Popliteus tendon dysfunction following total knee arthroplasty

Barnes, C. Lowry; Scott, Richard D.

doi:10.1016/s0883-5403(05)80159-7

Cited by 61 publications

(56 citation statements)

References 6 publications

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“…Few studies have reported the popliteal tendon as a structure potentially responsible for pain after knee arthroplasty. 1,6 We hypothesize that this diagnosis may easily be missed or dismissed given the prevalence of dissatisfaction in the TKA population. When pain is localized to the posterolateral knee after arthroplasty, popliteal dysfunction should be considered and investigated.…”

Section: Discussionmentioning

confidence: 99%

“…11 In a series of 300 consecutive TKAs, popliteal snapping was detected in 8 cases (2.7%) intraoperatively and treated with release from the femur. 6 The popliteal tendon should be evaluated for dysfunction or impingement with laterally based knee pain after TKA. This structure can be safely released after TKA with PS components without compromising knee stability.…”

Section: Discussionmentioning

confidence: 99%

“…Popliteal dysfunction has been described in native knees, 5 as well as in the setting of knee arthroplasty. 1,6 When snapping or mechanical lateral knee pain is encountered in patients who have undergone knee arthroplasty, the popliteal tendon should be investigated as a causative structure.…”

mentioning

confidence: 99%

“…Careful examination of the TKA through a range of motion after capsular closure usually detects causes of iatrogenic snapping and can be addressed before completion of the knee arthroplasty. 6 When the diagnosis of popliteal impingement is suspected postoperatively in the clinic, confirmation may be achieved with ultrasound-guided injections. Arthroscopic release may be offered to patients in whom conservative measures fails.…”

mentioning

confidence: 99%

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Arthroscopic Management of Popliteal Tendon Dysfunction in Total Knee Arthroplasty

Westermann

Daniel

Callaghan

et al. 2015

Arthroscopy Techniques

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Unexplainable knee pain may follow knee replacement surgery. The popliteal tendon should be evaluated as a possible cause of lateral knee pain and dysfunction after knee arthroplasty. The tendon can snap over or impinge on lateral osteophytes or prominent femoral components and produce mechanical symptoms and pain. Ultrasound-guided injections may confirm the diagnosis and provide symptomatic relief in some patients. Those who respond well to injections and in whom conservative management ultimately fails may be offered arthroscopic release of the popliteal tendon. We present the arthroscopic technique for popliteal tendon release in a symptomatic patient whose pain resolved immediately postoperatively. We recommend the use of an anterolateral viewing portal and an accessory lateral working portal to access the posterolateral knee. There can be extensive scar tissue overlying the popliteal tendon after arthroplasty. Arthroscopic tendon transection and excision comprise a reliable procedure for popliteal tendon impingement after knee arthroplasty without compromising knee stability.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Arthroscopic Management of Popliteal Tendon Dysfunction in Total Knee Arthroplasty

Westermann

Daniel

Callaghan

et al. 2015

Arthroscopy Techniques

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“…Popliteal tendinopathy is an uncommon cause of pain, which can present with posterolateral knee pain, often associated with motion-induced crepitus in the region of the popliteal tendon. The first description of popliteal tendon dysfunction during primary TKA was noted intraoperatively at the time of capsular closure [4]. The authors noted a "popping" that occurred during flexion and extension.…”

Section: Introductionmentioning

confidence: 99%

Diagnosing and Treating Popliteal Tendinopathy After Total Knee Arthroplasty

et al. 2017

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The following office tip describes four patients that underwent primary total knee arthroplasty and developed posterolateral knee pain at a mean follow-up duration of 1.6 months postoperatively. The first patient in this series noted substantial pain lying in bed (in a lateral decubitus position with the operative leg up) while attempting to abduct her leg to adjust her sheet in bed. A thorough clinical and radiographic work-up was performed. This patient's posturing in bed (and subsequent physical exam maneuver) led to a presumptive diagnosis of popliteal tendinopathy. The diagnosis was confirmed arthroscopically by identifying a frayed and inflamed popliteal tendon. After undergoing arthroscopic popliteal tendon release, the patient noted complete pain relief while retaining coronal stability in both flexion and extension. The following office tip defines a previously undescribed clinical diagnostic examination for popliteal tendinopathy that was identified based on a patient's symptomatology and subsequently utilized to identify three additional cases of arthroscopically confirmed popliteal tendinopathy.

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Ultrasound Diagnosis of Osteophytic Impingement of the Popliteus Tendon After Total Knee Replacement

Geannette

Sahr

Mayman

et al. 2018

J of Ultrasound Medicine

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We report our experience with 6 patients who had total knee replacements with lateral-sided knee pain, referred for ultrasound (US) assessment and US-guided injection. All cases showed an osteophyte within the popliteus sulcus of the lateral femoral condyle impinging on the adjacent tendon. Five of 6 patients reported improvement of symptoms immediately after US-guided injection of an anesthetic and a steroid. Ultrasound has a unique role in the imaging of knee replacements because of its real-time capabilities and absence of artifacts at the popliteus tendon origin.

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Popliteus tendon dysfunction following total knee arthroplasty

Cited by 61 publications

References 6 publications

Arthroscopic Management of Popliteal Tendon Dysfunction in Total Knee Arthroplasty

Arthroscopic Management of Popliteal Tendon Dysfunction in Total Knee Arthroplasty

Diagnosing and Treating Popliteal Tendinopathy After Total Knee Arthroplasty

Ultrasound Diagnosis of Osteophytic Impingement of the Popliteus Tendon After Total Knee Replacement

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