scholarly journals Fabella Syndrome and Common Peroneal Neuropathy following Total Knee Arthroplasty

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Connor C. Diaz ◽  
Avinesh Agarwalla ◽  
Brian Forsythe
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Treatment Modalities ◽  
Common Mechanism ◽  
Fibular Head ◽  
Lateral Aspect ◽  
Deep Flexion ◽  
Total Knee ◽  
Lateral Knee Pain

Case. A 62-year-old man presented with persistent lateral knee pain 15 months following an uncomplicated total knee arthroplasty. There was a tendinous snapping structure over the lateral aspect of the knee in deep flexion with positive Tinel’s sign over the fibular head. The patient underwent an uncomplicated flabella excision. The patient was cleared to return to work and full duty at two months postoperatively. Conclusion. Flabella syndrome is a rare but increasingly common mechanism of persistent lateral knee pain following total knee arthroplasty. Surgeons should be aware of this etiology of persistent lateral knee pain and offer treatment modalities to address this pathology.

scholarly journals Late Onset of the Fabella Syndrome after Total Knee Arthroplasty

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Takeshi Kimura ◽  
Hidenori Tanikawa ◽  
Takayuki Hasegawa ◽  
Kentaro Takeda ◽  
Kengo Harato ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Differential Diagnosis ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Late Onset ◽  
Time Span ◽  
Total Knee ◽  
Lateral Knee Pain ◽  
Mechanical Irritation ◽  
Over Time

Some differential diagnosis is thought due to knee pain after total knee arthroplasty (TKA) and fabella syndrome may cause post-TKA pain due to mechanical irritation. In this present case, a 64-year-old woman experienced lateral knee pain which was localized at the iliotibial ligament 8 years after the surgery. Fabella syndrome was diagnosed, and fabellectomy provided immediate resolution of the pain. The previous reports have revealed the symptoms occurred after 6 days to a year after total knee arthroplasty. This case widens the time span and the consideration of the fabella syndrome. The reason of this late onset symptom could be due to the enlargement of the fabella over time. We report that the differential diagnosis of fabella syndrome should be thought in symptoms of late onset knee pain after total knee arthroplasty.

scholarly journals A Dutch Survey on Circumpatellar Electrocautery in Total Knee Arthroplasty

2010 ◽  
Vol 4 (1) ◽  
pp. 201-203 ◽  
Author(s):  
Hans-Peter W. van Jonbergen ◽  
Alexander F.W. Barnaart ◽  
Cees C.P.M. Verheyen
Keyword(s):  
Total Knee Arthroplasty ◽  
The Netherlands ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Anterior Knee Pain ◽  
Patellar Resurfacing ◽  
Orthopedic Surgeons ◽  
Unicompartmental Knee Arthroplasties ◽  
Total Knee ◽  
Anterior Knee

Introduction: Anterior knee pain following total knee arthroplasty is estimated to occur in 4-49% of patients. Some orthopedic surgeons use circumpatellar electrocautery (diathermy) to reduce the prevalence of postsurgical anterior knee pain; however, the extent of its use is unknown. Materials and Methodology: In April 2009, a postal questionnaire was sent to all 98 departments of orthopedic surgery in The Netherlands. The questions focused on the frequency of total knee arthroplasties, patellar resurfacing, and the use of circumpatellar electrocautery. Results: The response rate was 92%. A total of 18,876 TKAs, 2,096 unicompartmental knee arthroplasties, and 215 patellofemoral arthroplasties are performed yearly in The Netherlands by the responding orthopedic surgeons. Of the orthopedic surgeons performing TKA, 13% always use patellar resurfacing in total knee arthroplasty for osteoarthritis, 49% use selective patellar resurfacing, and 38% never use it. Fifty-six percent of orthopedic surgeons use circumpatellar electrocautery when not resurfacing the patella, and 32% use electrocautery when resurfacing the patella. Conclusion: There is no consensus among Dutch orthopedic surgeons on the use of patellar resurfacing or circumpatellar electrocautery in total knee replacement performed for osteoarthritis. A prospective clinical trial is currently underway to fully evaluate the effect of circumpatellar electrocautery on the prevalence of anterior knee pain following total knee arthroplasty.

Failure to Resurface the Patella during Total Knee Arthroplasty May Result in More Knee Pain and Secondary Surgery

2005 ◽  
Vol &NA; (438) ◽  
pp. 191-196 ◽  
Author(s):  
Javad Parvizi ◽  
Venkat R Rapuri ◽  
Khaled J Saleh ◽  
Michael A Kuskowski ◽  
Peter F Sharkey ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Secondary Surgery ◽  
Total Knee

Selective Denervation for Persistent Knee Pain After Total Knee Arthroplasty: A Report of 50 Cases

2017 ◽  
Vol 32 (3) ◽  
pp. 968-973 ◽  
Author(s):  
Shao-Min Shi ◽  
David W. Meister ◽  
Kelly C. Graner ◽  
James T. Ninomiya
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Total Knee

Radiographs are not sufficient for evaluation of component fit in subtle knee pain after total knee arthroplasty

2020 ◽  
Vol 28 (6) ◽  
pp. 2015-2022
Author(s):  
Mehmet Emin Simsek ◽  
Safa Gursoy ◽  
Mustafa Akkaya ◽  
M. I. Safa Kapicioglu ◽  
Murat Bozkurt
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Total Knee

scholarly journals Variability in Recommendations for Total Knee Arthroplasty Among Rheumatologists and Orthopedic Surgeons

2013 ◽  
Vol 41 (1) ◽  
pp. 47-52 ◽  
Author(s):  
Liana Fraenkel ◽  
Lisa Suter ◽  
Lawrence Weis ◽  
Gillian A. Hawker
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Employment Status ◽  
Functional Limitations ◽  
Knee Oa ◽  
Orthopedic Surgeons ◽  
Physician Characteristics ◽  
Academic Settings ◽  
Total Knee

Objective.The most rapidly growing population of patients undergoing total knee arthroplasty (TKA) is under the age of 65. The objective of our study was to gain insight into the factors influencing physicians’ recommendations for persons in this age group with moderate osteoarthritis (OA).Methods.Rheumatologists and orthopedic surgeons attending national meetings were asked to complete a survey including a standardized scenario of a 62-year-old person with knee OA who has moderate knee pain limiting strenuous activity despite medical management. We used an experimental 2 × 2 × 2 design to examine the effects of sex, employment status, and severity of radiographic OA on physicians’ recommendations. Each physician was asked to rate a single scenario.Results.The percentage of physicians recommending TKA varied from 30% to 55% for scenarios describing a patient with mild radiographic OA, and from 39% to 71% for scenarios describing a patient with moderate radiographic OA. Surgeons were less likely to recommend TKA for women compared to men of the same age, employment status, symptom severity, and functional status, and radiographs. Rheumatologists practicing in academic settings were more likely to recommend TKA compared to those practicing in nonacademic settings, and American surgeons were more likely to recommend TKA compared to their European counterparts.Conclusion.Orthopedic surgeons and rheumatologists vary significantly in their recommendations for patients with moderate knee pain and functional limitations. Both patient and physician characteristics influence physicians’ recommendations, and rheumatologists and orthopedic surgeons display different patterns of decision making.

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