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Vol. 11. Issue 5.
Pages 322-324 (September - October 2015)
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Vol. 11. Issue 5.
Pages 322-324 (September - October 2015)
Case report
DOI: 10.1016/j.reumae.2015.01.009
Knee Hemarthros Secondary to Osteochondritis Dissecans (König Disease)
Hemartrosis de rodilla secundaria a osteocondritis disecante (enfermedad de König)
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Carlos Guillén Astetea,b,
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, Patricia Alva Garcíaa, Maria Carpena Zafrillaa, Carmen Medina Quiñonesb
a Servicio de Urgencias, Hospital Universitario Ramón y Cajal, Madrid, Spain
b Servicio de Reumatología, Hospital Universitario Ramón y Cajal, Madrid, Spain
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Abstract

A case is presented of a hemarthrosis associated with osteochondritis dissecans in a young man who arrived in the emergency unit due to tender and swelling of his right knee 1h after a slightly rotational gesture of the lower limb. Many years before the patient suffered a sports injury in the same knee, but it was never assessed. Radiography studies showed bone fragments inside the synovial capsule, and the joint aspiration was compatible with hemarthrosis. A review of the available information of this uncommon condition is also presented.

Keywords:
Osteochondritis dissecans
Hemarthrosis
Resumen

Presentamos el caso de una hemartrosis de rodilla asociada a osteocondritis disecante en un adulto joven que consultó por urgencias debido a dolor y tumefacción de su rodilla derecha media hora después de un gesto rotacional del miembro inferior. Varios años antes el paciente sufrió un accidente deportivo en la misma rodilla por la que nunca consultó. El estudio radiológico mostró 2 fragmentos dentro de la cápsula sinovial y una artrocentesis demostró hemartrosis. Realizamos una revisión de la información disponible de esta patología infrecuente.

Palabras clave:
Osteocondritis disecante
Hemartrosis

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