Aseptic Inflammation and Synovitis of Knee by Splinter Injury in an Adult- A Rare Presentation
Published: November 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/29596.10904
Pankaj Kumar Mishra, Anil Kumar Pandey, Aashish Anand Gupta, Tanmay Shah
1. Assistant Professor, Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
2. Resident, Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
3. Resident, Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
4. Resident, Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
Correspondence
Dr. Pankaj Kumar Mishra,
House No. E-115/4, Shivaji Nagar, Bhopal-462016, Madhya Pradesh, India.
E-mail: drpankajv@yahoo.com
Synovitis of knee due to an unaware incident of splinter piercing is rare in adults. This is a case report of 30-year-old female with a painful knee in a flexed attitude with a swelling. Her history did not reveal any positive findings, i.e., recent trauma, fever or any such previous episode. Arthrotomy revealed a turbid synovial fluid with inflamed friable synovial thickening. On further inspection, there was a presence of a foreign body in the suprapateller pouch. It was removed and washed. This was ultimately found to be a splinter. Normal inflammatory markers with minimal signs and symptoms of infection may provide weightage to this differential diagnosis. Arthrotomy and antibiotic coverage can give an excellent result.
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