Abstract
We report a case of knee pyarthrosis in a 54-year-old woman with rheumatoid arthritis and a popliteal cyst. The onset of infection coincided with a cortisone injection. Initial management consisted of arthroscopic irrigation and debridement (I&D) on 2 consecutive occasions without resolution of the infection. Only after open excision of the popliteal cyst in conjunction with I&D of the knee joint proper did the infection resolve. This is the first reported case of a patient requiring excision of a popliteal cyst to clear pyarthrosis of the knee after failure of arthroscopic I&D. Consideration should be given to open debridement or drainage of popliteal cysts in patients who present with septic arthritis in the presence of a popliteal cyst. A treatment algorithm for managing this clinical scenario is presented.
Original language | English (US) |
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Pages (from-to) | 696-700 |
Number of pages | 5 |
Journal | Arthroscopy - Journal of Arthroscopic and Related Surgery |
Volume | 25 |
Issue number | 6 |
DOIs | |
State | Published - Jun 2009 |
Externally published | Yes |
Keywords
- Arthroscopy
- Infection
- Knee
- Popliteal cyst
- Rheumatoid arthritis
- Sepsis
ASJC Scopus subject areas
- Orthopedics and Sports Medicine