A glass foreign body in the knee joint mistaken for ACL avulsion: an unusual case

Sharma, Sanjeev; Rampurada, A.; Rees, A.

doi:10.1007/s00167-006-0256-x

Cited by 7 publications

(5 citation statements)

References 9 publications

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“…Devgan [4] reported an unusual injury involving a piece of glass that remained in the subcutaneous tissue for many years, eventually migrating into the knee joint cavity. Sharma [5] and Hafez [6] also reported cases in which glass was found within the knee joint. Palmers [7] reported an unusual metallic foreign body lodged in the lateral tibiofemoral compartment.…”

Section: Discussionmentioning

confidence: 96%

Arthroscopic retrieval of a large foreign body: A case report and literature review

Qin¹,

Li²,

SongCen³

et al. 2018

biomedicalresearch

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Background: We report the removal of a large metallic foreign body and review the relevant literature. Methods: A 28 y old woman was admitted with left knee swelling, pain, and limitation of activity resulting from an accident 7 d earlier. Radiography revealed a 3 × 1 cm foreign body at the mid-tibial plateau. As the foreign body may have been metallic, it was not possible to perform magnetic resonance imaging to determine whether damage to the cruciate ligaments was present. Finally, the foreign body was retrieved. Results: A 3 × 4 × 5 cm triangular broken knife blade was removed from the joint cavity. We excised the lateral meniscus, which had been damaged by the foreign body, and debrided the hyperplastic synovial membrane. Recovery was favorable with no complications. The patient was followed up at 6 months after surgery. Conclusions: While foreign bodies in the knee are not uncommon, the presence of a large object is rare. When foreign bodies are small, most can be removed arthroscopically with a minimum of difficulty. In contrast, large foreign bodies within the knee joint cavity require an incision to open the joint for adequate exposure and removal of the object. Such a procedure can result in severe complications, such as infections and joint deformities. The decision to use one or the other approach requires careful consideration regarding the condition of the patient along with the skill, knowledge, and experience of the health care team.

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Section: Discussionmentioning

confidence: 96%

Arthroscopic retrieval of a large foreign body: A case report and literature review

Qin¹,

Li²,

SongCen³

et al. 2018

biomedicalresearch

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“…Interestingly, in this report, middle-aged patient with history of osteoarthritis received intra-articular injection for pain relief and these glass foreign bodies retrieved during arthroscopy originated from glass vials broken while withdrawing medication for intra-articular injection in the knee joint. Another curious case documented arthroscopic retrieval of glass foreign body which was misdiagnosed as ACL avulsion fracture on plain radiographs without preceding history of trauma [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic retrieval of a neglected glass shard from the knee Joint – A Case Report and Review of Literature

Panchal¹,

Momin²,

Yadav³

et al. 2022

JOCR

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Introduction: Knee joint is not an uncommon site for penetrating injuries and a spacious articulation to accommodate foreign body. Extensive literature is available on removal of loose bodies and metallic foreign bodies from the knee joint with sparse documentation of unusual intruders. Case Presentation: We report an atypical case of neglected glass fragment retrieved from the knee joint of 26-year-old male by arthroscopy, who presented to us 14 months after the index injury, in view of sudden onset excruciating pain following bike ride. Conclusion: Arthroscopy is the preferred minimally invasive modality for removal of foreign bodies from the knee joint, particularly from deeper and remote areas of knee joint. Appropriate pre-operative radiological imaging aids in better understanding of the anatomical location, improves surgical orientation, and shortens the duration of surgery. A high degree of suspicion and a meticulous history taking is important to reach the appropriate diagnosis.

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“…There have been cases of glass foreign bodies discovered in the knee joint [3][4][5][6]. However, there is no case written in the literature that reports of a glass foreign body causing prepatellar bursitis.…”

Section: Discussionmentioning

confidence: 99%

Glass Removed During Endoscopic Prepatellar Bursectomy

McKenzie¹,

Nguyen²,

Hill³

2020

SCR

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Foreign body objects could be a cause of prepatellar bursitis. This is the only reported case in the literature describing prepatellar bursitis caused by a glass foreign body and the use of endoscopy to retrieve it. During an endoscopic bursectomy to alleviate symptoms of prepatellar bursitis, glass was discovered. The glass was removed and the prepatellar space irrigated and debrided to removed inflamed tissue. This case highlights the only case report of prepatellar bursitis caused by a retained foreign body and the use of endoscopy to remove it. Endoscopic bursectomy is a viable alternative to open bursectomy to minimize wound complications and allow faster recovery.

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A glass foreign body in the knee joint mistaken for ACL avulsion: an unusual case

Cited by 7 publications

References 9 publications

Arthroscopic retrieval of a large foreign body: A case report and literature review

Arthroscopic retrieval of a large foreign body: A case report and literature review

Arthroscopic retrieval of a neglected glass shard from the knee Joint – A Case Report and Review of Literature

Glass Removed During Endoscopic Prepatellar Bursectomy

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