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knot impingement after arthroscopic rotator cuff repair mimicking infection:A case report

World Journal of Clinical Cases 2022年第15期10卷 5097-5102页

作者： Du-Han Kim Jong-Hyuk Jeon Byung-Chan Choi Chul-Hyun Cho Department of Orthopedic Surgery Keimyung University Dongsan HospitalKeimyung University School of MedicineDaegu 42601South Korea

BACKGROUND knot impingement as a complication after arthroscopic rotator cuff repair(ARCR)has been suggested as a cause of persistent pain with limited *** report on a case involving a patient who developed knot impingement after ARCR who complained of acute onset of pain with limited motion,which was confused with *** SUMMARY A 55-year-old female who complained of severe pain with limited motion of the right shoulder visited our emergency *** range of motion could not be evaluated due to the patient’s severe *** patient had undergone ARCR using a suture-bridge technique at a local clinic four months ago for treatment of a small supraspinatus tear of the right *** erosive change of the undersurface of the acromion was observed on plain radiographs of the right shoulder,and a moderate amount of bursal fluid and synovial thickening with enhancement was observed by magnetic resonance *** of an analysis of the aspirated fluid showed that the WBC count was 3960 with 90% *** arthroscopic view showed healing of the repaired supraspinatus tendon and loose suture threads and knots with severe subacromial bursitis were *** of inflammatory tissues of the glenohumeral joint and subacromial space was performed for the removal of all suture *** patient’s symptoms subsided immediately after the surgical *** Although the incidence of knot impingement is rare,the possibility of knot impingement after ARCR should be a consideration.

关键词： Rotator cuff knot impingement Shoulder Infection Arthroscopy Case report

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