BibTex RIS Kaynak Göster

A Mechanically Locked knee joint due to free-floating, flake-shaped rice bodies

Yıl 2015, Cilt: 49 Sayı: 5, 565 - , 24.09.2015

Öz

Multiple free-floating intra-articular particles, called rice bodies, originate from the synovium, typically resemble cartilage, and have a fibrin structure. The etiology of rice body formation is unclear, although they often occur in rheumatoid arthritis and other seronegative arthropathies, and rarely in tuberculosis. They are often encountered by rheumatologists or in clinical orthopedics. A 33-year-old female who suffered from occasional swelling and pain of her left knee for 3 months was admitted with a mechanically locked knee. Free-floating rice bodies were identified on magnetic resonance imaging and arthroscopic intervention was carried out for diagnostic and therapeutic purposes. After removing all of the bodies and effusion with mechanical irrigation, an arthroscopic subtotal synovectomy was performed.

Keywords: Knee, Rice bodies, Arthroscopic debridement

 

 

Kaynakça

  • Suso S, Peidro L, Ramon R. Tuberculous synovitis with “rice bodies” presenting as carpal tunnel syndrome. J Hand Surg Am 1988;13:574–6.
  • Steinfeld R, Rock MG, Younge DA, Cofield RH. Mas- sive subacromial bursitis with rice bodies. Report of three cases, one of which was bilateral. Clin Orthop Relat Res 1994;301:185–90.
  • PIMM LH, WAUGH W. Tuberculous tenosynovitis. J Bone Joint Surg Br 1957;39:91–101.
  • Suso S, Peidro L, Ramon R. Tuberculous synovitis with “rice bodies” presenting as carpal tunnel syndrome. J Hand Surg Am 1988;13:574–6.
  • McCarthy DJ, Cheung HS. Origin and significance of rice bodies in synovial fluid. Lancet 1982;2:715–6.
  • Thevenon A, Cocheteux P, Duquesnoy B, Mestdagh H, Lecomte-Houcke M, Delcambre B. Subacromial bursitis with rice bodies as a presenting feature of seronegative rheumatoid arthritis. Arthritis Rheum 1987;30:715–6.
  • Chen A, Wong LY, Sheu CY, Chen BF. Distinguishing multiple rice body formation in chronic subacromial-sub- deltoid bursitis from synovial chondromatosis. Skeletal Radiol 2002;31:119–21.
  • Sugano I, Nagao T, Tajima Y, Ishida Y, Nagao K, Ohno T, et al. Variation among giant rice bodies: report of four cases and their clinicopathological features. Skeletal Radiol 2000;29:525–9.
  • Griffith JF, Peh WC, Evans NS, Smallman LA, Wong RW, Thomas AM. Multiple rice body formation in chronic sub- acromial/subdeltoid bursitis: MR appearances. Clin Ra- diol 1996;51:511–4.
  • Asik M, Altinel L, Dikici F, Temelli Y. Rice bodies of syno- vial origin in the knee: a case report. Acta Orthop Traum Turc 2000;34:312–5.
  • Tosun N, Ugras S, Ince O. Rice Bodies In Knee Joint: A Case Report. Artroplasti Artroskopik Cerrahi 2002;13:108–10.
  • Akman S,Yanoglu SA, Aksoy B, Kavukcuoglu F, Ozturk I. A case of subacromial bursitis with rice bodies presenting as a soft tissue mass. Acta Orthopaedica et Traumatologica Turcica 2000;34:528–31.

Diz ekleminde mekanik semptomlar ile kendini gösteren, serbest-yüzen pirinç tanesi cisimcikleri: Olgu Sunumu

Yıl 2015, Cilt: 49 Sayı: 5, 565 - , 24.09.2015

Öz

Özet

Pirinç tanesi cisimcikleri olarak adlandırılan, eklem içi serbest yüzen multipl partiküller sinovya kaynaklı olup tipik olarak kıkırdağa benzeyip, fibrin yapıdadırlar. Etyolojileri açık olmamasına rağmen romatoid artrit ve diğer seronegatif artropatilerle beraberlikleri yanısıra daha az sıklıkla tüberkülozda görülürler. Sıklıkla romatoloji veya ortopedi pratiğinde karşılaşılmaktadır.

3 aydır sol dizinde ağrı ve zaman zaman şişme şikayetleri olan 33 yaşındaki bayan hasta, sol dizinde mekanik kilitlenme şikayeti ile başvurdu. Manyetik rezonans görüntüleme (MRG) ile diz ekleminde serbest yüzen pirinç tanesi cisimcikleri tespit edilen hastaya tanısal ve tedavi amaçlı sol diz artroskopisi uygulandı. Eklem içi effüzyon ve serbest yüzen cisimciklerin boşaltılması ardından artroskopik subtotal sinovektomi uygulandı.

