Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive, dull, aching pain in the proximal tibia, exacerbated by weight-bearing and activity. Reports localized swelling and occasional stiffness in the knee joint. No history of constitutional symptoms, night sweats, or recent trauma. Symptoms are chronic and slowly progressive.
Clinical Examination Findings
Physical exam reveals localized tenderness over the proximal tibia. Palpable firm, non-mobile mass noted in the metaphyseal region. Knee range of motion is restricted by pain at terminal flexion. No neurovascular deficits noted in the distal extremity. No overlying skin erythema or sinus tracts.
Treatment Protocol
Plan includes surgical intervention via intralesional curettage with high-speed burring and adjuvant therapy (e.g., phenol, cryotherapy, or bone cement/PMMA) to minimize recurrence risk. Consideration for structural bone grafting or internal fixation if subchondral bone support is compromised. Post-operative physical therapy for range of motion and weight-bearing progression.