Diagnosing and Treating Popliteal Tendinopathy After Total Knee Arthroplasty

Authors

  • J. Ryan Martin Colorado Joint Replacement
  • Allison Fout Excelsior Orthopaedics, Amherst, NY 14226
  • Andrew C Stoeckl Excelsior Orthopaedics, Amherst, NY 14226
  • Douglas A Dennis Colorado Joint Replacement

DOI:

https://doi.org/10.15438/rr.7.1.172

Keywords:

Total Knee Arthroplasty, Popliteal Tendinosis, Popliteal Tendonitis, Tendinopathy, Posterolateral knee pain

Abstract

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.

Author Biographies

J. Ryan Martin, Colorado Joint Replacement

MD

Allison Fout, Excelsior Orthopaedics, Amherst, NY 14226

PA-C

Andrew C Stoeckl, Excelsior Orthopaedics, Amherst, NY 14226

MD

Douglas A Dennis, Colorado Joint Replacement

MD

References

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Published

2017-04-17

How to Cite

Martin, J. R., Fout, A., Stoeckl, A. C., & Dennis, D. A. (2017). Diagnosing and Treating Popliteal Tendinopathy After Total Knee Arthroplasty. Reconstructive Review, 7(1). https://doi.org/10.15438/rr.7.1.172

Issue

Section

Clinical/Surgical

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