Back
 OJO  Vol.5 No.8 , August 2015
Giant Loose Body of Knee Joint Presenting as Accessory Patella —A Case Report
Abstract: 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.
Cite this paper: Pandey, P. , Pawar, I. , Gupta, J. and Verma, R. (2015) Giant Loose Body of Knee Joint Presenting as Accessory Patella
—A Case Report. Open Journal of Orthopedics, 5, 235-239. doi: 10.4236/ojo.2015.58031.
References

[1]   Henderson, M.S. (1916) Loose Bodies in the Knee-Joint. The American Journal of Orthopedics Surgery, 214, 265-280.

[2]   Majima, T., Kamishima, T. and Susuda, K. (2009) Synovial Chondromatosis Originating from the Synovium of the Anterior Cruciate Ligament: A Case Report. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology, 1, 6.
http://dx.doi.org/10.1186/1758-2555-1-6

[3]   Dandy, D.J. and O’Carroll, P.F. (1982) The Removal of Loose Bodies from the Knee under Arthroscopic Control. The Journal of Bone and Joint Surgery Br, 64-B, 473-474.

[4]   Stother, I.G., Illingoworth, G. and Ayoub, M. (1984) Arthroscopic Removal of Loose Bodies from the Knee. Journal of the Royal College of Surgeons of Edinburgh, 29, 246-248.

[5]   Mcginty, J.B. (1982) Arthroscopic Removal of Loose Bodies. Orthopedic Clinics of North America, 13, 313-329.

[6]   Krishnan, S.P., Hart, A.J., Skinner, J.A. and Blackburn, J.S. (2006) Arthroscopic Removal of Loose Bodies—A Useful Technique. Annals of the Royal College of Surgeons of England, 88, 226-227.
http://dx.doi.org/10.1308/rcsann.2006.88.2.226

[7]   Das, A.K. and Mukherjee, D.R. (1978) Giant Osteochondral Loose Body of the Knee Joint: A Case Report. The Journal of Bone and Joint Surgery Am, 60, 559-560.

[8]   Yel, M., Avunduk, M.C., Memik, R. and Kutlu, A. (2000) Giant Osteochondral Loose Body of the Knee Joint. Journal of Musculoskeletal Research, 4, 145.
http://dx.doi.org/10.1142/S0218957700000161

[9]   Leeson, M.C., Wilcox, P., Greenberg, B. and Ewing, J.W. (1986) Giant Intraarticular Loose Bodies of the Knee. Cases Demonstrate Spectrum of the Lesion. Orthopaedic Review, 15, 393-397.

[10]   Miller, R.H. and Azar, F.M. (2008) Chapter 43—Knee Injuries. In: Canale, S.T. and Beaty, J.H., Eds., Campbell’s Operative Orthopaedics, 11th Edition, Mosby Elsevier, Philadelphia.

[11]   Hudgins, T., et al., Eds. (2008) “Chapter 65—Patellofemural Syndrome. In: Essentials of Physical Medicine and Rehabilitation, 2nd Edition, Saunders, Elsevier, Philadelphia.

 
 
Top