RESUMO
CASE: A 50-year-old man presented with chronic refractory symptoms of radiating leg pain with muscle cramps because of a retained bullet in the calf after being shot in 1990. Radiographs confirmed the bullet lodged in posterolateral aspect of calf abutting proximal fibula. An intraoperative point-of-care ultrasound aided in accurate localization of bullet, thereby facilitating precise planning of surgical incision and subsequent removal. CONCLUSIONS: Ultrasound can be used as an alternative tool for safe surgical extraction of deep-seated metallic object with minimal tissue dissection, obviating the need for C-arm.
Assuntos
Corpos Estranhos , Perna (Membro) , Ultrassonografia , Ferimentos por Arma de Fogo , Humanos , Masculino , Pessoa de Meia-Idade , Fíbula , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Perna (Membro)/diagnóstico por imagem , Perna (Membro)/cirurgia , Dor/etiologia , Dor/cirurgia , Ferimentos por Arma de Fogo/cirurgia , Cuidados IntraoperatóriosRESUMO
Iliotibial band traction syndrome (ITBTS) after total knee arthroplasty (TKA) has been well documented following first-generation guided motion bicruciate substituting (BCS) TKA. The incidence of ITBTS following second-generation BCS has been found to be rare, and surgical release of the IT band has not been reported. A 64-year old male was diagnosed with ITBTS following second-generation guided motion BCS TKA. After a three-month trial of non-surgical treatment, he underwent selective open release of the iliotibial band (ITB), which successfully relieved his symptoms. Orthopedic surgeons should keep ITBTS as a possible differential diagnosis when evaluating the lateral-sided knee pain following guided motion BCS TKA.