Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2016

Open Access 01-12-2016 | Case report

Post-arthroscopic osteonecrosis of the medial tibial plateau: a case series

Authors: Axel Marx, Alexander Beier, Pouria Taheri, Martin Röpke, Thomas Kalinski, Andreas M. Halder

Published in: Journal of Medical Case Reports | Issue 1/2016

Login to get access

Abstract

Background

Avascular necrosis after arthroscopic surgery of the knee has already been published. The purpose of this article is to report on the frequently misdiagnosed entity of osteonecrosis of the medial tibial plateau.

Case presentation

Charts and radiographs of a consecutive series with isolated medial tibial plateau osteonecrosis were analyzed. The criterion for inclusion was the absence of trauma. Six caucasian female patients with an average age of 76.5 years complied with this criterion. Three of these cases had had arthroscopic intervention for medial meniscal lesion within the previous year.

Conclusions

The etiology of these necroses remains unclear. Osteonecrosis must be taken into account as a possible cause of persistent knee pain after surgery. Correlation between arthroscopic treatment and necrotic processes in the tibial plateau must still be regarded with skepticism.
Literature
1.
Ahlback S, Bauer GC, Bohne WH. Spontaneous osteonecrosis of the knee. Arthritis Rheum. 1968;11:705–33.CrossRefPubMed
2.
Johnson TC, Evans JA, Gilley JA, DeLee JC. Osteonecrosis of the knee after arthroscopic surgery for meniscal tears and chondral lesions. Arthroscopy. 2000;16:254–61.CrossRefPubMed
3.
Brahme SK, Fox JM, Ferkel RD, Friedman MJ, Flannigan BD, Resnick DL. Osteonecrosis of the knee after arthroscopic surgery: diagnosis with MR imaging. Radiology. 1991;178:851–3.CrossRefPubMed
4.
Pape D, Lorbach O, Anagnostakos K, Kohn D. [Osteonecrosis in the postarthroscopic knee]. Orthopade. 2008;37:1099–100. 1102–7.CrossRefPubMed
5.
Narvaez JA, Narvaez J, De Lama E, Sanchez A. Spontaneous osteonecrosis of the knee associated with tibial plateau and femoral condyle insufficiency stress fracture. Eur Radiol. 2003;13:1843–8.CrossRefPubMed
6.
Yamamoto T, Bullough PG. Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. J Bone Joint Surg Am. 2000;82:858–66.CrossRefPubMed
7.
Myers TG, Cui Q, Kuskowski M, Mihalko WM, Saleh KJ. Outcomes of total and unicompartmental knee arthroplasty for secondary and spontaneous osteonecrosis of the knee. J Bone Joint Surg Am. 2006;88 Suppl 3:76–82.CrossRefPubMed
8.
Patel DV, Breazeale NM, Behr CT, Warren RF, Wickiewicz TL, O’Brien SJ. Osteonecrosis of the knee: current clinical concepts. Knee Surg Sports Traumatol Arthrosc. 1998;6:2–11.CrossRefPubMed
9.
10.
Pape D, Seil R, Kohn D, Schneider G. Imaging of early stages of osteonecrosis of the knee. Orthop Clin North Am. 2004;35:293–303. viii.CrossRefPubMed
11.
Sasaki T, Yagi T, Monji J, Yasuda K, Masuda T, Fukazawa M, Konno H. Steroid-induced osteonecrosis of the femoral condyle--a clinical study of eighteen knees in ten patients. Nippon Seikeigeka Gakkai Zasshi. 1986;60:361–72.PubMed
12.
Kelman GJ, Williams GW, Colwell CW Jr., Walker RH. Steroid-related osteonecrosis of the knee. Two case reports and a literature review. Clin Orthop Relat Res. 1990;257:171–6.
13.
Mont MA, Baumgarten KM, Rifai A, Bluemke DA, Jones LC, Hungerford DS. Atraumatic osteonecrosis of the knee. J Bone Joint Surg Am. 2000;82:1279–90.PubMed
14.
Aglietti P, Insall JN, Buzzi R, Deschamps G. Idiopathic osteonecrosis of the knee. Aetiology, prognosis and treatment. J Bone Joint Surg (Br). 1983;65:588–97.
15.
Lotke PA, Ecker ML. Osteonecrosis of the knee. J Bone Joint Surg Am. 1988;70:470–3.PubMed
16.
Carpintero P, Leon F, Zafra M, Montero R, Carreto A. Spontaneous collapse of the tibial plateau: radiological staging. Skeletal Radiol. 2005;34:399–404.CrossRefPubMed
17.
d’Angelijan G, Ryckewaert A, Glimet S. Osteonecrese du plateau tibial interna. Extr Rheumat. 1976;8:253–5.
18.
Lotke PA, Nelson CL, Lonner JH. Spontaneous osteonecrosis of the knee: tibial plateaus. Orthop Clin North Am. 2004;35:365–70. x.CrossRefPubMed
19.
Lotke PA, Ecker ML. Osteonecrosis-like syndrome of the medial tibial plateau. Clin Orthop Relat Res. 1983;176:148–53.
20.
