Coincidence of recurrent arthritis and Behçet's disease following anterior cruciate ligament reconstruction.
Chronic recurrent inflammation with joint effusion following anterior cruciate ligament (ACL) reconstruction is common. We report an unusual case of a patient also suffering from undiagnosed Behçet's disease. The patient had chronic recurrent joint effusions of the knee 7 years after traumatic rupture of the ACL and autologous tendon reconstruction using a hamstring tendon autograft. Arthroscopic treatment of the notch impingement and therapy of the accompanying rheumatic disease relieved the patient of his ailment. On the one hand, this case report shows the necessity of including chronic rheumatoid joint disease in the differential diagnosis of a persistent impairment of joint homeostasis following ACL reconstruction, and on the other hand it shows the coincidence of Behçet's disease and recurrent joint inflammation in a patient following ACL surgery.
Kääb
Max J
MJ
Sports Traumatology and Arthroscopy Services, Clinic for Trauma and Reconstructive Surgery, Charité - Humboldt University, Berlin, Germany. max.kaeaeb@charite.de
Weiler
Andreas
A
Schaser
Klaus
K
Südkamp
Norbert P
NP
Haas
Norbert P
NP
D000328:Adult; D016118:Anterior Cruciate Ligament / Q000000981:diagnostic imaging / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D001182:Arthroscopy; D001528:Behcet Syndrome / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D011859:Radiography; D019651:Plastic Surgery Procedures; D012008:Recurrence; D016896:Treatment Outcome