Cases reported "Knee Injuries"

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1/16. Late arthroscopic debridement of metal fragments and synovectomy after penetrating knee joint injury by low-velocity missile: a report of two cases.

    Retained metal debris from intraarticular missile injury to the knee may produce mechanical symptoms and synovitis. Arthroscopic debridement and thorough synovectomy can relieve symptoms and allow early return of function.
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ranking = 1
keywords = synovitis
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2/16. Reconstruction of the anterior cruciate ligament using poly-L-lactide interference screws or titanium screws: a comparative study.

    In the present clinical trial, interference screws, made of poly-L-lactic acid and applied in 46 knees, were compared to titanium screws employed in 45 knees for reconstructing the anterior cruciate ligament using bone-patellar tendon-bone. An identical surgical technique was applied to both groups; and neither group disclosed apparent side effects such as synovitis caused by hydrolysis of the PLLA or abnormal biochemical findings in the blood. There was no significant difference in the postoperative outcome between the two groups.
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ranking = 1
keywords = synovitis
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3/16. Localized pigmented villonodular synovitis of the knee: diagnostic challenge and arthroscopic treatment: a report of three cases.

    The localized form of pigmented villonodular synovitis (LPVS) is a lesion characterized by focal involvement of the synovial membrane. The knee is the most commonly affected joint. We report three cases of LPVS of the knee which were not diagnosed upon clinical evaluation. The aim is to bring the attention of clinicians to this pathological entity, which is often regarded as extremely rare and is therefore not considered in the early differential diagnosis of various knee derangements. Diagnostic and therapeutic arthroscopy was performed. The lesions were completely resected and patohistological findings confirmed the diagnosis of LPVS. All of our three patients have remained asymptomatic at 8, 10, and 12-month follow-ups.
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ranking = 5
keywords = synovitis
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4/16. Echinococcal synovitis of the knee joint.

    Bone lesions are present in 1% to 2% of cases of hydatid disease. Hydatid synovitis can usually be identified due to secondary extension from the adjacent bone, or infrequently after hematogenous spread. We present an extremely rare case of hydatid synovitis without bony involvement. A 74-year-old man with diagnosed hydatid disease was admitted to our department because of left knee swelling. Neither physical examination nor laboratory studies revealed any remarkable findings. Radiographic evaluation of the knee joint was noncontributory. The patient underwent an arthroscopically assisted synovectomy, and the biopsy revealed an echinococcus contamination. No complications occurred during the postoperative period.
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ranking = 6
keywords = synovitis
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5/16. Localised pigmented villonodular synovitis: an uncommon cause of knee pain mimicking a meniscal tear.

    A previously well 30 year old man presented with a short history of intra-articular mechanical locking, swelling, and anteromedial joint line pain. There was localised tenderness, and McMurray's test was positive. arthroscopy revealed a 3.6 x 2.6 x 1.5 cm firm pedicular localised pigmented villonodular synovitis originating from the insertion of the anterior horn of the medial meniscus. Owing to its size and consistency, mini-arthrotomy was required. This allowed a return to sporting activities. Localised pigmented villonodular synovitis can mimic symptoms of a meniscal tear.
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ranking = 6
keywords = synovitis
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6/16. Acute synovitis of the knee resulting from intra-articular knee penetration as a complication of flexible intramedullary nailing of pediatric femur fractures: report of two cases.

    Management of pediatric femur fractures using flexible intramedullary nail fixation is widely accepted. Few complications have been reported in the literature; these include primarily malunions and nonunions. The authors present two cases of a previously unreported complication-acute synovitis of the knee following intra-articular penetration of the knee joint by migration of a flexible nail.
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ranking = 5
keywords = synovitis
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7/16. Synovitis of the knee after intraarticular fracture fixation with Biofix. Report of two cases.

    We report two cases of severe aseptic synovitis of the knee 8 and 13 weeks after biodegradable internal fixation (Biofix rods) of a fracture of the intercondylar eminence. Both knees were treated by surgical revision and synovectomy. Histologic examination revealed a severe foreign-body type of reactive synovitis in the absence of infection. It is not advisable to use Biofix intraarticularly.
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ranking = 2
keywords = synovitis
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8/16. Popliteus tendon rupture. Case report and review of the literature.

    A 23-year-old man sustained an isolated popliteus tendon rupture while pushing a car. The diagnosis was established with the use of arthroscopy, electromyography, and Cybex testing. After the patient failed to respond to conservative therapy, the tendon rupture was surgically repaired. The patient had an uneventful recovery and returned to his preinjury level of athletic activity. Although popliteus tendon tenosynovitis as well as injury to the popliteus in association with other ligamentous knee injuries has been described, neither an isolated popliteus tendon rupture nor an arthroscopic evaluation of a popliteus tendon rupture has been reported.
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ranking = 1
keywords = synovitis
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9/16. Thorn synovitis: CT diagnosis.

    A case of monoarticular arthritis due to a retained thorn about the left knee is presented. In this case CT was helpful to localize precisely the thorn within the joint whereas other modalities such as plain films, gallium scan, and 99mTc-methylene diphosphonate bone scan were negative.
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ranking = 4
keywords = synovitis
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10/16. Traumatic chylous knee effusion.

    A 47-year-old patient presented with a chylous knee effusion and traumatic infected skin lacerations. The diagnosis of septic arthritis was considered because of purulent looking joint fluid, spuriously high synovial fluid white cell count, and signs of acute knee synovitis. synovial fluid lipid analysis showed increased total lipids due to high concentration of neutral lipids, mainly triglycerides, and repeated knee radiographs showed a small fracture of the tibial spine. Joint trauma with subchondral fracture can be associated with frank chylous effusion, which may mimic acute septic arthritis.
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ranking = 1
keywords = synovitis
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