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Rapid chondrolysis of the medial knee compartment after arthroscopic meniscal resection: a case report

Overview of attention for article published in Journal of Medical Case Reports, April 2016
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Title
Rapid chondrolysis of the medial knee compartment after arthroscopic meniscal resection: a case report
Published in
Journal of Medical Case Reports, April 2016
DOI 10.1186/s13256-016-0841-7
Pubmed ID
Authors

Sylvain Steinmetz, François Bonnomet, Michel Rahme, Philippe Adam, Matthieu Ehlinger

Abstract

Rapidly destructive osteoarthritis of the hip and rapid chondrolysis of the lateral compartment of the knee or the shoulder are rare, but have been previously described in the medical literature. To the best of our knowledge, no case of medial femorotibial compartment chondrolysis after arthroscopy has yet been described. We therefore submit the first case report. A 64-year-old white European man presented with right knee pain due to a medial meniscal tear with no other abnormality found on examination or imaging. An arthroscopic partial medial meniscectomy was performed and early evolution was favorable with no signs of infection. He developed knee pain 2 months later. X-rays showed a thinning of the medial compartment which was confirmed by computed tomography arthrogram. There was no articular effusion, mobility was conserved (0/0/125°), there was no laxity, and pain was localized to the medial femorotibial compartment, with no meniscal signs. There was a 8° varus deviation (versus 3° for his uninjured left knee). His blood work was normal. As there were no signs of infection, no aspiration was performed. Viscosupplementation was offered but refused by the patient. He is now waiting for a partial knee replacement. To the best of our knowledge, this is the first description of such a case. Rapid chondrolysis has been described in the hip, shoulder, and the lateral compartment of the knee. Infiltration of bupivacaine and lateral meniscectomy are the most frequently sited offending procedures. Concerning the medial compartment, cases of avascular necrosis have been reported after meniscectomy or use of radiofrequency devices. This case underlines the necessity of a thorough physical examination and complete radiological work up before any surgery. It must also drive us to use caution regarding meniscectomy, especially in patients over 60 years of age, and reminds us that patients must be informed of this potential complication.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 55 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 55 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 18%
Student > Postgraduate 5 9%
Other 4 7%
Researcher 4 7%
Student > Doctoral Student 3 5%
Other 9 16%
Unknown 20 36%
Readers by discipline Count As %
Medicine and Dentistry 26 47%
Nursing and Health Professions 3 5%
Engineering 3 5%
Sports and Recreations 1 2%
Unknown 22 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 May 2016.
All research outputs
#18,458,033
of 22,870,727 outputs
Outputs from Journal of Medical Case Reports
#2,263
of 3,928 outputs
Outputs of similar age
#219,799
of 300,282 outputs
Outputs of similar age from Journal of Medical Case Reports
#30
of 48 outputs
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We're also able to compare this research output to 48 others from the same source and published within six weeks on either side of this one. This one is in the 10th percentile – i.e., 10% of its contemporaries scored the same or lower than it.