Anahtar sözcükler: diz eklemi, pirinç tanesi cisimcikleri, artroskopik debridman

 

 

Kaynakça

  • Suso S, Peidro L, Ramon R. Tuberculous synovitis with “rice bodies” presenting as carpal tunnel syndrome. J Hand Surg Am 1988;13:574–6.
  • Steinfeld R, Rock MG, Younge DA, Cofield RH. Mas- sive subacromial bursitis with rice bodies. Report of three cases, one of which was bilateral. Clin Orthop Relat Res 1994;301:185–90.
  • PIMM LH, WAUGH W. Tuberculous tenosynovitis. J Bone Joint Surg Br 1957;39:91–101.
  • Suso S, Peidro L, Ramon R. Tuberculous synovitis with “rice bodies” presenting as carpal tunnel syndrome. J Hand Surg Am 1988;13:574–6.
  • McCarthy DJ, Cheung HS. Origin and significance of rice bodies in synovial fluid. Lancet 1982;2:715–6.
  • Thevenon A, Cocheteux P, Duquesnoy B, Mestdagh H, Lecomte-Houcke M, Delcambre B. Subacromial bursitis with rice bodies as a presenting feature of seronegative rheumatoid arthritis. Arthritis Rheum 1987;30:715–6.
  • Chen A, Wong LY, Sheu CY, Chen BF. Distinguishing multiple rice body formation in chronic subacromial-sub- deltoid bursitis from synovial chondromatosis. Skeletal Radiol 2002;31:119–21.
  • Sugano I, Nagao T, Tajima Y, Ishida Y, Nagao K, Ohno T, et al. Variation among giant rice bodies: report of four cases and their clinicopathological features. Skeletal Radiol 2000;29:525–9.
  • Griffith JF, Peh WC, Evans NS, Smallman LA, Wong RW, Thomas AM. Multiple rice body formation in chronic sub- acromial/subdeltoid bursitis: MR appearances. Clin Ra- diol 1996;51:511–4.
  • Asik M, Altinel L, Dikici F, Temelli Y. Rice bodies of syno- vial origin in the knee: a case report. Acta Orthop Traum Turc 2000;34:312–5.
  • Tosun N, Ugras S, Ince O. Rice Bodies In Knee Joint: A Case Report. Artroplasti Artroskopik Cerrahi 2002;13:108–10.
  • Akman S,Yanoglu SA, Aksoy B, Kavukcuoglu F, Ozturk I. A case of subacromial bursitis with rice bodies presenting as a soft tissue mass. Acta Orthopaedica et Traumatologica Turcica 2000;34:528–31.
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Olgu Sunumu
Yazarlar

Fatih Karaaslan Bu kişi benim

Sinan Karaoglu Bu kişi benim

Musa Mermerkaya Bu kişi benim

Yayımlanma Tarihi 24 Eylül 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 49 Sayı: 5

Kaynak Göster

APA Karaaslan, F., Karaoglu, S., & Mermerkaya, M. (2015). Diz ekleminde mekanik semptomlar ile kendini gösteren, serbest-yüzen pirinç tanesi cisimcikleri: Olgu Sunumu. Acta Orthopaedica Et Traumatologica Turcica, 49(5), 565. https://doi.org/10.3944/AOTT.2015.14.0124
AMA Karaaslan F, Karaoglu S, Mermerkaya M. Diz ekleminde mekanik semptomlar ile kendini gösteren, serbest-yüzen pirinç tanesi cisimcikleri: Olgu Sunumu. Acta Orthopaedica et Traumatologica Turcica. Eylül 2015;49(5):565. doi:10.3944/AOTT.2015.14.0124
Chicago Karaaslan, Fatih, Sinan Karaoglu, ve Musa Mermerkaya. “Diz Ekleminde Mekanik Semptomlar Ile Kendini gösteren, Serbest-yüzen Pirinç Tanesi Cisimcikleri: Olgu Sunumu”. Acta Orthopaedica Et Traumatologica Turcica 49, sy. 5 (Eylül 2015): 565. https://doi.org/10.3944/AOTT.2015.14.0124.
EndNote Karaaslan F, Karaoglu S, Mermerkaya M (01 Eylül 2015) Diz ekleminde mekanik semptomlar ile kendini gösteren, serbest-yüzen pirinç tanesi cisimcikleri: Olgu Sunumu. Acta Orthopaedica et Traumatologica Turcica 49 5 565.
IEEE F. Karaaslan, S. Karaoglu, ve M. Mermerkaya, “Diz ekleminde mekanik semptomlar ile kendini gösteren, serbest-yüzen pirinç tanesi cisimcikleri: Olgu Sunumu”, Acta Orthopaedica et Traumatologica Turcica, c. 49, sy. 5, s. 565, 2015, doi: 10.3944/AOTT.2015.14.0124.
ISNAD Karaaslan, Fatih vd. “Diz Ekleminde Mekanik Semptomlar Ile Kendini gösteren, Serbest-yüzen Pirinç Tanesi Cisimcikleri: Olgu Sunumu”. Acta Orthopaedica et Traumatologica Turcica 49/5 (Eylül 2015), 565. https://doi.org/10.3944/AOTT.2015.14.0124.
JAMA Karaaslan F, Karaoglu S, Mermerkaya M. Diz ekleminde mekanik semptomlar ile kendini gösteren, serbest-yüzen pirinç tanesi cisimcikleri: Olgu Sunumu. Acta Orthopaedica et Traumatologica Turcica. 2015;49:565.
MLA Karaaslan, Fatih vd. “Diz Ekleminde Mekanik Semptomlar Ile Kendini gösteren, Serbest-yüzen Pirinç Tanesi Cisimcikleri: Olgu Sunumu”. Acta Orthopaedica Et Traumatologica Turcica, c. 49, sy. 5, 2015, s. 565, doi:10.3944/AOTT.2015.14.0124.
Vancouver Karaaslan F, Karaoglu S, Mermerkaya M. Diz ekleminde mekanik semptomlar ile kendini gösteren, serbest-yüzen pirinç tanesi cisimcikleri: Olgu Sunumu. Acta Orthopaedica et Traumatologica Turcica. 2015;49(5):565.