{"title":"Organized prepatellar hematoma associated with severe varicose veins and revisiting prepatellar anatomy and hematomas","authors":"Sravya Teja Paleti , Srinivas BS Kambhampati , Raghu Teja Sadineni","doi":"10.1016/j.jajs.2021.02.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>While haemorrhagic bursitis<span> and Morel Lavallee lesions occur in the prepatellar region, hematoma secondary to ruptured superficial vein, mimicking the above lesions, has not been reported. It is important to be aware of this entity as it would need further evaluation and surgical management.</span></p></div><div><h3>Case report</h3><p><span>We report a rare case of prepatellar hematoma of Right knee following a fall in a 72-year-old lady associated with severe varicose veins in both lower limbs, treated by evacuation and suction drain and followed by reinforcement sutures three days after the evacuation. There was no recurrence after the procedure. We discuss the MRI findings of our case, revisit the </span>anatomy<span> related to the prepatellar bursa, the differential diagnosis for a prepatellar hematoma, how to differentiate this lesion from others and their treatment options.</span></p></div><div><h3>Conclusion</h3><p>A detailed assessment of the patient is necessary to identify varicose veins in such cases which need surgical treatment to prevent recurrences or persistent ooze.</p></div>","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jajs.2021.02.005","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Arthroscopy and Joint Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214963521000110","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Background
While haemorrhagic bursitis and Morel Lavallee lesions occur in the prepatellar region, hematoma secondary to ruptured superficial vein, mimicking the above lesions, has not been reported. It is important to be aware of this entity as it would need further evaluation and surgical management.
Case report
We report a rare case of prepatellar hematoma of Right knee following a fall in a 72-year-old lady associated with severe varicose veins in both lower limbs, treated by evacuation and suction drain and followed by reinforcement sutures three days after the evacuation. There was no recurrence after the procedure. We discuss the MRI findings of our case, revisit the anatomy related to the prepatellar bursa, the differential diagnosis for a prepatellar hematoma, how to differentiate this lesion from others and their treatment options.
Conclusion
A detailed assessment of the patient is necessary to identify varicose veins in such cases which need surgical treatment to prevent recurrences or persistent ooze.
期刊介绍:
Journal of Arthroscopy and Joint Surgery (JAJS) is committed to bring forth scientific manuscripts in the form of original research articles, current concept reviews, meta-analyses, case reports and letters to the editor. The focus of the Journal is to present wide-ranging, multi-disciplinary perspectives on the problems of the joints that are amenable with Arthroscopy and Arthroplasty. Though Arthroscopy and Arthroplasty entail surgical procedures, the Journal shall not restrict itself to these purely surgical procedures and will also encompass pharmacological, rehabilitative and physical measures that can prevent or postpone the execution of a surgical procedure. The Journal will also publish scientific research related to tissues other than joints that would ultimately have an effect on the joint function.