Skip to main content
SpringerLink
Log in

Arthrofibrosis and Synovial Lesions of the Knee

  • Chapter
  • First Online:
Book cover Knee Arthroscopy

  • 2023 Accesses

Restriction of motion of any joint can result from arthrofibrosis. When this involves the knee, any loss of extension is particularly bothersome, because serious gait abnormalities can result. Although limitation of knee motion may result from minor injury or even diagnostic arthroscopy, it is much more common after major injury or surgery, as in multiligament injury of the knee or periarticular fractures. Factors associated with the incidence and severity of arthrofibrosis after surgery include the magnitude of the operative procedure, restriction of motion prior to surgery, and the duration of immobilization employed postoperatively [1–4].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sprague NF III, O’Connor RL, Fox JM. Arthroscopic treatment of postoperative knee fibroarthrosis. Clin Orthop Relat Res 1982;166:165–172.

    PubMed  Google Scholar 

  2. Richmond JC, Assal MA. Arthroscopic management of arthrofibrosis of the knee, including infrapatellar contraction syndrome. J Arthrosc Relat Surg 1991;7:144–147.

    Article  CAS  Google Scholar 

  3. Paulos LE, Wnorowski DC, Greenwald AE. Infrapatellar contracture syndrome: diagnosis, treatment, and long-term follow-up. Am J Sports Med 1994;22:440–449.

    Article  PubMed  CAS  Google Scholar 

  4. Magit D, Wolff A, Sutton K, Medvecky M. Arthrofibrosis of the knee. J Am Acad Orthop Surg 2007;15:682–694.

    PubMed  Google Scholar 

  5. Thompson TC. Quadricepsplasty to improve knee function. J Bone Joint Surg 1944;15:366–379.

    Google Scholar 

  6. Nicoll EA. Quadricepsplasty. J Bone Joint Surg Br 1963;45:483–490.

    PubMed  CAS  Google Scholar 

  7. Richmond JC. Arthrofibrosis. In McGinty JB, Burkhart SS, Jackson RW, Johnson DH, Richmond JC (eds.), Operative Arthroscopy, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2003, pp. 335–346.

    Google Scholar 

  8. Shelbourne KD, Nitz P. Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med 1990;18: 293–299.

    Google Scholar 

  9. Richmond JC, Alman BA, Pojerski M. Growth factor expression in arthrofibrosis. Arthroscopy 1996;12:352–353.

    Google Scholar 

  10. von Deck MD, Richmond JC, Alman BA. Arthrofibrosis: a potential treatment based on growth factor manipulation. Arthroscopy 1997;13:393–394.

    Google Scholar 

  11. Alman BA, Goldberg MJ, Nabor SP, Galanopoulous T, Antoniades HN, Wolfe HJ. Aggressive fibromatosis. J Pediatr Orthop 1992;12:1–10.

    PubMed  CAS  Google Scholar 

  12. Alman BA, Nabor SP, Terek RM, Jiranek WA, Goldberg, MJ, Wolfe, HJ. Platelet-derived growth factor in fibrous musculoskeletal disorders: a study of pathologic tissue sections and primary cell cultures. J Orthop Res 1995;13:66–77.

    Article  Google Scholar 

  13. Terek RM, Jiranek WA, Goldberg MJ, Wolfe HJ, Alman BA. The expression of platelet-derived growth factor gene in Dupuytren contracture. J Bone Joint Surg Am 1995;77:1–9.

    PubMed  CAS  Google Scholar 

  14. Skutek M, van Griensven M, Zeichen J, Brauer N, Bosch U. Cyclic mechanical stretching enhances secretion of Interleukin 6 in human tendon fibroblasts. Knee Surg Sports Traumatol Arthrosc 2001;9:322–326.

    Article  PubMed  CAS  Google Scholar 

  15. Unterhauser FN, Bosch U, Zeichen J, Weiler A. Smooth muscle actin containing contractile fibroblastic cells in human knee arthrofibrosis tissue. Arch Orthop Trauma Surg 2004;124: 585–591.

