Arthroscopic retrieval of a very rare penetrating foreign body of the knee

Lee, Byung-Ill; Choi, Hwan Jun; Kim, Jun-Bum; Min, Kyung-Dae

doi:10.1016/j.arthro.2004.08.006

Cited by 10 publications

(9 citation statements)

References 9 publications

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“…Yeung [1] and Oztekin [2] reported arthroscopic retrieval of sewing needle fragments from the knees of children. 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.…”

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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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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“…There are some reports about foreign materials in joints ( 11 , 12 ) or body reactions to foreign materials ( 13 ). Some foreign materials are related to orthopedic instruments such as broken arthroscopic punch ( 11 , 12) or migrated devices like screws or pins ( 13 , 14 ).…”

Section: Discussionmentioning

confidence: 99%

Unusual Foreign Bone Fragment in Femoral Open Fracture

Sadoni

Arti

2016

Trauma Mon

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Introduction:Femoral shaft fracture is one of the typical bone fractures due to high energy trauma and may occur as an open fracture. Some foreign materials may enter the fracture site such as sand, cloth particles and so on.Case Presentation:A 28-year-old motorcycle riding military member and his collaborator were received in the hospital because of multiple traumas due to a fall in a hollow during a surveillance mission. His collaborator died because of head trauma and multiple severe open fractures. When fixing the patients femoral fracture, a large femoral butterfly fragment was removed from the patient’s thigh as a foreign segment. The patient’s femur was fixed with a plate and screws. No femoral defect was detected during surgery or post-operative X-rays and CT scan. The removed segment was not a part of the patient’s femur.Conclusions:Surgical and post-surgical findings showed that this segment was not related to the patient’s femur. The foreign segment may have belonged to the other victim of this trauma.

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“…These have included bullets [1,2], pencil lead [3], metallic stone [4] and metal debris [5-7]. We are unaware of any other cases of the successful arthroscopic removal of a plastic foreign body after an open knee injury presenting with late locking.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic removal of a plastic soft drink bottle cap in the knee: a case report

et al. 2010

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We report a rare case of late knee locking after an open knee injury in a polytrauma patient with a pelvic fracture and a contralateral femoral artery injury. Once the life and limb threatening injuries were addressed, debridement and washout of the knee wound was performed. X-rays and subsequent CT revealed only an undisplaced patella fracture. The patient presented 6 months later to a knee surgeon with recurrent locking. An arthroscopy was performed and a 10 mm plastic soft drink bottle cap was retrieved leading to the immediate resolution of symptoms without complications.Open knee injuries require thorough debridement washout and joint assessment. Late locking should raise the suspicion of an intra-articular loose or foreign body. Arthroscopy is an excellent first line tool in the diagnosis and late management of this unusual problem.

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Arthroscopic retrieval of a very rare penetrating foreign body of the knee

Cited by 10 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

Unusual Foreign Bone Fragment in Femoral Open Fracture

Arthroscopic removal of a plastic soft drink bottle cap in the knee: a case report

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