Arthroscopic extraction of intraarticular loose body in the knee
Keywords:
arthroscopy, joint loose bodies, knee.Abstract
Introduction: Loose joint bodies can be found in any joint of the human body, especially in the knee joint. This type of joint condition occurs as a consequence of traumatic, degenerative, inflammatory and ischemic injuries.
Objective: To present the clinical case of a patient with a loose joint body in the knee.
Clinical case: A 56-year-old male patient with a history of apparent health, who presented moderate to severe pain in the right knee, accompanied by a feeling of blockage, which made it difficult to extend the knee, for 2 years and which worsened over time. He was instructed to have simple anteroposterior and lateral weight-bearing knee x-rays, which did not show any alterations, so he underwent knee arthroscopy in which an intra-articular loose body in the medial compartment of 1.5 cm in diameter was observed, probably related to his occupation as a builder and which was removed through a supero-external port.
Conclusions: Loose joint bodies are difficult to diagnose, with varied etiology and in which arthroscopy is the most effective surgical method for diagnosis and treatment.
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References
1. Zmerly H, Moscato M, Akkawi I. Assessment and management of loose bodies in the knee joint and related disease: a narrative review [Internet]. Curr Rheumatol Rev. 2022; 18(1):12-9. DOI: 10.2174/1573397117666211021165807
2. Álvarez López A, Valdebenito Aceitón V, Soto Carrasco SR, Serrano González D. Tratamiento artroscópico de pacientes con cuerpos libres articulares en la rodilla [Internet]. Rev Inf Cient. 2023; 102(1):1-10. DOI: 10.5281/zenodo.8104796
3. Farina EM, Lowenstein NA, Chang Y, Arant KR, Katz JN, Matzkin EG. Meniscal and mechanical symptoms are associated with cartilage damage, not meniscal pathology [Internet]. J Bone Joint Surg Am. 2021; 103(5):381. DOI: 10.2106/JBJS.20.01193
4. Hanus M, Hladký V. Unexpected finding of a foreign body in the knee joint area of a 10 year-old boy [Internet]. Acta Chir Orth Traumatol Cech. 2021 [acceso: 01/03/2023]; 88(6):461-3. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3499
5. Dai ZZ, Sha L, Zhang ZM, Li H, Li H. Arthroscopic retrieval of knee foreign bodies in pediatric: a single-centre experience [Internet]. Orthop. 2022; 46(7):1591-6. DOI: 10.1007/s00264-0224
6. Manandhar S, Li J, Lu XC, Zhang Y, Zhang Y, Liu Y, et al. A recurrent synovial osteochondromatosis of the knee: a case report [Internet]. Int Med Case Rep J. 2020; 14(1):67-72. DOI: 10.2147/IMCRJ.S292283
7. Panchal S, Momin AS, Yadav AK, Bagaria V. Arthroscopic retrieval of a neglected glass A case report and review of literature [Internet]. 2022 [acceso: 01/08/2023]; 12(5):22-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826547/
8. Tan SM, Moo IH, Sitampalam K, Koh JSB, Howe TS. Isolated synovial osteochondromatosis in a completely enclosed suprapatellar pouch: a rare case report [Internet]. J Orthop Case Rep. 2020; 10(2):17. DOI: 10.13107/jocr.2020.v10.i02.1678
9. Giuffrida A, Di Bari A, Falzone E, Iacono F, Kon E, Marcacci M, et al. Surgical approach for degenerative meniscal injuries: a systematic review of Clinical evidence [Internet]. Eur Rev Med Pharmacol Scim. 2020; 24(6):2874-85. DOI: 10.26355/eurrev_202003_20651
