Delayed Presentation of Popliteal Artery Laceration Mimicking Baker Cyst After Arthroscopic Meniscectomy: A Case Report.


Journal

JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828

Informations de publication

Date de publication:
01 07 2023
Historique:
medline: 7 8 2023
pubmed: 3 8 2023
entrez: 3 8 2023
Statut: epublish

Résumé

We report a case of delayed presentation of popliteal artery laceration after arthroscopic meniscectomy. Three weeks after the procedure, the patient developed severe calf pain, swelling over the popliteal fossa, and foot drop, despite a normal initial postoperative period. Clinical examination and radiological investigations suggested a massive hematoma in the popliteal fossa. A decision was made to explore the popliteal artery and drain the hematoma after consultation with the vascular surgeon. A laceration was noted, and it was repaired. Orthopaedic surgeons should maintain a high index of suspicion regarding the possibility of this postoperative complication, especially after an arthroscopic meniscectomy.

Identifiants

pubmed: 37535768
doi: 10.2106/JBJS.CC.23.00160
pii: 01709767-202309000-00026
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.

Déclaration de conflit d'intérêts

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C147).

Références

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Small NC. Complications in arthroscopic surgery of the knee and shoulder. Orthopedics. 1993;16(9):985-8.
Neagoe RM, Bancu S, Muresan M, Sala D. Major vascular injuries complicating knee arthroscopy. Wideochir Inne Tech Maloinwazyjne. 2015;10(2):266-74.
Tawes RL, Etheredge SN, Webb RL, Enloe LJ, Stallone RJ. Popliteal artery injury complicating arthroscopic menisectomy. Am J Surg. 1988;156(2):136-8.
Lee B, Park SW, Nah JC, Kim SW, Koo BI, Cho WH, Sir JJ, Choi SK. Clinical image: popliteal artery pseudoaneurysm following arthroscopic synovectomy. Arthritis Rheum. 2007;56(10):3432.
Guermazi A, Zagdanski AM, de Kerviler E, Bourrier P, Frija J. Popliteal artery pseudoaneurysm revealed by deep vein thrombosis after arthroscopic meniscectomy. Eur Radiol. 1996;6(2):217-9.
Sanz-Pérez M, García-Germán D, Ruiz-Díaz J, Navas-Pernía I, Campo-Loarte J. Location of the popliteal artery and its relationship with the vascular risk in the suture of the posterior horn of the lateral meniscus. Rev Esp Cir Ortop Traumatol. 2015;59(3):165-71.
Furie E, Yerys P, Cutcliffe D, Febre E. Risk factors for arthroscopic popliteal artery laceration. Arthroscopy. 1995;11(3):324-7.

Auteurs

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