Article Text


Painful knees
  1. S Batra,
  2. L Maini,
  3. A Upadhyay,
  4. B K Dhaon
  1. Department of Orthopaedic Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India
  1. Correspondence to:
 Dr Sumit Batra, B-39, Adarsh Kunj Apartments, Plot No 42, Sector 13, Rohini, Delhi 110085, India;

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Answers on p 694

A 55 year old woman, suffering from osteoarthritis of the knee joints, presented with sudden worsening of pain for two months. The pain in the knee joints had gradually increased over the last 10 years. At the time of presentation the patient was severely incapacitated and could not walk without support. There was no history of trauma.

On clinical examination, there was diffuse swelling around both the knee joints. A distinct swelling was also present in the region of upper one third of the tibia on both sides. There was generalised tenderness around the knee joints. About 15 degrees of apparent varus deformity on standing and five degrees of flexion deformity on lying down was also present. Painless mobility waspresent at the level of the tibial swellings. Radiographs of both lower limbs were taken and are shown in fig 1.

Figure 1

Anteroposterior radiograph of both legs.


  1. Describe the radiographic findings.

  2. What is the diagnosis?

  3. Discuss the pathomechanics of this condition.

  4. Discuss the treatment of this condition.

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