Body In Knee Joint Research Articles

Knee Pain due to Loose body in the Knee Joint: A Case Report in Dr. Kariadi General Hospital Semarang

BACKGROUND: Loose Bodies are fragments consisting of cartilage or bone that move freely in the joint space. The occurrence of Loose Bodies associated with OCD is considered a rare case in Indonesia. The presence of Loose Bodies can cause several symptoms such as pain and resistance to extension and flexion of the knee joint. The presence of an impinging osteophyte in the lateral condyle of the femur, and a pedunculated osteophyte, can provide a clinical feature similar to Loose Bodies. Good anamnesis, physical examination, and diagnosis for correct management can provide a good outcome. OBJECTIVE: To provide an overview regarding diagnosis in loose body cases and arthroscopy debridement therapy in loose body cases in the knee joint. CASE: A 42-year-old man was presented with chronic pain in the left knee and limited left knee flexion since 3 years prior. Initially, the patient was diagnosed with grade 2 genu joint osteoarthritis with osteophytes in the lateral condylus. Anamnesis and physical examination were performed at dr. Kariadi General Hospital Semarang. X-photo showed a picture of the Loose Bodies. A debridement arthroscopy was performed. 8 weeks of follow-up no pain, no resistance in flexion and extension, KOOS Score from 18.6 to 92.3. CONCLUSION: It is advised to remove loose body in knee joint through arthroscopy debridement. Loose bodies should always undergo thorough workup to determine the diagnosis and treat the patient accordingly. KEYWORDS: Knee pain, loose body, osteochondritis dissecans, arthroscopy debridement

Giant Loose Body of Knee Joint Presenting as Accessory Patella<br/>—A Case Report

Loose bodies are freely floating fragments of cartilage or bone inside the knee joint space. This is commonly seen in association with degenerative joint disease (DJD), direct or indirect trauma, synovial chondromatosis, osteochondritis dissecans (OCD) and size of the loose body may vary from few millimeters to few centimeters. Patients with loose bodies in knee joint presented to orthopaedists with knee pain, swelling and restricted movement, with intermittent locking or catching of the joint. This is managed surgically most of the times when it becomes symptomatic. The surgical technique most commonly utilized is arthroscopy. Open arthrotomy should be done when the loose bodies are very large/numerous/located in posterior joint space. In review of literature, we found very few cases of giant loose body in knee joint due to DJD reported in last 70 years. We are hereby reporting our case of 60-year-old male with a giant loose body of same size as of patella in the supra-patellar pouch of left knee joint and managed by arthrotomy to remove the giant loose body. Post-operatively patient recovered significantly over the period of 6-week follow-up. In conclusion, giant loose body should be removed through arthrotomy and all such cases should be thoroughly evaluated to diagnose the cause of giant loose body.

English

Osteochondritis dissecans refers to a focal area of subchondral bone that undergoes necrosis with or without detachment due to lack of vascularity. Osteochondritis dissecans is most common cause of loose bodies in knee joint and the symptoms vary from continuous dull aching pain to locking of the joint. We present a case of Osteochondritis dissecans of knee in a female adult patient. She underwent an arthrotomy for removal of the fairly large loose fragment ever reported in our hospital. The objective of this report is, as the clinical signs may be subtle in Osteochondritis dissecans early diagnosis and appropriate treatment should be done to prevent long term sequelae.

Artificial erection in Peyronie's disease surgery

Figure 1 Loose body in knee joint sited into either corporal body through the glans (Figs 1 and 2), taking care not to injure the penile urethra. Following adequate placement, the cannula is secured to the foreskin with a suture and a non-return valve with a Luer lock connector is attached (Fig 3). The penis is inflated using 50ml of normal saline. The syringe can then be detached, refilled and reattached without dismantling the cannula mechanism.

Anomalous Foreign Body in Knee-Joint — Successful Removal by Incision

Anomalous Foreign Body in Knee-Joint — Successful Removal by Incision