Whan B Kim1, Raed O Alhusayen2. 1. Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ONDivision of Dermatology, Sunnybrook Health Sciences Centre, Toronto, ONDepartment of Medicine, University of Toronto, Toronto, ON whan.kim@medportal.ca. 2. Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ONDivision of Dermatology, Sunnybrook Health Sciences Centre, Toronto, ONDepartment of Medicine, University of Toronto, Toronto, ON.
Abstract
BACKGROUND: Tissue necrosis is a rare yet potentially serious complication of intra-articular (IA) hyaluronic acid (HA) injections for treatment of knee osteoarthritis. OBJECTIVE: To report a case of a patient with cutaneous necrosis after IA HA injection for treatment of knee osteoarthritis, presenting as a livedoid violaceous patch on the right knee. METHOD: We report a case of cutaneous necrosis as a rare complication of IA HA injection for treatment of knee osteoarthritis. A literature review was undertaken of similar cases. RESULTS: Use of HA IA injections in the treatment of osteoarthritis can result in similar skin necrosis at uncommon anatomic locations corresponding to the site of HA injection. CONCLUSION: Although tissue necrosis is a rare complication, physicians need to be aware of this possibility as a complication of HA IA injections in the treatment of osteoarthritis and should be mindful of potential treatment options to manage this adverse event.
BACKGROUND: Tissue necrosis is a rare yet potentially serious complication of intra-articular (IA) hyaluronic acid (HA) injections for treatment of knee osteoarthritis. OBJECTIVE: To report a case of a patient with cutaneous necrosis after IA HA injection for treatment of knee osteoarthritis, presenting as a livedoid violaceous patch on the right knee. METHOD: We report a case of cutaneous necrosis as a rare complication of IA HA injection for treatment of knee osteoarthritis. A literature review was undertaken of similar cases. RESULTS: Use of HA IA injections in the treatment of osteoarthritis can result in similar skin necrosis at uncommon anatomic locations corresponding to the site of HA injection. CONCLUSION: Although tissue necrosis is a rare complication, physicians need to be aware of this possibility as a complication of HA IA injections in the treatment of osteoarthritis and should be mindful of potential treatment options to manage this adverse event.
Authors: Liying Cheng; Kai Ji; Ting-Yu Shih; Anthony Haddad; Giorgio Giatsidis; David J Mooney; Dennis P Orgill; Christoph S Nabzdyk Journal: Tissue Eng Part A Date: 2017-01-02 Impact factor: 3.845