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2026, Number 4

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Acta Med 2026; 24 (4)

Transient alterations of the subcortical vascularity of the patella in magnetic resonance imaging

Hernández JR, Rodríguez RR, García SAJ, Mosquera RMA, Gómez PMG
Full text How to cite this article 10.35366/123508

DOI

DOI: 10.35366/123508
URL: https://dx.doi.org/10.35366/123508

Language: Spanish
References: 5
Page: 436-438
PDF size: 2318.75 Kb.


Key words:

patellofemoral pain syndrome, patellofemoral pain, magnetic resonance imaging (MRI), bone vascularization, biomechanics.

ABSTRACT

Patellofemoral disorders are common in athletes, especially those who participate in high-impact sports. A 19-year-old male, with no significant medical history, presented with knee pain following repetitive physical exertion. Magnetic resonance imaging revealed an increase in the T2-weighted signal in the subcortical region of the patella, suggesting intraosseous vascular alterations. This finding reflects transient subacute changes caused by biomechanical stress, which affects nutrient supply and triggers vasoregulatory responses. However, this increase in the T2 signal can also be confused with other pathologies, such as bone edema or stress fractures, emphasizing the importance of detailed clinical and radiological analysis for an accurate diagnosis.


REFERENCES

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  2. Buschbeck S, Gotz K, Barzen S, Hoffmann R. Patalla fractures. ZOrthop Unfall. 2022; 160 (6): 687-702. doi: 10.1055/a-1623-6906.

  3. Lawrence M, White TI, Powell GT, Erin B. Increased subcorticalpatellar signal intensity at T2-weighted MR imaging: a subacute findingafter knee injury. Radiology. 2005; 236 (3): 952-957. doi: 10.1148/radiol.2363041132.

  4. Fritz B, Fritz J. MR imaging of acute knee injuries: Systematicevaluation and reporting. Radiol Clin North Ame. 2023; 61 (2): 261-280. doi: 10.1016/j.rcl.2022.10.005.

  5. Watts RE, Gorbachova T, Fritz RC, Saad SS, Lutz AM, Kim J et al.Patellar tracking: an old problem with new insights. Radiographics.2023; 43 (6): e220177. doi: 10.1148/rg.220177.




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Acta Med. 2026;24