Spontaneous Recurrent Hemarthrosis of the Knee: A Report of Two Cases with a Source of Bleeding Detected during Arthroscopic Surgery of the Knee Joint

We report two cases of the spontaneous recurrent hemarthrosis of the knee. In these cases lateral meniscus was severely torn and a small tubular soft tissue with pulsation was identified on the synovium in the posterolateral corner during arthroscopic surgery of the knee joint. Gentle grasping of th...

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Main Authors: Eisuke Nomura, Hisatada Hiraoka, Hiroya Sakai
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2016/1026861
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author Eisuke Nomura
Hisatada Hiraoka
Hiroya Sakai
author_facet Eisuke Nomura
Hisatada Hiraoka
Hiroya Sakai
author_sort Eisuke Nomura
collection DOAJ
description We report two cases of the spontaneous recurrent hemarthrosis of the knee. In these cases lateral meniscus was severely torn and a small tubular soft tissue with pulsation was identified on the synovium in the posterolateral corner during arthroscopic surgery of the knee joint. Gentle grasping of this tissue by forceps led to pulsating bleeding, which stopped by electrocoagulation. This soft tissue was considered a source of bleeding, since no recurrence of hemarthrosis was observed for more than four years after surgery. It was highly probable that this soft tissue was the ruptured end of the lateral inferior genicular artery or its branch. This case report strongly supports the theory that the bleeding from the peripheral arteries of the posterior portion of the lateral meniscus is the cause of spontaneous recurrent hemarthrosis of the knee.
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spelling doaj-art-b86e6771e78440809d11e304ab7eae582025-08-20T02:19:08ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/10268611026861Spontaneous Recurrent Hemarthrosis of the Knee: A Report of Two Cases with a Source of Bleeding Detected during Arthroscopic Surgery of the Knee JointEisuke Nomura0Hisatada Hiraoka1Hiroya Sakai2Department of Orthopaedic Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, JapanDepartment of Orthopaedic Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, JapanDepartment of Orthopaedic Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, JapanWe report two cases of the spontaneous recurrent hemarthrosis of the knee. In these cases lateral meniscus was severely torn and a small tubular soft tissue with pulsation was identified on the synovium in the posterolateral corner during arthroscopic surgery of the knee joint. Gentle grasping of this tissue by forceps led to pulsating bleeding, which stopped by electrocoagulation. This soft tissue was considered a source of bleeding, since no recurrence of hemarthrosis was observed for more than four years after surgery. It was highly probable that this soft tissue was the ruptured end of the lateral inferior genicular artery or its branch. This case report strongly supports the theory that the bleeding from the peripheral arteries of the posterior portion of the lateral meniscus is the cause of spontaneous recurrent hemarthrosis of the knee.http://dx.doi.org/10.1155/2016/1026861
spellingShingle Eisuke Nomura
Hisatada Hiraoka
Hiroya Sakai
Spontaneous Recurrent Hemarthrosis of the Knee: A Report of Two Cases with a Source of Bleeding Detected during Arthroscopic Surgery of the Knee Joint
Case Reports in Orthopedics
title Spontaneous Recurrent Hemarthrosis of the Knee: A Report of Two Cases with a Source of Bleeding Detected during Arthroscopic Surgery of the Knee Joint
title_full Spontaneous Recurrent Hemarthrosis of the Knee: A Report of Two Cases with a Source of Bleeding Detected during Arthroscopic Surgery of the Knee Joint
title_fullStr Spontaneous Recurrent Hemarthrosis of the Knee: A Report of Two Cases with a Source of Bleeding Detected during Arthroscopic Surgery of the Knee Joint
title_full_unstemmed Spontaneous Recurrent Hemarthrosis of the Knee: A Report of Two Cases with a Source of Bleeding Detected during Arthroscopic Surgery of the Knee Joint
title_short Spontaneous Recurrent Hemarthrosis of the Knee: A Report of Two Cases with a Source of Bleeding Detected during Arthroscopic Surgery of the Knee Joint
title_sort spontaneous recurrent hemarthrosis of the knee a report of two cases with a source of bleeding detected during arthroscopic surgery of the knee joint
url http://dx.doi.org/10.1155/2016/1026861
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