European Radiology

, Volume 19, Issue 3, pp 701–712 | Cite as

Tumour and tumour-like lesions of the patella – a multicentre experience

  • J. Singh
  • S. L. James
  • H. M. Kroon
  • K. Woertler
  • S. E. Anderson
  • A. M. Davies


Fifty-nine cases of lesions presenting in the patella were identified after review of the databases of four European bone tumour registries. Of the 59 cases, 46% were non neoplastic, 39% were benign and 15% were malignant. The commonest benign neoplasm was giant cell tumour (GCT) (11 cases). Younger patients were more likely to have a benign neoplasm. Lesions in patients less than 40 years of age included giant cell tumour, chondroblastoma, aneurysmal bone cyst (ABC), osteomyelitis, osteoid osteoma and solitary bone cyst. In patients older than 40 years, the following were common lesions: intra-osseous gout, metastasis and intra-osseous ganglion. Expansion of the patella with thinning of cortex was seen more commonly in GCT and brown tumour in hyperparathyroidism. There was associated soft tissue extension in gout and malignant lesions.


Patella Patellar tumours Bone tumours 



The authors would like to acknowledge and thank G. Jundt for contribution of cases for this series.


  1. 1.
    Unni KK (1996) Dahlin’s bone tumours: General aspects and data on 11,087 cases, 5th edn. Lippincott-RavenGoogle Scholar
  2. 2.
    Ferguson PC, Griffin AM, Bell RS (1997) Primary patellar tumors. Clin Orthop Relat Res 336:199–204CrossRefPubMedGoogle Scholar
  3. 3.
    Kransdorf MJ, Moser RP Jr, Vinh TN, Aoki J, Callaghan JJ (1989) Primary tumors of the patella. A review of 42 cases. Skeletal Radiol 18:365–371CrossRefPubMedGoogle Scholar
  4. 4.
    Mercuri M, Casadei R (2001) Patellar tumors. Clin Orthop Relat Res 389:35–46CrossRefPubMedGoogle Scholar
  5. 5.
    Linscheid RL, Dahlin DC (1966) Unusual lesions of the patella. J Bone Joint Surg Am 48:1359–1366PubMedGoogle Scholar
  6. 6.
    Ehara S, Khurana JS, Kattapuram SV, Rosenberg AE, el-Khoury GY, Rosenthal DI (1989) Osteolytic lesions of the patella. AJR Am J Roentgenol 153:103–106PubMedGoogle Scholar
  7. 7.
    Agarwal S, Jain UK, Chandra T, Bansal GJ, Mishra US (2002) Giant-cell tumors of the patella. Orthopedics 25:749–751PubMedGoogle Scholar
  8. 8.
    Bulas RV, Hayes CW, Conway WF, Loughran T (1992) Case report 738: Osteoid osteoma of the patella. Skeletal Radiol 21:326–329CrossRefPubMedGoogle Scholar
  9. 9.
    Castro MD, Irwin RB (1996) Aneurysmal bone cyst of the patella. Am J Orthop 25:717–719PubMedGoogle Scholar
  10. 10.
    Cha S, Schultz E, McHeffey-Atkinson B, Sherr D (1996) Malignant lymphoma involving the patella. Skeletal Radiol 25:783–785CrossRefPubMedGoogle Scholar
  11. 11.
    Chaudhary D, Bhatia N, Ahmed A, Chopra RK, Malik AC, Singh AK, Rao KS (2000) Unicameral bone cyst of the patella. Orthopaedics 23:1285–1286Google Scholar
  12. 12.
    Cooper ME, Mess D (2000) Isolated skeletal metastasis to the patella. Am J Orthop 29:210–212PubMedGoogle Scholar
  13. 13.
    De Coster E, Van Tiggelen R, Shahabpour M, Charels K, Osteaux M, Opdecam P (1989) Osteoblastoma of the patella. Case report and review of the literature. Clin Orthop Relat Res 243:216–219PubMedGoogle Scholar
  14. 14.
    Ghekiere J, Geusens E, Lateur L, Samson I, Sciot R, Baert AL (1998) Chondroblastoma of the patella with a secondary aneurysmal bone cyst. Eur Radiol 8:992–995CrossRefPubMedGoogle Scholar
  15. 15.
    Inoue S, Tanaka K, Sakamoto A, Matsuda S, Tsuneyoshi M, Iwamoto Y (2001) Primary leiomyosarcoma of the patella. Skeletal Radiol 30:530–533CrossRefPubMedGoogle Scholar
  16. 16.
    Kankate RK, Selvan TP (2000) Primary haematogenous osteomyelitis of the patella: a rare cause for anterior knee pain in an adult. Postgrad med J 76:707–709CrossRefPubMedGoogle Scholar
  17. 17.
    Kobayashi K, Deie M, Okuhara A, Adachi N, Yasumoto M, Ochi M (2005) Tophaceous gout in the bipartite patella with intra-osseous and intra-articular lesions: a case report. J Orthop Surg (Hong Kong) 13:199–202Google Scholar
