Arthroscopic treatment on patients with joint loose bodies in the knee
DOI:
https://doi.org/10.5281/zenodo.8104796Keywords:
knee arthroscopy, joint loose bodies, joint block, arthroscopic treatment, arthrotomyAbstract
Introduction: currently, there is a lack of information in the national literature concerning joint loose bodies in the knee joint. These occur as a consequence of traumatic, degenerative, inflammatory and ischemic injuries.
Objective: to update knowledge on the most general aspects concerning joint loose bodies in the knee and the use of the arthroscopy procedure on its treatment.
Method: search and analysis of the information was performed on 59 days (January 1 to February 28, 2023) and the following keywords were used: foreing body AND knee, articular loose body AND knee, free body AND knee, locking knee arthroscopy AND locking. Based on the information obtained, a bibliographic review was made of a total of 211 articles published in the PubMed, Hinari, SciELO and Medline databases. The EndNote search manager and reference manager was used. Of the total of articles, 33 contributions selected for the review were used, 32 were published the last five years.
Development: it was refered in the study on the positive diagnosis based on the history, clinical picture and imaging. In relation to the differential diagnosis of this entity, special emphasis is made up with all the conditions that produce joint blockage. Specifically, meniscal lesions are reviewed, as well as the most commonly used classifications according to size, origin, quantity and mobility. In relation to the arthroscopic treatment, the following four stages were described: identification, trapping, extraction and revision.
Final considerations: the arthroscopic approach, due to its multiple advantages, represents the most effective surgical modality for the diagnosis and treatment of patients with joint loose bodies in the knee.
Downloads
References
Abdul Q, Dwivedi P, Khalid H, Ghimire T, Daoub A, Uzoigwe CE, et al. Pain, popping, and episodic locking of the knee: osteochondromatosis. Lancet [Internet]. 2022 Oct [citado 1 Mar 2023]; 400(10360): e10. DOI: https://doi.org/10.1016/S0140-6736(22)01201-6
Cho HJ, Suh JD. An unusual presentation of synovial chondromatosis of the knee in a 10-year-old girl. Acta Orth Traumatol Turc [Internet]. 2018 Mar [citado 1 Mar 2023]; 52(2):162-165. DOI: https://doi.org/10.1016/j.aott.2017.04.008
Zmerly H, Moscato M, Akkawi I. Assessment and management of loose bodies in the knee joint and related disease: a narrative review. Curr Rheumatol Rev [Internet]. 2022 [citado 1 Mar 2023]; 18(1):12-19. DOI: https://doi.org/10.2174/1573397117666211021165807
Cao C, Cao Z, Liu G, Liu S, Ye Y, Sun T. The diagnosis and arthroscopic treatment of angioleiomyoma presenting loose body in the knee joint: two case reports. BMC Musculoskelet Disord [Internet]. 2018 May [citado 1 Mar 2023]; 19(1):163. DOI: https://doi.org/10.1186/s12891-018-2087-6
Farina EM, Lowenstein NA, Chang Y, Arant KR, Katz JN, Matzkin EG. Meniscal and mechanical symptoms are associated with cartilage damage, not meniscal pathology. J Bone Joint Surg Am [Internet]. 2021 Mar [citado 1 Mar 2023]; 103(5):381-388. DOI: https://doi.org/10.2106/JBJS.20.01193
Hanus M, Hladký V. Unexpected finding of a foreign body in the knee joint area of a 10-year-old boy. Acta Chir Orth Traumatol Cech [Internet]. 2021; 88(6):461-463. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34998451/
Dai ZZ, Sha L, Zhang ZM, Li H, Li H. Arthroscopic retrieval of knee foreign bodies in pediatric: a single-centre experience. Int Orthop [Internet]. 2022 Jul [citado 1 Mar 2023]; 46(7):1591-1596. DOI: https://doi.org/10.1007/s00264-022-05410-4
Manandhar S, Li J, Lu XC, Zhang Y, Zhang Y, Liu Y, et al. A recurrent synovial osteochondromatosis of the knee: a case report. Int Med Case Rep J [Internet]. 2021 Feb [citado 1 Mar 2023]; 14: 67-72. DOI: https://doi.org/10.2147/IMCRJ.S292283
Panchal S, Momin AS, Yadav AK, Bagaria V. Arthroscopic retrieval of a neglected glass shard from the knee Joint - A case report and review of literature. J Orthop Case Rep [Internet]. 2022 [citado 1 Mar 2023]; 12(5):22-26. DOI: https://doi.org/10.13107/jocr.2022.v12.i05.2800
Cassar-Pullicino VN, Davies AM. Measurements in Musculoskeletal Radiology-Cham: Springer; 2020. DOI: https://doi.org/10.1007/978-3-540-68897-6
Tan SM, Moo IH, Sitampalam K, Koh JSB, Howe TS. Isolated synovial osteochondromatosis in a completely enclosed suprapatellar pouch: a rare case report. J Orthop Case Rep [Internet]. 2020 [citado 1 Mar 2023]; 10(2):17-20. DOI: https://doi.org/10.13107/jocr.2020.v10.i02.1678
Dandy DJ. Arthroscopic management of the knee. 2ed. New YorK: Churchill Livingstone; 1981.
