Rapid chondrolysis of the medial knee compartment after arthroscopic meniscal resection: a case report.

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Ressource 1Télécharger: Article - Rapid chondrolysis of the medial knee compartment after arthroscopic meniscal resectio. A case report-JMCR 2016.pdf (2264.16 [Ko])
Etat: Public
Version: de l'auteur
Licence: CC BY 4.0
ID Serval
serval:BIB_A2417B639B85
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Rapid chondrolysis of the medial knee compartment after arthroscopic meniscal resection: a case report.
Périodique
Journal of medical case reports
Auteur(s)
Steinmetz Sylvain, Bonnomet François, Rahme Michel, Adam Philippe, Ehlinger Matthieu
ISSN
1752-1947 (Electronic)
ISSN-L
1752-1947
Statut éditorial
Publié
Date de publication
01/04/2016
Peer-reviewed
Oui
Volume
10
Pages
81
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: epublish
Résumé
Rapidly destructive osteoarthritis of the hip and rapid chondrolysis of the lateral compartment of the knee or the shoulder are rare, but have been previously described in the medical literature. To the best of our knowledge, no case of medial femorotibial compartment chondrolysis after arthroscopy has yet been described. We therefore submit the first case report.
A 64-year-old white European man presented with right knee pain due to a medial meniscal tear with no other abnormality found on examination or imaging. An arthroscopic partial medial meniscectomy was performed and early evolution was favorable with no signs of infection. He developed knee pain 2 months later. X-rays showed a thinning of the medial compartment which was confirmed by computed tomography arthrogram. There was no articular effusion, mobility was conserved (0/0/125°), there was no laxity, and pain was localized to the medial femorotibial compartment, with no meniscal signs. There was a 8° varus deviation (versus 3° for his uninjured left knee). His blood work was normal. As there were no signs of infection, no aspiration was performed. Viscosupplementation was offered but refused by the patient. He is now waiting for a partial knee replacement.
To the best of our knowledge, this is the first description of such a case. Rapid chondrolysis has been described in the hip, shoulder, and the lateral compartment of the knee. Infiltration of bupivacaine and lateral meniscectomy are the most frequently sited offending procedures. Concerning the medial compartment, cases of avascular necrosis have been reported after meniscectomy or use of radiofrequency devices. This case underlines the necessity of a thorough physical examination and complete radiological work up before any surgery. It must also drive us to use caution regarding meniscectomy, especially in patients over 60 years of age, and reminds us that patients must be informed of this potential complication.
Mots-clé
Arthralgia/etiology, Arthroscopy/adverse effects, Cartilage Diseases/diagnostic imaging, Cartilage Diseases/etiology, Humans, Male, Menisci, Tibial/diagnostic imaging, Menisci, Tibial/surgery, Middle Aged, Postoperative Complications/diagnostic imaging, Postoperative Complications/etiology, Tibial Meniscus Injuries/diagnostic imaging, Tibial Meniscus Injuries/surgery, Arthroscopy, Case report, Complication, Knee, Rapid chondrolysis
Pubmed
Open Access
Oui
Création de la notice
14/03/2019 10:15
Dernière modification de la notice
05/12/2020 7:26
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