Intraosseous foreign body granuloma in rotator cuff repair with bioabsorbable suture anchor

Nusselt, Thomas; Freche, Sven; Klinger, Hans-Michael; Baums, Mike H.

doi:10.1007/s00402-010-1125-0

Cited by 39 publications

(30 citation statements)

References 27 publications

(49 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Their complications included a 2% rate of plate exposure requiring removal and a 31.7% rate of visible mass at the site of fixation, which resolved with observation. 18 An intraosseous foreign body granuloma in the humeral head following arthroscopic rotator cuff tear fixation with a PLLA suture anchor was also documented by Nusselt et al 9 Blended or composite polymers were then introduced to achieve better strength and resorption profiles compared with homopolymers. Composite devices require shorter periods for complete resorption, because homopolymers take longer in hydrolytic reactions to reach the center of the implant, and also tend to involve a larger volume per site relative to composite devices.…”

Section: Discussionmentioning

confidence: 90%

Intracerebral foreign body granuloma caused by a resorbable plate with passive intraosseous translocation after cranioplasty

Katsuragi¹,

Gomi

Sunaga³

et al. 2013

PED

View full text Add to dashboard Cite

Numerous reports have demonstrated the usefulness of bioresorbable materials, but few have described severe complications caused by delayed degradation. The authors present the case of an intracranial foreign body granuloma caused by plates made of unsintered hydroxyapatite (uHA) particles and poly-l-lactide (PLLA; Super Fixsorb MX, Takiron) after cranioplasty. This 1-month-old boy presented to the authors' department with Pfeiffer syndrome. He had multiple-suture synostosis causing turribrachycephaly, Chiari malformation Type 1, and obstructive sleep apnea syndrome. At 6 months old, the child was treated with multidirectional cranial distraction osteogenesis. The uHA-PLLA plates were applied as base stones to reinforce the pins. After 16 days of distraction and 3 weeks of consolidation, the pins were removed. Seventeen months postoperatively, the plate on the right temporal bone showed passive intraosseous translocation (PIT), and by 2 years postoperatively, the plate was completely left behind in the cerebrum. At 3.5 years postoperatively, MRI disclosed a contrast-enhanced mass with surrounding brain edema at the site of the plate. The lesion was resected. The clinical history and histological specimens led to a diagnosis of foreign body granuloma surrounding the nonabsorbed resorbable plate in the dura mater. Resorbable plates are clearly useful resources in cases in which delayed absorption will not prove problematic, but careful application and follow-up is required when dealing with the growing skull given the possibility of intracranial displacement after PIT.

show abstract

Section: Discussionmentioning

confidence: 90%

Intracerebral foreign body granuloma caused by a resorbable plate with passive intraosseous translocation after cranioplasty

Katsuragi¹,

Gomi

Sunaga³

et al. 2013

PED

View full text Add to dashboard Cite

show abstract

“…6 Despite these numerous advantages, polyglycolic (PGA) and poly-L-lactic acid (PLLA) have become a problem in shoulder surgery because of the potential risk for foreignbody reactions. 5,7,13,14 To our knowledge, there is only 1 report with this complication in the wrist in the English literature. 17 We present a case of an intraosseous foreign-body reaction and massive osteolysis of the proximal carpal row after dorsal lunate dislocation repair with bioabsorbable suture anchor.…”

Section: Introductionmentioning

confidence: 88%

Foreign-Body Reaction and Osteolysis in Dorsal Lunate Dislocation Repair With Bioabsorbable Suture Anchor

