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Arthroscopy-Associated Complications in OsteosarcomaA Case Report and Review of the Literature
John A. Sielatycki, MD1; Edward J. Fox, MD2; Elizabeth E. Frauenhoffer, MD3
1 Vanderbilt University Medical Center, Vanderbilt Orthopaedic Institute, Medical Center East, South Tower, Suite 4200, 1215 21st Avenue S., Nashville, TN 37232. E-mail address: john.a.sielatycki@vanderbilt.edu
2 Penn State Hershey Bone and Joint Institute, 30 Hope Drive, Building B, Suite 2400, Hershey, PA 17033. E-mail address: EFOX1@hmc.psu.edu
3 Penn State Hershey Anatomic Pathology, 500 University Drive, Hershey, PA 17033. E-mail address: efrauenhoffer@hmc.psu.edu
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Investigation performed at Penn State Hershey Medical Center, Hershey, Pennsylvania

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2012 Nov 14;2(4):e68 1-4. doi: 10.2106/JBJS.CC.L.00058
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Iatrogenic seeding of sarcoma cells into a joint is a feared, although uncommon, phenomenon. In 1983, Joyce and Mankin described twelve patients who had undergone arthroscopy for suspected intra-articular pathology and were later determined to have extra-articular malignancies. Failure to appreciate the extra-articular lesion in eight of these patients led to delays in definitive treatment as well as the introduction of diseased tissue into the joint space1. In 2003, Musculo et al. reported a similar series of twenty-five patients with suspected athletic injuries who were operated on first and only later diagnosed with benign or malignant bone tumors2.
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