J Korean Arthrosc Soc.  2013 Feb;17(1):84-87.

Endoscopic Treatment of Extensive Deep Abscess in Distal Posterior Thigh: A Case Report

• Jeon HS
• Song JU

Abstract

At the posterior aspect of distal thigh, major nerves, vessels, muscles and tendons were located. So, if abscess occurs within deep muscular fascia of posterior aspect of distal thigh, it can be widely and deeply spread to proximal thigh, popliteal fossa, posterior proximal leg, surrounding areas of knee joint along deep fascia, muscles and tendons. In that case, it is difficult to eradicate the abscess using antibiotics without surgical drainage and debridement. But, it is often impossible to obtain satisfactory view of operative field with conventional technique and critical damage to major nerves and vessels in the popliteal fossa during operation may occur. We performed endoscopic treatment for extensive deep abscesses occurred in posterior aspect of distal thigh in 64-year-old man, and obtained satisfactory result without injury to the normal structures including major nerves and vessels. So we report this case with a review of relevant literatures.

Keyword

Distal thigh; Popliteal fossa; Extensive deep abscess; Endoscopic treatment

MeSH Terms

Abscess
Anti-Bacterial Agents
Debridement
Drainage
Fascia
Knee Joint
Leg
Muscles
Tendons
Thigh
Anti-Bacterial Agents