  18. 18.
    Lewis MM, Bullough PG (1976) An unusual case of cystic chondroblastoma of the patella. Clin Orthop Relat Res 121:188–190PubMedGoogle Scholar
  19. 19.
    Lopez-Barea F, Rodriguez-Peralto JL, Burgos-Lizalde E, Gonzalez-Lopez J, Sanchez-Herrera S (1991) Case report 639: Malignant fibrous histiocytoma (MFH) of the patella. Skeletal Radiol 20:125–128CrossRefPubMedGoogle Scholar
  20. 20.
    McGrath BE, Schlatterer D, Mindell ER (2006) Case reports: Osteogenic sarcoma of the patella spread to lateral meniscus after arthroscopy. Clin Orthop Relat Res 444:250–255CrossRefPubMedGoogle Scholar
  21. 21.
    Nagai S, Okuda N, Azuma H, Suzuki M, Takahama M (1993) Osteosarcoma of the patella. A case report. Clin Orthop Relat Res 289:243–246PubMedGoogle Scholar
  22. 22.
    Okada K, Sato K, Abe E, Kataoka Y, Miyakoshi N, Ishikawa N, Sageshima M (1994) Case report 858: Postradiation osteosarcoma of the patella. Skeletal Radiol 23:471–474CrossRefPubMedGoogle Scholar
  23. 23.
    O’Mara JW Jr, Keeling J, Montgomery EA, Aaron AD (2000) Primary lesions of the patella. Orthopedics 23:328,348,370,376–7Google Scholar
  24. 24.
    Pevny T, Rooney J (1994) Aneurysmal bone cyst of the patella: Case report 876. Skeletal Radiol 23:664–667CrossRefPubMedGoogle Scholar
  25. 25.
    Recht MP, Seragini F, Kramer J, Dalinka MK, Hurtgen K, Resnick D (1994) Isolated or dominant lesions of the patella in gout: a report of seven patients. Skeletal Radiol 23:113–116CrossRefPubMedGoogle Scholar
  26. 26.
    Tam W, Resnick D, Haghighi P, Vaughan L (1996) Intraosseous ganglion of the patella. Skeletal Radiol 25:588–591CrossRefPubMedGoogle Scholar
  27. 27.
    Trebse R, Rotter A, Pisot V (2001) Chondroblastoma of the patella associated with an aneurysmal bone cyst. Acta Orthop Belg 67:290–296PubMedGoogle Scholar
  28. 28.
    Urvoy P, Mestdagh H, Butin E, Lecomte-Houcke M, Maynou C (1993) Patellar metastasis from a large bowel adenocarcinoma. Acta Orthop Belg 59:409–411PubMedGoogle Scholar
  29. 29.
    Waris WF, Rubin BD, Fielding JW (1978) Aneurysmal bone cyst of the patella. A case report. J Bone Joint Surg Am 60:711Google Scholar
  30. 30.
    Wientroub S, Salama R, Baratz M, Papo I, Weissman SL (1979) Unicameral bone cyst of the patella. Clin Orthop Relat Res 140:159–161PubMedGoogle Scholar
  31. 31.
    Wolfe MW, Halvorson TL, Bennett JT, Martin PC (1995) Chondroblastoma of the patella presenting as knee pain in an adolescent. Am J Orthop 24:61–64PubMedGoogle Scholar
  32. 32.
    Moser RP Jr, Brockmole DM, Vinh TN, Kransdorf MJ, Aoki J (1988) Chondroblastoma of the patella. Skeletal Radiol 17:413–419CrossRefPubMedGoogle Scholar
  33. 33.
    Schajowicz F, Gallarado H (1970) Epiphysial chondroblastoma of the bone. A clinico-pathological study of 69 cases. J Bone Joint Surg Br 52:205–226PubMedGoogle Scholar
  34. 34.
    Springfield DS, Capanna R, Gherlinzoni F, Picci P, Campanacci M (1985) Chondroblastoma. A review of 70 cases. J Bone Joint Surg Am 67:748–755PubMedGoogle Scholar
  35. 35.
    Campanacci M, Baldini N, Boriani S, Sudanese A (1987) Giant-cell tumor of the bone. J Bone Joint Surg Am 69:106–114PubMedGoogle Scholar
  36. 36.
    Sung HW, Kuo DP, Shu WP, Chai YB, Liu CC, Li SM (1982) Giant-cell tumor of the bone: analysis of 208 cases in Chinese patients. J Bone Joint Surg Am 64:755–761PubMedGoogle Scholar

Copyright information

© European Society of Radiology 2008

Authors and Affiliations

  • J. Singh
    • 1
  • S. L. James
    • 1
  • H. M. Kroon
    • 2
  • K. Woertler
    • 3
  • S. E. Anderson
    • 4
  • A. M. Davies
    • 1
  1. 1.Department of RadiologyThe Royal Orthopaedic HospitalBirminghamUK
  2. 2.Department of Radiology, C-2-SLeiden University Medical CentreLeidenThe Netherlands
  3. 3.Department of RadiologyTechnische Universitaet MuenchenMunichGermany
  4. 4.Knochentumor- Referenzzentrum der Schweizerischen Gesellschaft für PathologieBaselSwitzerland

Personalised recommendations