Male, 60 years old. Evaluate for source of knee pain following fall and twisting. Five views of the right knee demonstrate swelling along the anterior aspect of the knee which could represent a hematoma. Soft tissue swelling limits evaluation of the extensor mechanism. There are small ossicles in the distal quadriceps tendon which suggest chronic tendinosis. If there is clinical concern for an acute quadriceps tendon rupture, MRI can be considered. We see no fracture.
Soft tissue swelling anterior to the patella which may represent a hematoma. This limits evaluation of the extensor mechanism. If there is clinical concern for a quadriceps tendon tear, then MRI can be considered.Findings were discussed by telephone with Dr. DiMaggio at 2:30 PM on 3/28/2016