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Related Experiment Videos

Synovial fluid in the calf

P N Kannangara, J A Kirk

    Rheumatology and Rehabilitation
    |August 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Synovial rupture, particularly of the knee joint, can lead to overlooked deep-vein occlusion. Early diagnosis using venography, alongside clinical assessment, is crucial for managing this condition.

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    Area of Science:

    • Orthopedics
    • Vascular Surgery
    • Radiology

    Background:

    • Synovial rupture, especially of the knee joint, is increasingly recognized, often diagnosed via arthrography.
    • However, associated deep-vein occlusion (DVO) secondary to synovial rupture remains a potential diagnostic challenge.
    • Historical context is provided by William Morrant Baker's early work on synovial protrusions.

    Observation:

    • Two distinct cases illustrate venous occlusion mechanisms resulting from synovial rupture.
    • One case involved thrombosis due to direct pressure from a hematoma during anticoagulant therapy.
    • The second case suggested venous occlusion from external irritation of the vein.

    Findings:

    • Synovial rupture can cause venous occlusion through direct pressure or external irritation.

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  • Tendon sheath ruptures, such as the peroneal tendon sheath, can also lead to nerve issues like lateral popliteal mononeuritis.
  • Deep calf venography may be more beneficial than arthrography in specific cases for diagnosing DVO associated with synovial rupture.

    • Implications:

    • Highlights the importance of considering DVO in patients with suspected synovial rupture.
    • Suggests venography as a valuable diagnostic tool in select cases.
    • Underscores the multifaceted nature of synovial rupture complications beyond the joint itself.