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Migration of Spinal Hardware Into the Popliteal Vein: A Case Report
Emily S Eiel1, Ryan D DeAngelis2, Stephen R Barchick3
1Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Case:
A 41-year-old woman with prior T12-L4 instrumentation for adolescent lumbar scoliosis presented with left posteromedial thigh pain initially diagnosed as an adductor strain. Two years later, she re-presented with knee stiffness, lower leg mottling, and paresthesia suspected to be reflex sympathetic dystrophy. Radiographs later revealed a 13.6-cm radiopaque object in the popliteal fossa and rod absence from the lumbar spine. The spinal rod was removed from the popliteal vein by orthopaedic surgery.
Conclusion:
Radiographs are an easily obtained, low-cost, and high-yield resource that are integral to workup of musculoskeletal pain, especially in patients with orthopaedic implants.
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