Solid Pseudopapillary Tumor of the Pancreas
Joseph Junewick, MD FACR
over 5 years ago
Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.
Heather Borders, MD
|Diagnostic Category: Trauma
|Created: over 7 years ago
|Updated: over 7 years ago
Patient with anterior knee pain.
Diagnosis was Osgood Schlatter disease clinically.
Fragmentation of the inferior patellar pole, edema within and surrounding the proximal patellar tendon.
Sinding Larsen Johansson disease is in the spectrum of overuse injuries of the patellar tendon and is considered an osteochondrosis. The disease is most common between the ages of 10-14 and is most likely due to repetetive traction on the inferior patella by the patellar tendon.
Plain radigraphic findings include fragmentation of the inferior patellar pole and edema and indistinctness of the proximal patellar tendon and surrounding tissues. MRI findings are similar. Patellar fragmentation is a late finding.
Differential considerations include jumpers knee (skeletally mature patients with edema in proximal patellar tendon, but normal bone), Osgood Schlatter or patellar sleeve fracture(acute injury rather than chronic).
Caffeys pediatric diagnostic imaging eleventh edition volume 2, pp. 2846-2848.
Pediatric and Adolescent MSK MRI, Kan et al. pp. 661-665.