An unusual case of foreign body knee that spontaneously migrated inside and out of the joint: arthroscopic removal

Devgan, Ashish; Mudgal, K. C

doi:10.1007/s00167-006-0197-4

Cited by 12 publications

(10 citation statements)

References 8 publications

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“…1a) or neuropathies [5]. FBs may also migrate to deeper soft tissues, into the joints [6][7][8][9][10] or even into blood vessels with possible embolic complications [11,12]. Long-term retention of FBs has also led to the onset of tumours [13].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided removal of foreign bodies: personal experience

et al. 2009

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Foreign bodies (FBs) retained in the soft tissues are a common reason for medical consultation, and usually consist of wooden or metal splinters or glass shards. Failure to remove foreign bodies is likely to give rise to acute or late complications, such as allergies, inflammation or infection, that may be severe. The surgical removal of an FB is invasive, costly and technically challenging. The procedure may fail in some cases and carries the risk of complications. Our study describes a technique for the ultrasound-guided removal of an FB, devised from our experience, and demonstrates its advantages over the standard surgical procedure. Sixty-two patients (43 males and 19 females aged from 9 to 65 years, median age 31 years) presented at our institution between October 2005 and June 2008 with suspected foreign bodies retained in the soft tissues of various body districts. Radiographic and/or ultrasound diagnosis was established by a radiologist expert in musculoskeletal sonography. The same radiologist helped by a nurse subsequently undertook the ultrasound-guided removal in the outpatient's clinic according to the technique described in the paper. ATL 5000 and PHILIPS iu22 ultrasound systems were used with high-frequency linear-array probes, sterile material, local anaesthetic (lidocaine 2%), scapels and surgical forceps. Antibiotic prophylaxis with amoxicillin and clavulanic acid were prescribed to all patients for 7 days after the procedure. Ninety-five FBs (39 glass, 35 metal, 17 vegetable, 2 plastic, 2 stone) were successfully removed under ultrasound guidance in all patients and the procedure took between 15 and 30 min. No complications arose either during or after the procedure. Seventy-five skin incisions were made and the wounds closed with Steri-Strips in 73/75 cases, whereas skin sutures were used in 2/75 cases. No complications arose either during or after the procedure. Ultrasound-guided removal of an FB retained in the soft tissues is a good alternative to surgery as is its relatively straightforward, inexpensive, repeatable and carries a low risk of complications. In addition, failure to remove an FB does not preclude traditional surgical removal. The advantages of this real-time procedure and the use of small instruments minimize bleeding time and avoid injury to surrounding structures. Patient compliance is enhanced by the fact that the procedure has little or no aesthetic impact. These encouraging results suggest ultrasound-guided removal as a first-choice procedure for the extraction of foreign bodies.

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Section: Introductionmentioning

confidence: 99%

Ultrasound-guided removal of foreign bodies: personal experience

et al. 2009

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“…Arthroscopy is increasingly used both for diagostic and treatment purpose. 7,14,15 Selected cases can still require open surgery for removal of the foreign bodies. 1,2,5 Appropriate treatment is generally associated with excellent outcome and no long-term sequelae.…”

Section: Discussionmentioning

confidence: 99%

A rare case of metallic foreign body in the knee of a 16 year old boy

Filip

Tataranu

Stefan³

2019

Int J Res Orthop

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“…Lee [3] reported a rare case of an 8-year-old boy who accidentally fell, causing the point of a pencil to penetrate the left knee joint cavity. 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.…”

Section: Discussionmentioning

confidence: 99%

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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An unusual case of foreign body knee that spontaneously migrated inside and out of the joint: arthroscopic removal

Cited by 12 publications

References 8 publications

Ultrasound-guided removal of foreign bodies: personal experience

Ultrasound-guided removal of foreign bodies: personal experience

A rare case of metallic foreign body in the knee of a 16 year old boy

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

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