Presentation
Left knee pain.
Patient Data
Age: 4 years
Gender: Male
From the case:
Epiphyseal cortical irregularity
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bilateral mild irregularity with minimal fragmentation of the medial aspect of the distal femoral epiphysis.
no periosteal reaction or soft tissue lesion
From the case:
Epiphyseal cortical irregularity
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Knee ultrasound demonstrates hyperechoic lines and spurs inside the epiphyseal cartilage, arising from the ossified center.
Case Discussion
Epiphyseal cortical irregularity is an asymptomatic anatomical variant seen in young children, that should not be overdiagnosed as a malignant or infectious lesion.
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