Adolescent Anterior Knee Pain (AKP), insidious onset, history of inflammatory arthropathy
15-year-old male, referred by pediatric rheumatology, had experienced a true polyarthropathy at 9, which resolved completely.
At 12 he noted bilateral knee pain of insidious onset, associated with his growth spurt. This slowly worsened over time (8 +/10) such that after 3 years, symptoms were so bad that he had to use the elevator at school and friends would deliver him lunch in the cafeteria.
All investigations were normal (radiographs, MRI, hematology, rheumatologic screen).
He underwent staged arthroscopies, with three months between. The fat pad was untethered in both instances, with no complications.