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it is not unusual to see a patient who describes a sensation of something moving around inside their knee this symptom can be caused by a mobile or loose body looking into the center of the knee the round lesion im examining is called a mobile body whilst it can move it is still tethered but it has enough movement to get caught when the knee bends this can cause pain locking or giving way it may have developed as a result of an old injury while some may be seen on an x-ray this one was easily visible on an mri scan as shown here to remove it i cut its pedicle and then use an arthroscopic grasper the difference is now easy to see with the anterior cruciate ligament visible a loose body is a fragment that has no attachments to any structures in the knee it can therefore move freely so the location of a patients symptoms may change in this case it was a loose piece of cartilage caused by a sports injury that was removed from the joint you