Musculoskeletal #2 – Flashcard

13-year-old girl with knee pain for 2 months.

What do you see?

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Periphyseal (both knees) hyperintensity on sagittal fat suppressed T2 Weighted image (a) and Proton Density Weighted image (b) and hypointensity on sagittal T1Weighted image (c) (arrows).

FOPE: Focal periphyseal edema
– Mostly around the knees
– Both genders can be affected during skeletal maturation
– Painful manifestation of physiologic physeal fusion