Radial fiber fragment detection during radiological diagnostics of a knee

This clinical case demonstrates the detection of the radial fiber fragment in subcutaneous fat of the upper calf during radiological diagnostics of the knee 8 years after endovenous laser ablation of the great saphenous vein. Due to moderate discomfort in this area, the encapsulated fragment was removed from a small incision without subsequent complications. The rarity of the incident and, more importantly, the radiographic picture determined interest and the relevance of the publication. The accumulated experience and the current case allow us to recommend obligatory intraoperative elimination of fragments due to possible local pain or, at least, ligation of the vein above the fragmentation for prevention of potential material embolism and subsequent observation and appropriate decision-making. The clinics regulations of endovenous laser ablation must prescribe a precise inspection of the integrity of the fibers both before and after the intervention.