    Article  PubMed  Google Scholar 

  16. Kim DH, Gill TJ, Millett PJ. Arthroscopic treatment of the arthrofibrotic knee. J Arthrosc Rel Surg 2004;20:187–194.

    Article  Google Scholar 

  17. Shelbourne KD, Johnson GE. Outpatient surgical management of arthrofibrosis after anterior cruciate ligament surgery. Am J Sports Med 1994;22:192–197.

    Article  PubMed  CAS  Google Scholar 

  18. Richmond JC. Arthrofibrosis following knee surgery. In Malek MM, Fanelli G, Johnson D, Johnson D (eds.), Knee Surgery, Complications, Pitfalls, and Salvage. New York: Springer-Verlag, 2000, pp. 450–460.

    Google Scholar 

  19. Millett PJ, Williams RJ, Wickiewicz TL. Open debridement and soft tissue release as a salvage procedure for the severely arthrofibrotic knee. Am J Sports Med 1999;27:552–5651.

    PubMed  CAS  Google Scholar 

  20. Klug S, Wittmann G, Weseloh G. Arthroscopic synovectomy of the knee joint in early cases of rheumatoid arthritis: follow-up results of a multicenter study. J Arthrosc Relat Surg 2000;16: 262–267.

    Article  CAS  Google Scholar 

  21. Kanbe K, Inoue K. Efficacy of arthroscopic synovectomy for the effect attenuation cases of infliximab in rheumatoid arthritis. Clin Rheumatol 2006;25:877–881.

    Article  PubMed  Google Scholar 

  22. Carl H-D, Klug S, Seitz J, Swoboda B, Kinne R. Site-specific intraoperative efficacy of arthroscopic knee joint synovectomy in rheumatoid arthritis. J Arthrosc Relat Surg 2005;21:1209–1218.

    Article  Google Scholar 

  23. Kim SJ, Jung KA, Kwun JD, Kim JM. Arthroscopic synovectomy of the knee joint in rheumatoid arthritis: surgical steps for complete synovectomy. J Arthrosc Relat Surg 2006;22:461.el–461.e4.

    Google Scholar 

  24. Roch-Bras F, Daures JP, Legouffe MC, Sany J, Combe B. Treatment of chronic knee synovitis with arthroscopic synovectomy: long-term results. J Rheumatol 2002;29:1171–1175.

    PubMed  Google Scholar 

  25. Tyler WK, Vidal AF, Williams RJ, Healey JH. Pigmented villonodular synovitis. J Am Acad Orthop Surg 2006;14:376–385.

    PubMed  Google Scholar 

  26. Araki Y, Tanaka H, Yamamoto H, Yamamoto T, Shino K, Nakamura H, Tsukagushi I. MR imaging of pigmented villonodular synovitis of the knee. Radiat Med 1994;12:11–15.

    PubMed  CAS  Google Scholar 

  27. Cheng XG, You YH, Liu W, Zhao T, Qu H. MRI features of pigmented villonodular synovitis (PVNS). Clin Rheumatol 2004;23:31–34.

    Article  PubMed  Google Scholar 

  28. Dines JS., DeBerardino TM., Wells JL. Long-term follow-up of surgically treated localized pigmented villonodular synovitis of the knee. J Arthrosc Relat Surg 2007;23:930–937.

    Article  Google Scholar 

  29. Ogilvie-Harris DJ, Saleh K. Generalized synovial chondromatosis of the knee: a comparison of removal of the loose bodies alone with arthroscopic synovectomy. J Arthrosc Relat Surg 1994;10: 166–170.

    Article  CAS  Google Scholar 

  30. Massarotti EM. Lyme arthritis. Med Clin N Am 2002;86: 297–309.

    Article  PubMed  Google Scholar 

  31. Yoon KH, Bae DK, Kim HS, Song SJ. Arthroscopic synovectomy in haemophilic arthropathy of the knee. Int Orthop 2005;29:296–300.

