Suture granuloma - elbow

Case contributed by Dr Maulik S Patel

Presentation

Clinically visible, painful nodule on medial aspect of elbow and a palpable non-painful nodule on posterior aspect of elbow for a few years. History of elbow surgery about 8 years back. Second surgery was performed to remove sutures. No operative details available.

Patient Data

Age: 45 yrs
Gender: Male
Modality: Ultrasound

There are two hypoechoic soft tissue nodules abutting the skin.

USG findings of clinically visible and painful nodule - medial elbow

  • There is presence of suture material within the nodule.
  • There is hypervascularity in the lesion.
  • A surgical suture is also seen from soft tissue to bone.

USG findings of clinically palpable and non-painful nodule - posterior elbow

  • Hypoechoic subcutaneous nodule shows presence of suture material within the nodule.
  • There is no vascularity in the lesion.
  • A surgical suture is also seen from skin to triceps muscle.
Modality: Photo

Intra-operative photos show suture in vivo and in vitro.

Case Discussion

Ultrasound finding of two elbow nodules suggest suture granuloma which was confirmed by surgery.

Intra-operative photos are courtesy of operating surgeon, Dr Pinkesh Patel.

PlayAdd to Share

Case Information

rID: 50341
Case created: 31st Dec 2016
Last edited: 1st Jan 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.