A fabella is a little bone which sometimes forms at the back of the knee, within the tendon of the gastrocnemius muscle, like a tiny kneecap at the back of the knee.

Fabella with arrow
The arrow shows the fabella.

 

Normal anatomical variant

It is a normal variant in 10-20% of people. The little bone is often wrongly diagnosed by the inexperienced doctor as a 'loose body' or even a 'foreign body' inside the knee. However, in rare cases the fabella causes posterolateral knee pain and surgeons may choose to excise it.

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Knee anatomy intro

This page offers a quick overview of key anatomical structures of the knee joint.

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CLINICAL PUBLICATIONS

A Comprehensive Review of the Fabella Bone. Dalip D, Iwanaga J, Oskouian RJ and Tubbs RS. Cureus. 2018 Jun; 10(6): e2736.

The fabella syndrome - a rare cause of posterolateral knee pain: a review of the literature and two case reports. Driessen A, Balke M, Offerhaus C, White WJ, Shafizadeh S, Becher C, Bouillon B and Höher J. BMC Musculoskelet Disord. 2014; 15: 100.

Ultrasound Evaluation and Surgical Excision of a Fabella Causing Peroneal Neuropathy in a Track Athlete Dale KM, Boggess SB, Boggess B and Moorman CT. Case Rep Orthop. 2018; 2018: 2371947.


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