Distal biceps brachii tendon repair complicated by a suture granuloma mimicking a soft-tissue sarcoma: a case report and review of the literature

Sayari, Arash J.; Pretell-Mazzini, Juan; Jose, Jean; Conway, Sheila

doi:10.1016/j.jse.2014.05.004

Cited by 7 publications

(5 citation statements)

References 27 publications

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“…Nonetheless, there are several case reports in the literature reporting on the delayed formation of suture granulomas after Ethibond use, ranging from 4 months and up to 7 years postoperatively. 3 , 19 , 31 A retrospective case series (n = 672) investigating the rate of Ethibond-related suture granuloma formation after Achilles tendon repair in adults, found an incidence rate of 1.6% at a mean of 6 ± 3.2 months after surgery. 10 In our cohort, suture granulomas appeared on average at 1.67 ± 0.7 years postoperatively (range, 6-28 months).…”

Section: Discussionmentioning

confidence: 99%

Association of Quadriceps Tendon Harvest for ACL Reconstruction With Development of Osteochondritis Dissecans of the Patella in Pediatric Patients

Hidalgo Perea,

Chipman,

Cordasco

et al. 2024

Orthopaedic Journal of Sports Medicine

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Background: There are various reported complications after primary anterior cruciate ligament reconstruction (ACLR) necessitating additional surgery in skeletally immature patients, regardless of technique and autograft type. Purpose: To analyze the rate and type of complications encountered with soft tissue quadriceps tendon autograft (QTA) for ACLR in patients ≤18 years as well as the overall rate of second surgery, unrelated to the use of the QTA. Study Design: Case series; Level of evidence, 4. Methods: A total of 141 patients ≤18 years who underwent ACLR with a QTA and had minimum 6-month follow-up were included. All patients underwent ACLR by utilizing a full-thickness soft tissue QTA. Complications associated with the QTA harvest site and use of QTA were reported. Results: The mean age of the included cohort (84 men, 57 women) was 14.8 ± 1.6 years. The average follow-up was of 2.0 ± 1.2 years. A total of 30 (21%) patients had a subsequent complication that required surgical intervention; in 11 (8%) patients, the complication was specifically associated with the use of a QTA, whereas in 19 (13%) patients, the complication was related to the ACLR. In addition, 13 (9%) patients underwent a contralateral ACLR procedure. Of the QTA-related complications, 2 patients developed osteochondritis dissecans (OCD)-like lesions in the superior aspect of the patella, 2 patients had injured their quadriceps extensor mechanism and required surgical repair, and 8 patients had a subsequent procedure to remove nonabsorbable sutures used for donor site quadriceps tendon closure. One of the patients who underwent the removal of nonabsorbable sutures also had an arthroscopic debridement of patellar chondral damage. Conclusion: We reported complications encountered with soft tissue QTA for ACLR. The complication rate for QTA harvest was 8%. However, given that the removal of nonabsorbable sutures from the donor site was caused by the surgical technique used, the revised nonsuture-related complication rate for QTA graft harvest was 2%. Although the use of a QTA has recently gained popularity due to its high return-to-sport and low graft-failure rates, surgeons should be aware of the complications associated with using this graft type.

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Section: Discussionmentioning

confidence: 99%

Association of Quadriceps Tendon Harvest for ACL Reconstruction With Development of Osteochondritis Dissecans of the Patella in Pediatric Patients

Hidalgo Perea,

Chipman,

Cordasco

et al. 2024

Orthopaedic Journal of Sports Medicine

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“…Outside the upper limb, reactions to sutures have been misdiagnosed as an abscess [11] or a tumor [12] , [13] . In upper limb surgery, reactions to sutures used in a tendon repairs have also been misdiagnosed as a sarcoma [6] and excessive subcutaneous fibrosis [1] . A giant skin granuloma at the site of tendon repair should be considered as a suture reaction until proven otherwise.…”

Section: Discussionmentioning

confidence: 99%

“…Allergic reactions to sutures used in tendon repairs have been reported with polypropylene [1] , polyethylene [2] , braided polyester [3] , and suture anchors [4] . Delayed foreign body reactions to sutures have been reported following tendon repairs using polyester [5] , [6] , [7] , polyethylene [8] , and polyglactin [9] sutures as well as poly-lactide suture anchors [10] .…”

Section: Introductionmentioning

confidence: 99%

A delayed foreign body granuloma associated with polypropylene sutures used in tendon transfer. A case report

Al‐Qattan

Alzahrani

Kfoury

et al. 2016

International Journal of Surgery Case Reports

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“…It can mimic soft-tissue sarcoma-both clinically and radiologically, adding to the diagnostic dilemma. 7 They might even manifest as discharging ulcers in and around the surgical site, which are a result of sinus tracts formed from the foreign-body granulomas to the skin.…”

Section: Discussionmentioning

confidence: 99%

Ethibond Suture Granuloma following Tibialis Anterior Tendon Transfer Mimicking Osteomyelitis of Foot

Gopinathan¹,

Saibaba²,

Santhanam³

et al. 2015

Journal of Foot and Ankle Surgery (Asia Pacific)

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Tibialis anterior tendon transfer is routinely done for the correction of dynamic supination deformity of foot in children with congenital talipes equinovarus (CTEV). Surgeons commonly make use of a nonabsorbable suture—‘ethibond number 2’ for anchoring the transferred tendon to the new recipient site. We would like to report a case of suture granuloma following tibialis anterior tendon transfer in a 4 years old child, presenting with a swelling and discharging sinus clinically mimicking osteomyelitis. Unlike osteomyelitis, the patient did not have fever or pain clinically, nor was any organism detected microbiologically. The clinical presentation and the successful management of the case have been described in detail along with relevant review of literature. How to cite this article Gopinathan NR, Dhillon MS, Saibaba B, Santhanam SS, Kanojia RK. Ethibond Suture Granuloma following Tibialis Anterior Tendon Transfer Mimicking Osteomyelitis of Foot. J Foot Ankle Surg (Asia-Pacific) 2015;2(2):97-100.

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Distal biceps brachii tendon repair complicated by a suture granuloma mimicking a soft-tissue sarcoma: a case report and review of the literature

Cited by 7 publications

References 27 publications

Association of Quadriceps Tendon Harvest for ACL Reconstruction With Development of Osteochondritis Dissecans of the Patella in Pediatric Patients

Association of Quadriceps Tendon Harvest for ACL Reconstruction With Development of Osteochondritis Dissecans of the Patella in Pediatric Patients

A delayed foreign body granuloma associated with polypropylene sutures used in tendon transfer. A case report

Ethibond Suture Granuloma following Tibialis Anterior Tendon Transfer Mimicking Osteomyelitis of Foot

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