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Journal of Bone and Joint Surgery - British Volume, Vol 71-B, Issue 3, 501-504
Copyright © 1989 by British Editorial Society of Bone and Joint Surgery

Articles

The aetiology of multiple loose bodies. Snow storm knee

PR Kay, AJ Freemont, and DR Davies

Park Hospital, Manchester, England.

We report four patients who showed hundreds of brilliant white loose bodies at arthroscopy of the knee after a short history of pain and crepitus. Histological, historical and clinical evidence is presented which indicates that the aetiology of this condition is the culture of chondrocytes in synovial fluid. It is suggested that reversal of the usually accepted order of events in synovial osteochondromatosis could provide a better and unified explanation for both that condition and multiple loose bodies. The term 'snow storm knee' is proposed to describe the dramatic picture seen at arthroscopy.




(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General