Minocycline black bone disease in arthroplasty: a systematic review

Abstract Background Minocycline black bone disease is a rare finding that can cause concern when unexpectedly encountered during routine arthroplasty. Prolonged minocycline use can cause selective staining of subchondral bone, whilst peri-articular soft tissue and cartilage appear uninvolved. Method...

Full description

Bibliographic Details
Main Authors: William Steadman, Zak Brown, Christopher J. Wall
Format: Article
Language:English
Published: BMC 2021-08-01
Series:Journal of Orthopaedic Surgery and Research
Online Access:https://doi.org/10.1186/s13018-021-02617-w
_version_ 1811182762975035392
author William Steadman
Zak Brown
Christopher J. Wall
author_facet William Steadman
Zak Brown
Christopher J. Wall
author_sort William Steadman
collection DOAJ
description Abstract Background Minocycline black bone disease is a rare finding that can cause concern when unexpectedly encountered during routine arthroplasty. Prolonged minocycline use can cause selective staining of subchondral bone, whilst peri-articular soft tissue and cartilage appear uninvolved. Methods A systematic review according to PRISMA guidelines was performed to identify all reported cases in the literature. Results Including the patient we present, eleven cases of minocycline black bone disease encountered during arthroplasty have been reported in the literature. All cases have had an excellent outcome, with no complications reported to date. Conclusions Minocycline black bone disease can be a concerning intra-operative finding when unexpectedly encountered during routine arthroplasty, but should not affect the operative plan. Surgeons should exclude alternative causes of bone discolouration when the history is unclear.
first_indexed 2024-04-11T09:37:14Z
format Article
id doaj.art-f6c6b8a770e74bb4adaee5a633d0b35a
institution Directory Open Access Journal
issn 1749-799X
language English
last_indexed 2024-04-11T09:37:14Z
publishDate 2021-08-01
publisher BMC
record_format Article
series Journal of Orthopaedic Surgery and Research
spelling doaj.art-f6c6b8a770e74bb4adaee5a633d0b35a2022-12-22T04:31:35ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2021-08-011611510.1186/s13018-021-02617-wMinocycline black bone disease in arthroplasty: a systematic reviewWilliam Steadman0Zak Brown1Christopher J. Wall2Department of Orthopaedics, Toowoomba HospitalSchool of Medicine, Rural Clinical School, University of QueenslandDepartment of Orthopaedics, Toowoomba HospitalAbstract Background Minocycline black bone disease is a rare finding that can cause concern when unexpectedly encountered during routine arthroplasty. Prolonged minocycline use can cause selective staining of subchondral bone, whilst peri-articular soft tissue and cartilage appear uninvolved. Methods A systematic review according to PRISMA guidelines was performed to identify all reported cases in the literature. Results Including the patient we present, eleven cases of minocycline black bone disease encountered during arthroplasty have been reported in the literature. All cases have had an excellent outcome, with no complications reported to date. Conclusions Minocycline black bone disease can be a concerning intra-operative finding when unexpectedly encountered during routine arthroplasty, but should not affect the operative plan. Surgeons should exclude alternative causes of bone discolouration when the history is unclear.https://doi.org/10.1186/s13018-021-02617-w
spellingShingle William Steadman
Zak Brown
Christopher J. Wall
Minocycline black bone disease in arthroplasty: a systematic review
Journal of Orthopaedic Surgery and Research
title Minocycline black bone disease in arthroplasty: a systematic review
title_full Minocycline black bone disease in arthroplasty: a systematic review
title_fullStr Minocycline black bone disease in arthroplasty: a systematic review
title_full_unstemmed Minocycline black bone disease in arthroplasty: a systematic review
title_short Minocycline black bone disease in arthroplasty: a systematic review
title_sort minocycline black bone disease in arthroplasty a systematic review
url https://doi.org/10.1186/s13018-021-02617-w
work_keys_str_mv AT williamsteadman minocyclineblackbonediseaseinarthroplastyasystematicreview
AT zakbrown minocyclineblackbonediseaseinarthroplastyasystematicreview
AT christopherjwall minocyclineblackbonediseaseinarthroplastyasystematicreview