Fourteen patients with painful knees caused by a direct blow to the fr
ont of the knee have been studied. The exact diagnosis was often delay
ed. Apart from pain, all patients had one common feature which they ma
y not have been aware of, namely, marked tenderness localized towards
the middle of the outer border of the patella. Surgical treatment in 1
1 patients, by excision of the subcutaneous tissue in the tender area
and the prepatellar bursa, cured all cases. Histology of the excised s
pecimens confirms the existence of a definite clinico-pathological ent
ity.