Detecting and Characterizing the Fabella with High Frame-Rate Ultrasound Imaging

The fabella is a sesamoid bone usually located in the tendon of the lateral head of the gastrocnemius muscle, behind the knee joint. Prevalence rates in human populations vary widely with an average of 42.5% people having a fabella. Clinically, it is associated with a number of knee ailments, most notably the osteoarthritis of the knee and generalized knee pain (i.e., fabella syndrome). As the function of the fabella remains unknown, the biomechanical consequences of fabella presence/absence can only be speculated. Successfully detecting the fabella, measuring its size and determining its shape, are off importance for clinical and evolutionary researchers. In this work, we compare plane wave imaging with conventional focused imaging and evaluate their performance for detecting and characterizing the fabella.