Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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Knee Surg Sports Traumatol Arthrosc · Jun 2007
Second-look arthroscopy after arthroscopy-assisted treatment of tibial plateau fractures.
The only way to show the healing potential in hyaline cartilage after the treatment of tibial plateau fractures in humans is the second-look arthroscopy. Our aim is to examine the healing potential of the hyaline cartilage in tibial plateau fractures treated with arthroscopy-assisted surgery. We applied second-look arthroscopy to the 12 patients out of 52 who had tibial plateau fractures treated by arthroscopy-assisted surgery. ⋯ Moreover, if there is step-off, insufficient healing potential appears. Although we did not have enough cases, we can say that in tibial plateau fractures anatomic reduction is mandatory. Contrary to the common idea, step-off is not tolerated by hyaline cartilage.
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Knee Surg Sports Traumatol Arthrosc · Jun 2007
Case ReportsAn unusual case of foreign body knee that spontaneously migrated inside and out of the joint: arthroscopic removal.
Cause of acute knee pain and locking episodes in a young sports person can be due to foreign bodies which penetrated unnoticed into the joint cavity. Here we report an unusual injury of this kind where a glass foreign body remained in the subcutaneous tissue for many years and then migrated late into the knee joint cavity. Complaints occurred for the first time in adult age. ⋯ The late and episodic migration of the glass piece into the joint from its extracapsular location produced symptoms of acute pain and locking. There is no reported case of such spontaneous and episodic migration of a glass foreign body inside and out of the knee joint resulting in acute episodes of pain and locking during sporting activity mimicking a torn meniscus or a chondral lesion. This report highlights the importance of accurate history taking, thorough physical examination, besides describing this unusual extra capsular location of the glass foreign body during arthroscopic surgery.