# Endoscopic-Assisted Evacuation: A Useful Adjunct for the Management of Prepatellar Hematomas

## TL;DR

Endoscopic-assisted evacuation helps manage prepatellar hematomas effectively, reducing recurrence and aiding recovery.

## Contribution

This is the first reported case using endoscopic visualization for prepatellar hematoma management.

## Key findings

- Endoscopic visualization aided complete evacuation of the hematoma in a 44-year-old patient.
- The patient recovered fully within three weeks and remained asymptomatic at six months.
- The method allows identification and control of potential healing issues.

## Abstract

Management of prepatellar hematomas can be difficult, and recurrences or persistent oozing are common. Endoscopic-assisted management of these hematomas has not been reported. We present the case of a 44-year-old lady with traumatic prepatellar hematoma who was managed with the evacuation of the hematoma assisted by endoscopic visualization and debridement. She recovered completely within three weeks and remained asymptomatic on the last follow-up at six months. Endoscopic visualization of the hematoma cavity is a useful adjunct to managing prepatellar hematomas, with the potential to identify and control sources of future concerns in wound healing.