Radiology, St Vincent Hospital, Worcester, MA 01604 (Dr Janower).

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