Persistent ulcer of the knee.
A 15-year-old female suffered from a persistent ulcer which developed in her knee. At the ninth operation, intraarticular knee arthrodesis was performed but the ulcer recurred. The most effective treatment was neither thorough debridement nor a free musculocutaneous flap covering, but the application of a plaster cast. The condition is thought to have been Munchausen syndrome.
Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University, Japan.
N
N
Nishijima
T
T
Yamamuro
Y
Y
Seto
D000293:Adolescent; D000856:Anorexia Nervosa / Q000150:complications; D001174:Arthrodesis / Q000379:methods*; D001265:Athletic Injuries / Q000150:complications*; D002370:Casts, Surgical; D003646:Debridement / Q000379:methods; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007717:Knee; D007871:Leg Ulcer / Q000209:etiology / Q000628:therapy*; D009110:Munchausen Syndrome / Q000150:complications*; D012008:Recurrence; D013524:Surgical Flaps / Q000379:methods