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 years
Gender: Male
From the case:
Suture granuloma - elbow
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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
From the case:
Suture granuloma - elbow
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Intra-operative photos show suture in vivo and in vitro.
Case Discussion
Ultrasound finding of two elbow nodules suggests suture granuloma which was confirmed by surgery.
Intra-operative photos are courtesy of operating surgeon, Dr Pinkesh Patel.
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