Zaidenberg

Roitman

Gallucci

et al. 2016

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background: In recent years the use of biodegradable suture anchors for treating tendon and ligament pathology in hand surgery became popular. These materials are biocompatible, radiolucent, and load sharing, as they incrementally transfer load to surrounding bone during the resorption process. Despite these numerous advantages, polyglycolic (PGA) and poly-L-lactic acid (PLLA) have become a problem because of the potential risk for foreign body reactions. Methods: This article presents a case of an intraosseous foreign body reaction and massive osteolysis of the proximal carpal after dorsal lunate dislocation repair with bioabsorbable suture anchors. Results: Because of the persistent pain and the decreased strength, a proximal row carpectomy was performed 12-months after the initial trauma. Conclusions: Hand surgeons should be aware of the possibility of a late foreign body reaction, that could be especially severe in carpal bones.

show abstract

“…44,45 The causal factors associated with these phenomena appear to be related to the biochemical design and degradation time. On MRI, synovitis and related conditions appear as synovial thickening with enhancement and joint effusion.…”

Section: Synovitismentioning

confidence: 99%

Complications of rotator cuff surgery—the role of post-operative imaging in patient care

Thakkar¹,

Thakkar²,

Srikumaran³

et al. 2014

BJR

View full text Add to dashboard Cite

When pain or disability occurs after rotator cuff surgery, post-operative imaging is frequently performed. Post-operative complications and expected post-operative imaging findings in the shoulder are presented, with a focus on MRI, MR arthrography (MRA) and CT arthrography. MR and CT techniques are available to reduce image degradation secondary to surgical distortions of native anatomy and implant-related artefacts and to define complications after rotator cuff surgery. A useful approach to image the shoulder after surgery is the standard radiography, followed by MRI/MRA for patients with low "metal presence" and CT for patients who have a higher metal presence. However, for the assessment of patients who have undergone surgery for rotator cuff injuries, imaging findings should always be correlated with the clinical presentation because post-operative imaging abnormalities do not necessarily correlate with symptoms.The complexity of the anatomy and function of the rotator cuff makes the rotator cuff tendons vulnerable to considerable morbidity, often necessitating surgical intervention. Optimal management of rotator cuff abnormalities depends on a variety of factors, such as the presence and severity of an impingement, the degree of tendon damage and individual functional demands.1 The goals of rotator cuff surgery are to reduce pain, while simultaneously improving the function. The latter is accomplished by two main types of surgical procedures: (1) subacromial decompression surgery alone, typically with an acromioplasty and/or Mumford procedure (distal clavicular resection); and (2) repair of the rotator cuff tear (open or arthroscopic), which is almost always accompanied by a subacromial decompression.Post-operative imaging is performed when pain or disability occurs after a surgical procedure. Often, however, postoperative imaging is degraded by surgical distortions of the native anatomy and metallic artefacts related to implants. Nevertheless, it is imperative that clinicians have an accurate anatomical delineation of the operative site. It is also important for the radiologist to accurately diagnose complications that might occur after rotator cuff surgery to guide optimal treatment. Mansat et al 2 examined 40 articles reporting the results of open rotator cuff repairs and determined that the overall mean complication rate was 10.5%.The article addresses complications that occur after rotator cuff surgery and expected post-operative imaging findings, with a focus on MRI, MR arthrography (MRA) and CT arthrography (CTA). Because not all post-operative imaging findings result in disability or pain for the patient, we also emphasize our approach and experience regarding how best to define imaging abnormalities after rotator cuff surgery. IMAGING APPROACHA protocol for the imaging of the post-operative shoulder always begins with radiography of the shoulder. The purpose of the radiograph is not only to detect obvious osseous complications, but also to identify the type of surgical procedure performed ...

show abstract

Intraosseous foreign body granuloma in rotator cuff repair with bioabsorbable suture anchor

Cited by 39 publications

References 27 publications

Intracerebral foreign body granuloma caused by a resorbable plate with passive intraosseous translocation after cranioplasty

Intracerebral foreign body granuloma caused by a resorbable plate with passive intraosseous translocation after cranioplasty

Foreign-Body Reaction and Osteolysis in Dorsal Lunate Dislocation Repair With Bioabsorbable Suture Anchor

Complications of rotator cuff surgery—the role of post-operative imaging in patient care

Contact Info

Product

Resources

About