Haemosiderotic Synovitis Secondary to Anticoagulant Use: An Unusual Mechanism of Failure of a Unicompartmental Knee Replacement
Haemosiderotic synovitis is a rare condition caused by recurrent or chronic haemarthroses. This may lead to intra-articular destruction, a painful joint, and, if untreated, ankylosis of the joint. We highlight a case of an elderly lady who presented to an orthopaedic clinic with left knee pain, foll...
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Wiley
2019-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/3959278 |
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| author | Jonathan Bartlett Surjit S. Lidder Andrew T. Bucknill |
| author_facet | Jonathan Bartlett Surjit S. Lidder Andrew T. Bucknill |
| author_sort | Jonathan Bartlett |
| collection | DOAJ |
| description | Haemosiderotic synovitis is a rare condition caused by recurrent or chronic haemarthroses. This may lead to intra-articular destruction, a painful joint, and, if untreated, ankylosis of the joint. We highlight a case of an elderly lady who presented to an orthopaedic clinic with left knee pain, following recurrent left knee atraumatic haemarthroses secondary to oral anticoagulant use. At her presentation, she had a left medial unicompartmental knee prosthesis in situ. Weight bearing radiographs of the left knee showed marked loss of lateral joint space with valgus alignment. These radiographic findings were not present on the radiographs taken at her first presentation with haemarthrosis nine months previously. A left revision total knee arthroplasty was performed, and a diagnosis of haemosiderotic synovitis was made following histological analysis of intraoperative tissue samples. This case highlights an unusual mechanism of failure of a unicompartmental knee replacement. Though haemosiderotic synovitis is an exceedingly rare condition, it must be considered following recurrent haemarthrosis as, due to its destructive nature, prompt recognition and treatment is paramount. |
| format | Article |
| id | doaj-art-8246d0e62d2b4e69adfe1cb13978c265 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-8246d0e62d2b4e69adfe1cb13978c2652025-02-03T06:11:20ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/39592783959278Haemosiderotic Synovitis Secondary to Anticoagulant Use: An Unusual Mechanism of Failure of a Unicompartmental Knee ReplacementJonathan Bartlett0Surjit S. Lidder1Andrew T. Bucknill2Corpus Christi College, Cambridge CB2 1RH, UKDepartment of Orthopaedic Surgery, The Royal Melbourne Hospital, Melbourne, VIC 3050, AustraliaDepartment of Orthopaedic Surgery, The Royal Melbourne Hospital, Melbourne, VIC 3050, AustraliaHaemosiderotic synovitis is a rare condition caused by recurrent or chronic haemarthroses. This may lead to intra-articular destruction, a painful joint, and, if untreated, ankylosis of the joint. We highlight a case of an elderly lady who presented to an orthopaedic clinic with left knee pain, following recurrent left knee atraumatic haemarthroses secondary to oral anticoagulant use. At her presentation, she had a left medial unicompartmental knee prosthesis in situ. Weight bearing radiographs of the left knee showed marked loss of lateral joint space with valgus alignment. These radiographic findings were not present on the radiographs taken at her first presentation with haemarthrosis nine months previously. A left revision total knee arthroplasty was performed, and a diagnosis of haemosiderotic synovitis was made following histological analysis of intraoperative tissue samples. This case highlights an unusual mechanism of failure of a unicompartmental knee replacement. Though haemosiderotic synovitis is an exceedingly rare condition, it must be considered following recurrent haemarthrosis as, due to its destructive nature, prompt recognition and treatment is paramount.http://dx.doi.org/10.1155/2019/3959278 |
| spellingShingle | Jonathan Bartlett Surjit S. Lidder Andrew T. Bucknill Haemosiderotic Synovitis Secondary to Anticoagulant Use: An Unusual Mechanism of Failure of a Unicompartmental Knee Replacement Case Reports in Orthopedics |
| title | Haemosiderotic Synovitis Secondary to Anticoagulant Use: An Unusual Mechanism of Failure of a Unicompartmental Knee Replacement |
| title_full | Haemosiderotic Synovitis Secondary to Anticoagulant Use: An Unusual Mechanism of Failure of a Unicompartmental Knee Replacement |
| title_fullStr | Haemosiderotic Synovitis Secondary to Anticoagulant Use: An Unusual Mechanism of Failure of a Unicompartmental Knee Replacement |
| title_full_unstemmed | Haemosiderotic Synovitis Secondary to Anticoagulant Use: An Unusual Mechanism of Failure of a Unicompartmental Knee Replacement |
| title_short | Haemosiderotic Synovitis Secondary to Anticoagulant Use: An Unusual Mechanism of Failure of a Unicompartmental Knee Replacement |
| title_sort | haemosiderotic synovitis secondary to anticoagulant use an unusual mechanism of failure of a unicompartmental knee replacement |
| url | http://dx.doi.org/10.1155/2019/3959278 |
| work_keys_str_mv | AT jonathanbartlett haemosideroticsynovitissecondarytoanticoagulantuseanunusualmechanismoffailureofaunicompartmentalkneereplacement AT surjitslidder haemosideroticsynovitissecondarytoanticoagulantuseanunusualmechanismoffailureofaunicompartmentalkneereplacement AT andrewtbucknill haemosideroticsynovitissecondarytoanticoagulantuseanunusualmechanismoffailureofaunicompartmentalkneereplacement |