An Unusual Metallic Foreign Body inside the Knee Medial Femoral Condyle

Helito, Camilo Partezani; Faria, Carlos Eduardo Nunes; Bonadio, Marcelo Batista; Pécora, José Ricardo; Camanho, Gilberto Luís; Demange, Marco Kawamura

doi:10.1155/2014/849020

Cited by 6 publications

(8 citation statements)

References 14 publications

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“…Arthroscopy has been recognized as an efficient means for foreign bodies removal from the stifle joint in human surgery. 5,[8][9][10][11][12]14,23 Multiple attempts to arthroscopically remove a broken tip of a curette from an elbow joint failed in a dog. 7 The fragment then migrated into the radial fossa of the humeral condyle and was left in situ.…”

Section: Discussionmentioning

confidence: 99%

“…There are reports of joint foreign bodies caused by penetration of the skin or after arthroscopy in both human or veterinary medicine. [1][2][3][4][5][6][7][8][9][10] Stifle joints arthroscopic removal of bullets, metal fragments, needles, glass and plastic objects have been reported. 3,5,[10][11][12] When being lodged intra-articular, foreign bodies can cause lesions of the cartilage, menisci or ligaments.…”

Section: Introductionmentioning

confidence: 99%

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Arthroscopic Removal of a Screwdriver Fragment in a Dog 6 Years after Femoral Fracture Repair

Petazzoni

2020

VCOT Open

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Objective The aim of this study was to report an unusual case of an iatrogenic foreign body within the stifle joint, removed 6 years after distal femoral fracture repair in a small dog. Acute lameness was caused by a migrating screwdriver fragment, which had been lost during initial fracture repair and which did not cause clinical signs for years until dislodged inside the joint. Case Report A male Jack Russell, 7 years of age, underwent plate and screws fixation to treat a Salter-Harris type I fracture at the age of 9 months. Seven months after surgery, partial implant removal was performed. Six years after fracture repair, the dog presented for a non-weight-bearing lameness and pain on the previously operated stifle joint, which occurred suddenly while walking on the leash. Radiographs revealed a small intra-articular metallic radiodense foreign body. Arthroscopy was used to remove the migrating broken-tip of a screwdriver from the medial aspect of the tibiofemoral joint. Retrieving the foreign body led to the immediate resolution of clinical signs without complications. Conclusion By reporting this case of a forgotten foreign body retained inside a stifle joint for 6 years, we aim to illustrate the potential risk of leaving a piece of metal inside the body. A high index of suspicion for such complications should be kept a long time after surgery. Arthroscopy was a useful first-line tool for efficiently and mini-invasively treating this unusual problem.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Arthroscopic Removal of a Screwdriver Fragment in a Dog 6 Years after Femoral Fracture Repair

Petazzoni

2020

VCOT Open

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“…Foreign bodies in knee joints are rare. Authors reported an intraosseous metallic foreign body in the lateral [88] and medial [89] condyles of the femur associated with pain in the left knee. Low radiopaque objects are usually missed on imaging investigations.…”

Section: Foreign Bodymentioning

confidence: 99%

Fabella Syndrome: A Typical Case of Misdiagnosis and Discussion

Alsharif¹,

Almasaad²,

Bakhit³

et al. 2019

CRCM

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Background: Fabella is a natural occurring sesamoid bone, cartilage or a mixture of both that is usually located at the posterolateral corner (PLC) of the knee [1]. Recently the PLC of the knee has been extensively investigated because it is a common site of injuries and diseases [2] [3]. The complexity of PLC anatomy needs to be fully understood because the fabella could be missed diagnosis as an osteochondral defect, osteochondritis dissecans (OCD), calcific tendinitis, or foreign body. We present a case report of fabella syndrome triggered by trauma and also performed a review of literature for the various diagnoses that might be confused with fabella syndrome. Case presentation: A 29-year-old, Sudanese male presented to the trauma center in King Khalid Hospital in KSA, complaining of pain and partial swelling in his left knee joint due to trauma. Fabella was detected in the posterior lateral corner (PLC) of the knee joint embedded in the lateral head of the gastrocnemius muscle. All other pathological conditions were excluded. Conclusion: Fabella is sesamoid bone with variable size, found in the PLC. Commonly if present it causes periodic pain especially in the fully extended knee or it remains asymptomatic. Trauma, surgery, sports or heavy extreme activities may trigger the pain of asymptomatic fabella. Clinicians should consider that pain in the PLC of the knee can result from the presence of the fabella in a condition called fabella syndrome.

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“…Foreign body in the knee following occupational injuries [ 1 ], war injuries [ 2 , 3 ], prick injuries [ 4 , 5 ] and intra articular injection [ 6 ] have been described in the literature. These reported foreign bodies have embedded in the soft tissues of the knee or the bone.…”

Section: Introductionmentioning

confidence: 99%

“… Careful and thorough clinical evaluation after creating a good rapport with the child is of utmost importance to find the initial insult. The usefulness of Radiographs and Computed tomography are limited in this condition [ 1 ]. Arthroscopic retrieval of foreign body and synovectomy would have reduced the postoperative morbidity.…”

mentioning

confidence: 99%

A case report on non-specific synovitis of the knee due to septic foreign body in the Hoffa fat pad causing diagnostic dilemma

Pathinathan

Sivakumaran²,

Imthiaz

et al. 2021

International Journal of Surgery Case Reports

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Introduction & importance Recurrent chronic synovitis due to foreign body is a rare entity and it may progress into chronic septic arthritis. Chronic recurrent synovitis or septic arthritis may leave permanent damage to the articular cartilage and renders the child with permanent disabilities. Case presentation A 03-year-old girl has been transferred to a tertiary centre with a history of recurrent pain and swelling of the right knee and on and off limping for six weeks duration. These symptoms were preceded by a history of prick injury to the ipsilateral knee. Clinical findings & investigations The knee was warm to the touch, moderately tender and contains effusion. C-Reactive peptide level series were elevated, Erythrocyte sedimentation rate was 83 mm/1 st hour and White cell count was 10,300/mm3. The ultrasonography revealed suprapatellar bursitis, other investigations such as Antinuclear antibody levels, Rheumatoid factor and Bacterial culture of the aspirate were negative. Interventions & outcome Arthrotomy and synovectomy performed. While performing synovectomy, an organic thorn has been retrieved from the Hoffa fat pad. The child was treated with intravenous antibiotics for ten days (Co-amoxiclav) and discharged. Her recovery was uneventful and in six weeks she has shown marked improvement of the knee function. Histological examination revealed non-specific chronic synovitis. Relevance & impact Chronic synovitis due to foreign body mimicking septic arthritis or causing diagnostic difficulty is a rare entity in the paediatric population. Careful clinical evaluation after creating a good rapport with the child is of utmost importance.

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An Unusual Metallic Foreign Body inside the Knee Medial Femoral Condyle

Cited by 6 publications

References 14 publications

Arthroscopic Removal of a Screwdriver Fragment in a Dog 6 Years after Femoral Fracture Repair

Arthroscopic Removal of a Screwdriver Fragment in a Dog 6 Years after Femoral Fracture Repair

Fabella Syndrome: A Typical Case of Misdiagnosis and Discussion

A case report on non-specific synovitis of the knee due to septic foreign body in the Hoffa fat pad causing diagnostic dilemma

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