Organized prepatellar hematoma associated with severe varicose veins and revisiting prepatellar anatomy and hematomas

Sravya Teja Paleti , Srinivas BS Kambhampati , Raghu Teja Sadineni
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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.

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与严重静脉曲张相关的有组织的髌前血肿及对髌前解剖和血肿的再认识
虽然出血性滑囊炎和Morel - Lavallee病变发生在髌骨前区域,但继发于浅静脉破裂的血肿,模拟上述病变,尚未报道。重要的是要意识到这个实体,因为它需要进一步的评估和手术治疗。病例报告我们报告一例罕见的72岁女性跌倒后右膝髌骨前血肿合并双下肢严重静脉曲张,经抽吸引流治疗,并在抽吸后3天进行加固缝合。术后无复发。我们讨论本病例的MRI表现,回顾与髌前囊相关的解剖学,髌前血肿的鉴别诊断,如何区分这种病变及其治疗方案。结论对需要手术治疗的静脉曲张患者进行详细的评估是必要的,以防止复发或持续渗出。
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来源期刊
Journal of Arthroscopy and Joint Surgery
Journal of Arthroscopy and Joint Surgery Medicine-Orthopedics and Sports Medicine
CiteScore
0.60
自引率
0.00%
发文量
1
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.
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