Glanzmann’s Thrombasthenia Diagnosed following Knee Arthroscopy
A 41-year-old man with an unremarkable medical history presented with a painful knee after a sports injury. He was diagnosed with a medial meniscal tear. Symptoms did not abate after 6 months of physical therapy, and he underwent arthroscopic partial medial meniscectomy. A week after beginning physi...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/127846 |
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| author | John E. Zvijac Sharhabil S. Ammus Fernando Aran Gary M. Kiebzak |
| author_facet | John E. Zvijac Sharhabil S. Ammus Fernando Aran Gary M. Kiebzak |
| author_sort | John E. Zvijac |
| collection | DOAJ |
| description | A 41-year-old man with an unremarkable medical history presented with a painful knee after a sports injury. He was diagnosed with a medial meniscal tear. Symptoms did not abate after 6 months of physical therapy, and he underwent arthroscopic partial medial meniscectomy. A week after beginning physical therapy he experienced a knee effusion, decreased ROM, and inability to flex his quadriceps. His knee was aspirated. Blood tests were ordered and his complete blood count, liver functions tests, and INR/PTT were normal. The patient had recurrent effusions requiring three additional joint aspirations. Ten weeks after the initial surgery, the patient underwent a second arthroscopy, during which a hematoma was removed and a synovectomy performed. The patient continued bleeding from the incisions after portals were sutured, and he was admitted to the hospital. A hematologist was consulted and comprehensive platelet aggregation testing revealed previously undiagnosed Glanzmann’s thrombasthenia. The patient began treatment with platelet infusions and desmopressin and progressed to a full recovery. Clinical suspicion for surgical patients with unusual repetitive postoperative bleeding should include previously undetected rare bleeding disorders even in adults. |
| format | Article |
| id | doaj-art-636cd54f3dd4463e8b2a56bc995ff104 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-636cd54f3dd4463e8b2a56bc995ff1042025-02-03T00:59:28ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/127846127846Glanzmann’s Thrombasthenia Diagnosed following Knee ArthroscopyJohn E. Zvijac0Sharhabil S. Ammus1Fernando Aran2Gary M. Kiebzak3UHZ Sports Medicine Institute, Doctors Hospital, Baptist Health South Florida, 1150 Campo Sano Avenue, Suite 200, Coral Gables, FL 33146, USAUM Sylvester Cancer Center at Kendall, 8932 SW 97 Avenue, Suite B12, Miami, FL 33176, USAFIU Herbert Wertheim College of Medicine, Miami, FL 33199, USACenter for Research and Grants, Doctors Hospital, Baptist Health South Florida, 1150 Campo Sano Avenue, Suite 200, Coral Gables, FL 33146, USAA 41-year-old man with an unremarkable medical history presented with a painful knee after a sports injury. He was diagnosed with a medial meniscal tear. Symptoms did not abate after 6 months of physical therapy, and he underwent arthroscopic partial medial meniscectomy. A week after beginning physical therapy he experienced a knee effusion, decreased ROM, and inability to flex his quadriceps. His knee was aspirated. Blood tests were ordered and his complete blood count, liver functions tests, and INR/PTT were normal. The patient had recurrent effusions requiring three additional joint aspirations. Ten weeks after the initial surgery, the patient underwent a second arthroscopy, during which a hematoma was removed and a synovectomy performed. The patient continued bleeding from the incisions after portals were sutured, and he was admitted to the hospital. A hematologist was consulted and comprehensive platelet aggregation testing revealed previously undiagnosed Glanzmann’s thrombasthenia. The patient began treatment with platelet infusions and desmopressin and progressed to a full recovery. Clinical suspicion for surgical patients with unusual repetitive postoperative bleeding should include previously undetected rare bleeding disorders even in adults.http://dx.doi.org/10.1155/2015/127846 |
| spellingShingle | John E. Zvijac Sharhabil S. Ammus Fernando Aran Gary M. Kiebzak Glanzmann’s Thrombasthenia Diagnosed following Knee Arthroscopy Case Reports in Orthopedics |
| title | Glanzmann’s Thrombasthenia Diagnosed following Knee Arthroscopy |
| title_full | Glanzmann’s Thrombasthenia Diagnosed following Knee Arthroscopy |
| title_fullStr | Glanzmann’s Thrombasthenia Diagnosed following Knee Arthroscopy |
| title_full_unstemmed | Glanzmann’s Thrombasthenia Diagnosed following Knee Arthroscopy |
| title_short | Glanzmann’s Thrombasthenia Diagnosed following Knee Arthroscopy |
| title_sort | glanzmann s thrombasthenia diagnosed following knee arthroscopy |
| url | http://dx.doi.org/10.1155/2015/127846 |
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