First Time Seeing This In My Career: Orthopedic Case of the Week

Never seen this one before! Had to look it up!!
59 year old male with 30 year history of mild, intermittent bilateral knee pain. Few injury episodes with marital arts over the years, but no surgeries. Still active in martial arts. Xrays showed spotted appearance of both knees concerning for metastasis.
Bilateral knee MRI revealed osteopoikilosis (OPK) or ‘spotted bone disease’. OPK is a rare, inherited condition where islands of dense bone develop around joints. It’s a rare cause of joint pain. There are no specific treatment options and NSAIDs are typically recommended. His imaging is remarkable!!
Dr. Steve Meyers, MD – Sports & Regenerative Orthopedics
SteveMeyersMD.com
(817) 661-8498
1651 W Rosedale #200, Ft Worth, TX. 76104

Xrays show small, white spots around both knee joints.

MRI of knees with dark spots of OPK
Related posts
Dr. Steve Meyers
April 16, 2026
Cecilia presented with bilateral knee arthritis pain in 2018. Pain with standing, bending, and squatting. X-rays at the time revealed moderate arthritis with joint space loss in the medial aspect of both knee joints [...]
Dr. Steve Meyers
March 24, 2026
Megan is a 36-year-old female who ruptured her Achilles tendon playing pickleball 4 months ago. She underwent surgical repair within a week. One month into her recovery, she developed an open wound over the [...]
Dr. Steve Meyers
March 24, 2026
Regenerative Orthopedic Case of the week: Out-of-State travel. I am always honored and humbled when patients travel to me to receive their medical care. Jason, a Marine veteran, traveled from upstate New York to [...]
Dr. Steve Meyers
February 17, 2026
Video loop injecting tennis elbow tendon with PRP. As I inject, the tendon is pushed up and to the right away from the bright bone leaving a black void indicating partial tear. Posted [...]
Dr. Steve Meyers
December 4, 2025
Who thinks the only effective treatment for this knee is a total knee replacement??? Think Again!! Regenerative Orthopedic Case of the Week: MZ is a 63 year old female with 5 year history of [...]
Dr. Steve Meyers
November 24, 2025
Regenerative Orthopedic Case of the Week: PRP for Quadriceps tendon partial tear JJ is a 72 year male with right knee pain. Pain developed after sudden change in direction playing pickleball 7 months ago. [...]


