The 30-year wait for treatment of an acutely painful knee

A 63-year-old retired man presented to our clinic reporting a severely painful, localised knee pain present for around 30 years and associated with a spontaneous palpable lump. He was prompted to seek medical advice at this point because his symptoms were exacerbated when his young grandchildren bum...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2014-09, Vol.2014, p.bcr2014206512
Main Authors: Davenport, Dominic, Colaco, Henry B, Edwards, Max R
Format: Article
Language:English
Subjects:
Acute Pain - etiology
Case reports
Cysts
Delayed Diagnosis
Glomus Tumor - complications
Glomus Tumor - diagnosis
Glomus Tumor - surgery
Humans
Knee
Knee - surgery
Male
Middle Aged
Orthopedics
Pain
Patient Acceptance of Health Care
Reminder of Important Clinical Lesson
Soft Tissue Neoplasms - complications
Soft Tissue Neoplasms - diagnosis
Soft Tissue Neoplasms - surgery
Time-to-Treatment
Tumors
Ultrasonic imaging
United Kingdom
White
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 63-year-old retired man presented to our clinic reporting a severely painful, localised knee pain present for around 30 years and associated with a spontaneous palpable lump. He was prompted to seek medical advice at this point because his symptoms were exacerbated when his young grandchildren bumped into the knee. While radiographs were unhelpful, ultrasonography revealed a well-defined, subcutaneous soft tissue mass at the anterior aspect of the knee. Surgical excision was performed as a day case. Histological examination of the mass showed a glomus tumour. This patient had suffered for many years as a result of this painful mass but full resolution of his pain occurred immediately after excision.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2014-206512