Recurrent Hemarthrosis following Resections of Benign Bone Tumors: A Case Report of Two Pediatric Cases

Author:

Barnes Ryan H.1ORCID,Harter Dawn2ORCID,Esther Robert J.1ORCID,Kamath Ganesh V.1ORCID,Vergun Anna D.1ORCID

Affiliation:

1. Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

2. Department of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, North Carolina, USA

Abstract

Introduction/Cases. Two pediatric patients presenting with benign bone tumors of the distal femur at the level of the suprapatellar fat pad developed late onset recurrent knee hemarthrosis following surgical treatment of the lesions. A sinus tract from the intramedullary bone to the knee capsule was discovered in both patients during surgical exploration. Resection of the sinus tract and full closure of the knee capsule resulted in no further recurrence. Conclusion. Postoperative knee effusions in patients following resection near the distal femur could represent hemarthrosis that require additional workup and treatment. Resection of the sinus tract successfully treats the hemarthrosis.

Publisher

Hindawi Limited

Subject

General Earth and Planetary Sciences,General Environmental Science

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