Differential Diagnosis for Lateral Knee Swelling over Joint Line
Single Most Likely Diagnosis
- Iliotibial (IT) Band Syndrome: This condition is characterized by inflammation of the iliotibial band, a ligament that runs down the outside of the thigh from the hip to the knee. It is a common cause of lateral knee pain and swelling, especially in runners or cyclists, due to repetitive friction of the IT band over the lateral femoral condyle.
Other Likely Diagnoses
- Lateral Meniscal Tear: Tears in the lateral meniscus can cause swelling and pain on the lateral aspect of the knee. Meniscal tears are common in sports that involve twisting and pivoting.
- Lateral Collateral Ligament (LCL) Sprain: An injury to the LCL, which connects the femur to the fibula, can lead to lateral knee swelling and instability.
- Bursitis (e.g., IT band bursitis or lateral gastrocnemius bursitis): Inflammation of the bursae around the knee can cause localized swelling and pain.
Do Not Miss Diagnoses
- Septic Arthritis: Although less common, septic arthritis is a medical emergency that requires prompt diagnosis and treatment. It can present with joint swelling, pain, and systemic symptoms like fever.
- Osteonecrosis (Avascular Necrosis) of the Lateral Femoral Condyle: This condition involves the death of bone tissue due to a lack of blood supply and can cause pain and swelling in the affected area.
- Tumor (e.g., osteosarcoma, synovial sarcoma): Although rare, tumors around the knee can cause swelling and should be considered in the differential diagnosis to ensure timely treatment.
Rare Diagnoses
- Ganglion Cyst: A benign lump that can occur on the lateral aspect of the knee, often associated with a tendon or joint.
- Pigmented Villonodular Synovitis (PVNS): A rare condition characterized by overgrowth of the joint lining, leading to swelling and pain.
- Hemophilia or other bleeding disorders: In patients with bleeding disorders, even minor trauma can lead to significant hemarthrosis (bleeding into the joint), causing swelling and pain.