Osteonecrosis of the medial tibial plateau after intra-articular corticosteroid injection: A case report.
Medicine (Baltimore)
; 98(44): e17248, 2019 Nov.
Article
em En
| MEDLINE
| ID: mdl-31689743
ABSTRACT
RATIONALE Intra-articular corticosteroid injection (IACI) is a cost-effective conservative treatment of mild-to-moderate osteoarthritis. Adverse events after this procedure range from life-threatening systemic reactions to self-limiting local reactions. To our knowledge, this is the 1st report of osteonecrosis (ON) in the medial tibial plateau after IACI. PATIENT CONCERNS An 81-year-old female visited our hospital due to left knee pain of increasing intensity. She presented the sudden onset of severe acute knee pain with long lasting knee pain for several years. DIAGNOSIS The diagnosis was confirmed ON of medial tibial plateau of knee joint by pathologic finding. INTERVENTIONS:
We conducted a posterior stabilized total-knee arthroplasty with no requirement for bone grafting or additional prosthesis, such as metal augments or stems.OUTCOMES:
At the postoperative 1 year follow-up, the patient was satisfied with the surgery and had no pain during walking and active knee motion. LESSONS This case especially stress the possibility of ON in medial tibia plateau after IACI. Therefore, clinicians should monitor symptoms after IACI to enable early detection of this complication.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osteonecrose
/
Triancinolona
/
Osteoartrite do Joelho
Tipo de estudo:
Screening_studies
Limite:
Aged80
/
Female
/
Humans
Idioma:
En
Revista:
Medicine (Baltimore)
Ano de publicação:
2019
Tipo de documento:
Article