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Arthroscopic treatment of knee joint injury for intraarticular mercury from a broken thermometer

  • Trauma Surgery
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Abstract

Introduction

Intraarticular injection of metallic mercury (Hg) such as those found in thermometers is very rare. According to available data in literature, an arthroscopic presentation and treatment of knee injury that had intraarticular elementary mercury seems not to have been published yet.

Material and methods

We report a first case of arthroscopically treated chronic right knee synovitis after accidental intraarticular mercury infusion by a broken thermometer in an 11-year-old boy.

Result

Mercury levels in blood and urine were slightly increased, but no systemic mercury intoxication developed. Inflamed synovia as well as synovia with incorporated metal particles was excised. A histological analysis of macroscopically inflamed synovia revealed an unspecific inflammation reaction. The symptoms gradually subsided and the knee regained full function. However, all the metal particles were not successfully removed from the injured knee; therefore a careful follow-up of the patient was provided.

Conclusion

It seems that arthroscopic excision and lavage could be suitable treatments for knee injury, infused with elementary mercury, and toxic knee synovitis.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University Medical Centre Ljubljana, Zaloška c. 9, 1000, Ljubljana, Slovenia

    Oskar Zupanc

  2. Institute for Forensic Medicine, School of Medicine Ljubljana, Korytkova c.4, 1000, Ljubljana, Slovenia

    Tomaž Zupanc

  3. Poison Control Center, University Medical Center Ljubljana, Zaloška c. 7, 1000, Ljubljana, Slovenia

    Miran Brvar

  4. Department for Cardiology, University Medical Centre Ljubljana, Zaloška c. 7, 1000, Ljubljana, Slovenia

    Matjaž Bunc

Authors
  1. Oskar Zupanc
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  2. Tomaž Zupanc
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  3. Miran Brvar
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  4. Matjaž Bunc
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Correspondence to Oskar Zupanc.

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Zupanc, O., Zupanc, T., Brvar, M. et al. Arthroscopic treatment of knee joint injury for intraarticular mercury from a broken thermometer. Arch Orthop Trauma Surg 128, 979–983 (2008). https://doi.org/10.1007/s00402-007-0508-3

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  • DOI: https://doi.org/10.1007/s00402-007-0508-3

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