Eyanson S, Macfarlane J D, Brandt K D
Clin Orthop Relat Res. 1979 Oct(144):215-9.
Five patients, none of whom were previously known to have knee disease, developed leg swelling which was misdiagnosed as thrombophlebitis. Four were treated with anticoagulants and one developed a large calf hematoma requiring fasciotomy. The primary physicians failed to appreciate evidence of knee disease in these patients, although the rheumatology consultant found knee effusion, and a popliteal cyst was found by arthrography or ultrasonography in every case. The occurrence of popliteal cyst as the first sign of knee disease emphasizes the importance of careful examination of the knee in all patients with a clinical picture of thrombophlebitis.
5名患者之前均无膝关节疾病史，他们出现了腿部肿胀，最初被误诊为血栓性静脉炎。其中4名患者接受了抗凝治疗，1名患者出现了巨大的小腿血肿，需要进行筋膜切开术。尽管风湿病顾问发现了膝关节积液，并且通过关节造影或超声检查在每例患者中均发现了腘窝囊肿，但主治医生未能认识到这些患者存在膝关节疾病的迹象。腘窝囊肿作为膝关节疾病的首发症状，凸显了在所有表现为血栓性静脉炎临床症状的患者中仔细检查膝关节的重要性。
