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A Peculiar Pickleball Pathology Of The Knee - Page #1
 

Author: Dylan Lawton, BS
Co Author #1: Justin Mark J Young, MD
Co Author #2: Ashley K Aratani, MD
Senior Editor: Heather Rainey, MD
Editor: Robert Oh, MD, MPH

Patient Presentation:
A 63-year old Asian female, recreational pickleball player presented with a right lateral knee mass of five-year duration.

History:
The mass started as the size of a dime and slowly doubled in size and darkened in pigment. There were no associated signs or symptoms. She reported no pain and no functional impairments. <br> <br>Past medical history, past surgical history, social history, allergies, and review of systems were all insignificant. Reported medications were insignificant with the exception of calcium supplements for osteopenia.

Physical Exam:
Vital signs were within normal limits: BP =124/69, HR = 68, Temperature = 98.6, Weight = 124.5 lbs, Height = 5'3", oxygen saturation = 99% on room air. <br> <br>Examination of the lateral aspect of the suprapatellar right knee showed a 4 cm lobulated, soft, nontender, mobile mass located approximately over the lateral joint line. The mass did not change in shape with flexion or extension of the knee and had a central dark discoloration. The remainder of the right lower extremity examination and other system examinations were within normal limits.

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.

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