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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 3, 334-335.
doi: 10.1302/0301-620X.90B3.20369  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Snapping pes syndrome

A REPORT OF FOUR CASES

S. R. Bollen, MB, FRCS, FRCSEd(Orth), FSEM(UK), Consultant Orthopaedic Surgeon1; and D. Arvinte, MRCSEd, FEBOT, FRCS(Tr & Orth), Smith & Nephew Knee Fellow1

1 Bradford Teaching Hospitals Trust, Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ, UK.

Correspondence should be sent to Mr S. R. Bollen; e-mail: srb{at}btinternet.com

We present a series of four patients with what we have termed the snapping pes syndrome. This is a painful clicking and catching experienced at the posteromedial corner of the knee when moving from flexion to extension. Clinical examination and real time ultrasound are the most useful diagnostic tools. If medical treatment is unsuccessful surgical excision of both the semitendinous and gracilis tendons is indicated for relief of persistent symptoms.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General