    Article  PubMed  Google Scholar 

  32. Verma N, Valentino LA, Chawla A. Arthroscopic synovectomy in haemophilia: indications, technique and results. Haemophilia 2007;13:38–44.

    Article  PubMed  Google Scholar 

  33. Lubowitz JH, Rossi MJ, Baker BS, Guttmann D. Arthroscopic visualization of the posterior compartments of the knee. J Arthrosc Relat Surg 2004;20:675–680.

    Article  Google Scholar 

  34. Kramer DE, Bahk MS, Cascio BM, Cosgarea AJ. Posterior knee arthroscopy: Anatomy, technique, application. J Bone Joint Surg Am 2006;88 (Supp 4): 110–121.

    Article  PubMed  Google Scholar 

  35. Ahn JH, Ha CW. Posterior trans-septal portal for arthroscopic surgery of the knee joint. J Arthrosc Relat Surg 2000;16:774–779.

    Article  CAS  Google Scholar 

  36. Louisia S, Charrois O, Beaufils P. Posterior “back and forth” approach in arthroscopic surgery on the posterior knee compartments. J Arthrosc Relat Surg 2003;19:321–325.

    Article  Google Scholar 

  37. Ewing JW. Plica: pathologic or not? J Am Acad Orthop Surg 1993;1:117–121.

    PubMed  Google Scholar 

  38. Kang CN, Kim DW, Kim DJ, Kim SJ. Intra-articular ganglion cysts of the knee. J Arthrosc Relat Surg 1999;15:373–378.

    Article  CAS  Google Scholar 

  39. Hirano K, Deguchi M, Kanamono T. Intra-articular synovial lipoma of the knee joint (located in the lateral recess): a case report and review of the literature. The Knee 2007;14:63–67.

    Article  PubMed  Google Scholar 

  40. Akgun I, Kesmezacar H, Ogut T, Dervisoglu S. Intra-articular hemangioma of the knee. J Arthrosc Relat Surg 2003;19:E17.

    Google Scholar 

  41. Mileti J, Mileti L, Kaeding C. Non-Hodgkin’s lymphoma of the knee diagnosed by arthroscopy. J Arthrosc Relat Surg 2007;23:447.e1--447.e4.

    Google Scholar 

  42. Ozalay M, Tandogan RN, Akpinar S, Cesur N, Hersekli M, Ozkoc G, Uysal M. Arthroscopic treatment of solitary benign intra-articular lesions of the knee that cause mechanical symptoms. J Arthrosc Relat Surg 2005;21:12–18.

    Article  Google Scholar 

  43. Ahn JH, Yoo JC, Lee SH, Lee YS. Arthroscopic cystectomy for popliteal cysts through the posteromedial cystic portal. J Arthrosc Relat Surg 2007;23:559.el–559.e4.

    Google Scholar 

  44. Steadman JR, Ramappa AJ, Maxwell RB, Briggs K. An arthrosopic treatment regimen for osteoarthritis of the knee. J Arthrosc Relat Surg 2007;23:948–955.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopaedic Surgery, New England Baptist Hospital, Tufts University School of Medicine, Boston, Massachusetts

    John C. Richmond

Authors
  1. John C. Richmond
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Iván Encalada-Diaz
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

    Rights and permissions

    Reprints and permissions

    Copyright information

    © 2009 Springer Science+Business Media, LLC

    About this chapter

    Cite this chapter

    Richmond, J.C., Encalada-Diaz, I. (2009). Arthrofibrosis and Synovial Lesions of the Knee. In: Richmond, J., Bono, J., McKeon, B. (eds) Knee Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-0-387-89504-8_10

    Download citation

    • DOI: https://doi.org/10.1007/978-0-387-89504-8_10

    • Published:

    • Publisher Name: Springer, New York, NY

    • Print ISBN: 978-0-387-89503-1

    • Online ISBN: 978-0-387-89504-8

    • eBook Packages: MedicineMedicine (R0)

    Publish with us

    Policies and ethics

    Search

    Navigation