Case Reports   |    
Metastatic Carcinoma as an Unusual Cause of Knee Pain After Total Knee ArthroplastyA Case Report
Keith Fehring, MSIV1; William Hamilton, MD2
1 George Washington University Medical Center, Washington, DC 20037. E-mail address: kfehring@gwu.edu
2 Anderson Orthopaedic Research Institute, Mt. Vernon Office, 2501 Parkers Lane, Suite 200, Alexandria, VA 22306. E-mail address: billhamilton@cox.net
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Investigation performed at Anderson Orthopaedic Research Institute and Inova Mount Vernon Hospital, Alexandria, Virginia

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2009 Mar 01;91(3):693-695. doi: 10.2106/JBJS.H.00747
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


Common causes of pain after total knee arthroplasty include component loosening, infection, instability, extensor mechanism dysfunction, stress fracture, or periprosthetic osteolysis1. Extra-articular causes of pain include radiculopathy, hip disease, vascular disease, or tendonitis. Metastatic disease as the cause of knee pain after total knee arthroplasty has rarely been reported. A thorough history and physical examination can often identify the nature and cause of the pain. The traditional diagnostic workup for knee pain after total knee arthroplasty includes radiographs (both stress and plain radiographs), serology (C-reactive protein level and erythrocyte sedimentation rate), and knee aspiration. Nuclear medicine scans are occasionally helpful when other tests are negative1.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    OH - University Hospitals Case Medical Center
    LA - Ochsner Health System
    LA - Ochsner Health System