Ecker ML, Lotke PA. Osteonecrosis of the medial part of the tibial plateau. J Bone Joint Surg Am. 1995;77:596–601.PubMed
21.
22.
Valenti JR, Illescas JA, Barriga A, Dolz R. Idiopathic osteonecrosis of the medial tibial plateau. Knee Surg Sports Traumatol Arthrosc. 2005;13:293–8.CrossRefPubMed
23.
Kidwai AS, Hemphill SD, Griffiths HJ. Radiologic case study. Spontaneous osteonecrosis of the knee reclassified as insufficiency fracture. Orthopedics. 2005;28(236):333–6.
24.
Satku K, Kumar VP, Chacha PB. Stress fractures around the knee in elderly patients. A cause of acute pain in the knee. J Bone Joint Surg Am. 1990;72:918–22.PubMed
25.
Satku K, Kumar VP, Chong SM, Thambyah A. The natural history of spontaneous osteonecrosis of the medial tibial plateau. J Bone Joint Surg (Br). 2003;85:983–8.CrossRef
26.
Yao L, Stanczak J, Boutin RD. Presumptive subarticular stress reactions of the knee: MRI detection and association with meniscal tear patterns. Skeletal Radiol. 2004;33:260–4.CrossRefPubMed
27.
Noble J, Hamblen DL. The pathology of the degenerate meniscus lesion. J Bone Joint Surg (Br). 1975;57:180–6.
28.
Cegarra Navarro MF, Martinez Fernandez M, Blanco Barrio A, Lloret EF. Can MRI determine whether acute or chronic processes predisposing conditions are present in spontaneous osteonecrosis of the knee? Radiologia. 2010;52:234–40.CrossRefPubMed
29.
Kim JY, Finger DR. Spontaneous osteonecrosis of the knee. J Rheumatol. 2006;33:1416.PubMed
30.
Manco LG, Schneider R, Pavlov H. Insufficiency fractures of the tibial plateau. AJR Am J Roentgenol. 1983;140:1211–5.CrossRefPubMed
31.
Marmor L. Fracture as a complication of osteonecrosis of the tibial plateau. A case report. J Bone Joint Surg Am. 1988;70:454–7.PubMed
32.
Cabitza P, Tamim H. Occult fractures of tibial plateau detected employing magnetic resonance imaging. Arch Orthop Trauma Surg. 2000;120:355–7.CrossRefPubMed
33.
Rozing PM, Insall J, Bohne WH. Spontaneous osteonecrosis of the knee. J Bone Joint Surg Am. 1980;62:2–7.PubMed
34.
Koshino T. The treatment of spontaneous osteonecrosis of the knee by high tibial osteotomy with and without bone-grafting or drilling of the lesion. J Bone Joint Surg Am. 1982;64:47–58.PubMed
35.
Bruni D, Iacono F, Raspugli G, Zaffagnini S, Marcacci M. Is unicompartmental arthroplasty an acceptable option for spontaneous osteonecrosis of the knee? Clin Orthop Relat Res. 2012;470:1442–51.CrossRefPubMedPubMedCentral
36.
Muscolo DL, Costa-Paz M, Makino A, Ayerza MA. Osteonecrosis of the knee following arthroscopic meniscectomy in patients over 50-years old. Arthroscopy. 1996;12:273–9.CrossRefPubMed
37.
38.
Prues-Latour V, Bonvin JC, Fritschy D. Nine cases of osteonecrosis in elderly patients following arthroscopic meniscectomy. Knee Surg Sports Traumatol Arthrosc. 1998;6:142–7.CrossRefPubMed
39.
Garino JP, Lotke PA, Sapega AA, Reilly PJ, Esterhai Jr JL. Osteonecrosis of the knee following laser-assisted arthroscopic surgery: a report of six cases. Arthroscopy. 1995;11:467–74.CrossRefPubMed
40.
Nakamura T, Matsumoto T, Nishino M, Tomita K, Kadoya M. Early magnetic resonance imaging and histologic findings in a model of femoral head necrosis. Clin Orthop Relat Res. 1997;334:68–72.
Metadata
Title
Post-arthroscopic osteonecrosis of the medial tibial plateau: a case series
Authors
Axel Marx
Alexander Beier
Pouria Taheri
Martin Röpke
Thomas Kalinski
Andreas M. Halder
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2016
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-016-1063-8

Other articles of this Issue 1/2016

Journal of Medical Case Reports 1/2016 Go to the issue

Case report

Biatrial thrombi resembling myxoma regressed after prolonged anticoagulation in a patient with mitral stenosis: a case report

Case report

Simultaneous and sequential hemorrhage of multiple cerebral cavernous malformations: a case report

Case report

Epithelial-myoepithelial carcinoma arising from the subglottis: a case report and review of the literature

Case report

Anti-U3 ribonucleoprotein antibody-positive inflammatory myopathy: a case report

Case report

Familial tetrasomy 4q35.2 associated with congenital diaphragmatic hernia and unilateral renal agenesis: a case report

Case report

Foreign body in the appendix presenting as acute appendicitis: a case report