10. Li J, Zhu W, Gao X, Li X. Comparison of arthroscopic partial meniscectomy to physical therapy following degenerative meniscus tears: a systematic review and meta-analysis [Internet]. Biomed Res Int. 2020; 2020(1):[ aprox. 9 pag]. DOI: 10.1155/2020/1709415
11. Bisson LJ. Editorial commentary: we should be cautious about using catching and locking as an indication for knee arthroscopy: mechanical symptoms may be multifactorial in their causes [Internet]. Arthroscopy. 2023; 39(1):100-1. DOI: 10.1016/j.arthro.2022.09.00
12. McHugh CG, Matzkin EG, Katz JN. Symptoms and meniscal tear: a Osteoarth Cartil [Internet]. 2022; 30(2):178-83. DOI: 10.1016/j.joca.2021.09.009
13. Organ B, Carrasco M, Roth A, Leggit J. Intermittent knee locking in an adolescent female: a case report [Internet]. Curr Sports Med Rep. 2021; 20(9):449. DOI: 10.1249/JSR.0000000000000876
14. Oliveira Pinheiro F, Madureira P. Tophi-an exceptional cause of knee locking [Internet]. J Clin. 2022; 28(8):704. DOI: 10.1097/RHU.0000000000001916
15. Pihl K, Turkiewicz A, Englund M, Lohmander A. Association of specific meniscal pathologies and other structural pathologies with self-reported mechanical symptoms: A cross-sectional study of 566 patients undergoing meniscal surgery [Internet]. J Sci Med Sport. 2019; 22(2):151-7. DOI: 10.1016/j.jsams.2018.07.018
16. Septiawan EM. Locked knee due to fat pad adhesion [Internet]. Int J Surg Case Rep. 2020; 77(1):264-8. DOI: 10.1016/j.ijscr.2020.10.115
17. Tapasvi S, Shekhar A, Eriksson K. Discoid lateral meniscus: current concepts [Internet]. J ISAKOS. 2021; 6(1):14-21. DOI: 10.1136/jisakos-2017-000162
18. DeClouette B, Birnbaum A, Campbell H, Bi AS, Lin CC, Struhl S. Needle arthroscopy demonstrates high sensitivity and specificity for diagnosing intra-articular shoulder and knee pathology [Internet]. Cureus. 2022; 14(12):331-89. DOI: 10.7759/cureus.33189
19. Chen B, Chen L, Chen H, Yang X, Tie K, Wang H. Arthroscopic removal of loose bodies using the accessory portals in the difficult locations of the knee: a case series and technical note [Internet]. J Orthop Surg Res. 2018; 13(1):258. DOI: 10.1186/s13018-018-0966-z
20. Gursoy M, Mete BD, Dag F, Bulut T. The distribution of loose bodies determined on knee magnetic resonance imaging: Joint compartments, recesses and bursae including arthroscopic blind spots [Internet]. Radiol. 2019; 60(10):1286. DOI: 10.1177/0284185119856262
2. Álvarez López A, Valdebenito Aceitón V, Soto Carrasco SR, Serrano González D. Tratamiento artroscópico de pacientes con cuerpos libres articulares en la rodilla [Internet]. Rev Inf Cient. 2023; 102(1):1-10. DOI: 10.5281/zenodo.8104796
3. Farina EM, Lowenstein NA, Chang Y, Arant KR, Katz JN, Matzkin EG. Meniscal and mechanical symptoms are associated with cartilage damage, not meniscal pathology [Internet]. J Bone Joint Surg Am. 2021; 103(5):381. DOI: 10.2106/JBJS.20.01193
4. Hanus M, Hladký V. Unexpected finding of a foreign body in the knee joint area of a 10 year-old boy [Internet]. Acta Chir Orth Traumatol Cech. 2021 [acceso: 01/03/2023]; 88(6):461-3. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3499
5. Dai ZZ, Sha L, Zhang ZM, Li H, Li H. Arthroscopic retrieval of knee foreign bodies in pediatric: a single-centre experience [Internet]. Orthop. 2022; 46(7):1591-6. DOI: 10.1007/s00264-0224
6. Manandhar S, Li J, Lu XC, Zhang Y, Zhang Y, Liu Y, et al. A recurrent synovial osteochondromatosis of the knee: a case report [Internet]. Int Med Case Rep J. 2020; 14(1):67-72. DOI: 10.2147/IMCRJ.S292283
