Knee Squeaking Secondary to Intra-articular Nonabsorbable Suture: A Report of 2 Cases

Zarah, Jake; Chaudhry, Zaira S.; Freedman, Kevin B.; Marchetto, Paul A.; Hammoud, Sommer

doi:10.1177/2325967117716386

Cited by 5 publications

(14 citation statements)

References 10 publications

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“…However, only few studies have described the same issue. The knee squeak finding in our study corresponds to findings from studies by Zarah et al and Jay et al 1,7 .…”

Section: Discussionsupporting

confidence: 92%

“…The complication of knee joint squeaking appeared after PCL reconstruction; however, in the case report by Zarah et al 1 , this condition appeared after medial patellofemoral ligament reconstruction, whereas the case report by Jay et al 7 indicated that the squeaking appeared after ACL reconstruction.…”

Section: Discussionmentioning

confidence: 96%

“…The unpleasant squeaking sound was only audible during active motion and was not heard at the examination either passively or under anesthesia. The sound was not reproducible during the passive range of motion because biomechanically, the sound requires a nonabsorbable compression suture between the femoral and tibial condyle 1 .…”

Section: Discussionmentioning

confidence: 99%

“…Although this complication is rare, it can have a remarkable impact on an individual's quality of life 1 . A squeaking joint is one of the complications after arthroplasty surgery that mainly arises when the surgeon uses a ceramic-on-ceramic bearing surface surgical approach [1][2][3][4] . Few studies have investigated postoperative squeaking in the native knee.…”

mentioning

confidence: 99%

“…squeaking joint is an undesirable, yet possible, outcome of joint surgery. Although this complication is rare, it can have a remarkable impact on an individual's quality of life 1 . A squeaking joint is one of the complications after arthroplasty surgery that mainly arises when the surgeon uses a ceramic-on-ceramic bearing surface surgical approach [1][2][3][4] .…”

mentioning

confidence: 99%

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Nonabsorbable Suture of a PCL Allograft Resulting in a Squeaking Knee After PCL Reconstruction

Amin

Alzahrani

Basaqr

et al. 2022

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Case: This case report describes the occurrence of a squeaking knee joint on active flexion-extension in a 35-year-old man who had previously undergone posterior cruciate ligament (PCL) reconstruction surgery. The patient suffered from psychosocial distress because of the noise and complained of persistent left knee pain. After nonsurgical treatment failed to resolve the noise, arthroscopic surgery was performed to debride the interposed nonabsorbable suture located on the intra-articular surface, resulting in squeaking sound elimination. Conclusion:Surgery was necessary to alleviate a squeaking knee joint caused by interposed nonabsorbable sutures after PCL reconstruction in this patient. Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B824).This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible todownload and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

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“…However, only few studies have described the same issue. The knee squeak finding in our study corresponds to findings from studies by Zarah et al and Jay et al 1,7 .…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Nonabsorbable Suture of a PCL Allograft Resulting in a Squeaking Knee After PCL Reconstruction

Amin

Alzahrani

Basaqr

et al. 2022

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Knee Noise

Charalambous

2021

The Knee Made Easy

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Knee Squeaking in Native Joint after Anterior Cruciate Ligament Reconstruction

Izzo¹,

Ranger²

2022

Case Rep Orthop Res

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Articular squeaking sounds cause discomfort, frustration, and embarrassment for affected patients, especially in social contexts. Postsurgical native knee squeaking is rare, and only limited data on the subject are available in the literature. This study presents a case of knee squeaking after anterior cruciate ligament (ACL) reconstruction. A 22-year-old woman underwent reconstructive ACL surgery for an isolated tear in her right knee using an outside-in bone-patellar tendon-bone technique. Two months after the surgery, squeaking sound at knee flexion in both weight-bearing and non-weight-bearing conditions appeared without any further symptoms. The audible squeaking sound was a source of frustration and embarrassment for the patient. Given the unsuccessful attempts at diagnostic imaging, a diagnostic arthroscopy was performed during which a multistrand, long-chain, ultra-high molecular weight polyethylene suture was found moving freely in the joint. This suture, originally attached to the patellar bone portion of the graft, was removed during the arthroscopy. After the procedure, the patient reported having no more knee squeaking sound episodes. Friction of a nonabsorbable suture between the cartilage of a femoral condyle and a tibial plateau can produce a characteristic articular high-pitch squeaking sound. This should alert the surgeon to the possible presence of a freely moving fixation material in the knee. Diagnosis is clinical, as diagnostic imaging techniques have poor sensitivity.

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Knee Squeaking Secondary to Intra-articular Nonabsorbable Suture: A Report of 2 Cases

Cited by 5 publications

References 10 publications

Nonabsorbable Suture of a PCL Allograft Resulting in a Squeaking Knee After PCL Reconstruction

Nonabsorbable Suture of a PCL Allograft Resulting in a Squeaking Knee After PCL Reconstruction

Knee Noise

Knee Squeaking in Native Joint after Anterior Cruciate Ligament Reconstruction

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