Migrating Shrapnel: A Rare Cause of Knee Synovitis

• DOI: 10.7205/milmed-d-09-00254
• Publication Date: 2013-12-10T09:33:36Z
• Authors: Josh E. Schroeder; Joseph Lowe; Gershon Chaimsky; Meir Liebergall; Rami Mosheiff
• Keywords: Presentation (obstetrics); Surgical excision; Case presentation

Shrapnel injuries in soft tissues often do not require surgical excision. Metals that remain embedded the surrounding tissue are thought to cause significant damage and patients generally asymptomatic. This case presentation describes a patient who sustained penetrating shrapnel injury his thigh, where metal fragment was removed. However, more than 20 years later, developed knee synovitis. On X-ray seen suprapatellar pouch. An arthroscopy preformed removed with full healing of patient. Conclusion: although nonsurgical treatment is choice many cases, late migration possible, causing distal symptoms may