Arthrofibrosis Associated with the Surgical Treatment of Chronic Lyme Arthritis and a Concomitant Medial Meniscal Tear

Abstract

Refractory Lyme arthritis commonly is treated successfully with arthroscopic synovectomy. We describe a patient who presented with a concomitant medial meniscal tear; he underwent initial medial meniscal repair and a partial meniscectomy. He required additional surgery before full recovery was achieved.

Trauma-related Lyme arthritis

“…A case report from Seldes et al discussed a male athlete in his 20s who presented with atraumatic left knee spontaneous haemarthrosis and was subsequently diagnosed with serologically confirmed Lyme arthritis, which symptomatically improved with 14-day course of intravenous antibiotics 15. An additional case report from Tran and Milewski described a young teenager who presented with refractory chronic Lyme arthritis and was found to have a concomitant medial meniscal tear; however, the onset of Lyme arthritis in this case was not known to be temporally related to the injury 16…”