7. Panchal S, Momin AS, Yadav AK, Bagaria V. Arthroscopic retrieval of a neglected glass A case report and review of literature [Internet]. 2022 [acceso: 01/08/2023]; 12(5):22-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826547/
8. Tan SM, Moo IH, Sitampalam K, Koh JSB, Howe TS. Isolated synovial osteochondromatosis in a completely enclosed suprapatellar pouch: a rare case report [Internet]. J Orthop Case Rep. 2020; 10(2):17. DOI: 10.13107/jocr.2020.v10.i02.1678
9. Giuffrida A, Di Bari A, Falzone E, Iacono F, Kon E, Marcacci M, et al. Surgical approach for degenerative meniscal injuries: a systematic review of Clinical evidence [Internet]. Eur Rev Med Pharmacol Scim. 2020; 24(6):2874-85. DOI: 10.26355/eurrev_202003_20651
10. Li J, Zhu W, Gao X, Li X. Comparison of arthroscopic partial meniscectomy to physical therapy following degenerative meniscus tears: a systematic review and meta-analysis [Internet]. Biomed Res Int. 2020; 2020(1):[ aprox. 9 pag]. DOI: 10.1155/2020/1709415
11. Bisson LJ. Editorial commentary: we should be cautious about using catching and locking as an indication for knee arthroscopy: mechanical symptoms may be multifactorial in their causes [Internet]. Arthroscopy. 2023; 39(1):100-1. DOI: 10.1016/j.arthro.2022.09.00
12. McHugh CG, Matzkin EG, Katz JN. Symptoms and meniscal tear: a Osteoarth Cartil [Internet]. 2022; 30(2):178-83. DOI: 10.1016/j.joca.2021.09.009
13. Organ B, Carrasco M, Roth A, Leggit J. Intermittent knee locking in an adolescent female: a case report [Internet]. Curr Sports Med Rep. 2021; 20(9):449. DOI: 10.1249/JSR.0000000000000876
14. Oliveira Pinheiro F, Madureira P. Tophi-an exceptional cause of knee locking [Internet]. J Clin. 2022; 28(8):704. DOI: 10.1097/RHU.0000000000001916
15. Pihl K, Turkiewicz A, Englund M, Lohmander A. Association of specific meniscal pathologies and other structural pathologies with self-reported mechanical symptoms: A cross-sectional study of 566 patients undergoing meniscal surgery [Internet]. J Sci Med Sport. 2019; 22(2):151-7. DOI: 10.1016/j.jsams.2018.07.018
16. Septiawan EM. Locked knee due to fat pad adhesion [Internet]. Int J Surg Case Rep. 2020; 77(1):264-8. DOI: 10.1016/j.ijscr.2020.10.115
17. Tapasvi S, Shekhar A, Eriksson K. Discoid lateral meniscus: current concepts [Internet]. J ISAKOS. 2021; 6(1):14-21. DOI: 10.1136/jisakos-2017-000162
18. DeClouette B, Birnbaum A, Campbell H, Bi AS, Lin CC, Struhl S. Needle arthroscopy demonstrates high sensitivity and specificity for diagnosing intra-articular shoulder and knee pathology [Internet]. Cureus. 2022; 14(12):331-89. DOI: 10.7759/cureus.33189
19. Chen B, Chen L, Chen H, Yang X, Tie K, Wang H. Arthroscopic removal of loose bodies using the accessory portals in the difficult locations of the knee: a case series and technical note [Internet]. J Orthop Surg Res. 2018; 13(1):258. DOI: 10.1186/s13018-018-0966-z
20. Gursoy M, Mete BD, Dag F, Bulut T. The distribution of loose bodies determined on knee magnetic resonance imaging: Joint compartments, recesses and bursae including arthroscopic blind spots [Internet]. Radiol. 2019; 60(10):1286. DOI: 10.1177/0284185119856262
Published
2024-11-16
How to Cite
1.
Aguila Fernández L, Dumas Matos Y, González López AA, García Bubaire A. Arthroscopic extraction of intraarticular loose body in the knee. Rev Cubana Med Milit [Internet]. 2024 Nov. 16 [cited 2025 Apr. 3];53(4):e024060177. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/60177
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