Gahunia HK, Gross AE, Pritzker KPH, Babym PS, Murnaghan L. Articular Cartilage of the Knee. Cham: Springer; 2020. DOI: https://doi.org/10.1007/978-1-4939-7587-7
Giuffrida A, Di Bari A, Falzone E, Iacono F, Kon E, Marcacci M, et al. Conservative vs. surgical approach for degenerative meniscal injuries: a systematic review of clinical evidence. Eur Rev Med Pharmacol Sci [Internet]. 2020 Mar [citado 1 Mar 2023]; 24(6):2874-2885. DOI: https://doi.org/10.26355/eurrev_202003_20651
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. Biomed Res Int [Internet]. 2020 Mar [citado 1 Mar 2023]; 202:1709415. DOI: https://doi.org/10.1155/2020/1709415
Strauss EJ, Jazrawi LM. The management of meniscal pathology. Cham: Springer; 2020. DOI: https://doi.org/10.1007/978-3-030-49488-9
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. Arthroscopy [Internet]. 2023 Jan [citado 1 Mar 2023]; 39(1):100-101. DOI: https://doi.org/10.1016/j.arthro.2022.09.007
McHugh CG, Matzkin EG, Katz JN. Mechanical symptoms and meniscal tear: a reappraisal. Osteoarth Cartil [Internet]. 2022 Feb [citado 1 Mar 2023]; 30(2):178-183. DOI: https://doi.org/10.1016/j.joca.2021.09.009
Organ B, Carrasco M, Roth A, Leggit J. Intermittent knee locking in an adolescent female: a case report. Curr Sports Med Rep [Internet]. 2021 Sep [citado 1 Mar 2023]; 20(9):447-449. DOI: https://doi.org/10.1249/JSR.0000000000000876
Oliveira Pinheiro F, Madureira P. Tophi-an exceptional cause of knee locking. J Clin Rheumatol [Internet]. 2022 Dec [citado 1 Mar 2023]; 28(8):e704. DOI: https://doi.org/10.1097/RHU.0000000000001916
Tyagi N, Al-Haidary R, Sahu A. Unlocking a locked knee by ultrasound guided anesthetic injection. Radiol Case Rep [Internet]. 2019 Feb [citado 1 Mar 2023]; 14(5):548-550. DOI: https://doi.org/10.1016/j.radcr.2019.01.013
Pihl K, Turkiewicz A, Englund M, Lohmander LS, Jørgensen U, Nissen N, et al. Association of specific meniscal pathologies and other structural pathologies with self-reported mechanical symptoms: A cross-sectional study of 566 patients undergoing meniscal surgery. J Sci Med Sport [Internet]. 2019 Feb [citado 1 Mar 2023]; 22(2):151-157. DOI: https://doi.org/10.1016/j.jsams.2018.07.018
Rhatomy S, Septiawan EM. Locked knee due to fat pad adhesion. Int J Surg Case Rep [Internet]. 2020 [citado 1 Mar 2023]; 77:264-268. DOI: https://doi.org/10.1016/j.ijscr.2020.10.115
Tapasvi S, Shekhar A, Eriksson K. Discoid lateral meniscus: current concepts. J ISAKOS [Internet]. 2021 Jan [citado 1 Mar 2023]; 6(1):14-21. DOI: https://doi.org/10.1136/jisakos-2017-000162
Neyret P, Butcher C, Demey G. Surgery of the Knee. 2ed. Cham: Springer; 2020. DOI: https://doi.org/10.1007/978-3-030-19073-6
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. Cureus [Internet]. 2022 Dec [citado 1 Mar 2023]; 14(12):e33189. DOI: https://doi.org/10.7759/cureus.33189
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. J Orthop Surg Res [Internet]. 2018 Oct Mar [citado 1 Mar 2023]; 13(1):258. DOI: https://doi.org/10.1186/s13018-018-0966-z
Zhou N, Fang K, Arthur VDT, Yi R, Xiang F, Wen J, et al. Synovial chondromatosis combine with synovial tuberculosis of knee joint: a case report. BMC Ped [Internet]. 2022 Jan [citado 1 Mar 2023]; 22(1):8. DOI: https://doi.org/10.1186/s12887-021-03085-1
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. Acta Radiol [Internet]. 2019 Oct [citado 1 Mar 2023]; 60(10):1286-1293. DOI: https://doi.org/10.1177/0284185119856262
Mansour M, Abboud Y, Alhaffar MAA, Souliman O, Haffar M, Mustafa Y, et al. Chondral delamination of the knee and its management: a case report and review article. BMC Surg [Internet]. 2022 Aug [citado 1 Mar 2023]; 22(1):325. DOI: https://doi.org/10.1186/s12893-022-01775-w
Sayegh ET, Farina EM, Lowenstein NA, Chang Y, Arant KR, Katz JN, et al. Grinding, clicking, and pivot pain resolve in most patients after knee arthroscopy. Arthroscopy [Internet]. 2023 Jan [citado 1 Mar 2023]; 39(1):91-99. DOI: https://doi.org/10.1016/j.arthro.2022.06.037
Uthraraj NS, Anazor F, Hussain A, Raddy KG, Divekar AB, Shrivastava R, et al. Arthroscopic debridement and lavage for osteoarthritis of the knee: results from a low-resource setting. Cureus [Internet]. 2022 Nov [citado 1 Mar 2023]; 14(11):e31750. DOI: https://doi.org/10.7759/cureus.31750
Zanna L, Secci G, Innocenti M, Giabbani N, Civinini R, Matassi F. The use of posteromedial portal for arthroscopic treatment of synovial chondromatosis of the knee: a case report. J Med Case Rep [Internet]. 2022 Dec [citado 1 Mar 2023]; 16(1):457. DOI: https://doi.org/10.1186/s13256-022-03667-2
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Alejandro Alvarez-López, Valentina Valdebenito-Aceitón, Sergio Ricardo Soto-Carrasco, Daniel Serrano-González
This work is licensed under a Creative Commons Attribution 4.0 International License.
