We describe a case of refractory Lyme arthritis in an adolescent patient with a concomitant medial meniscal tear. The patient underwent arthroscopic synovectomy and meniscal repair, and required additional surgery for subsequent decreased range of motion. We describe the presentation, the intraoperative findings, the course of recovery, and the literature regarding Lyme arthritis and meniscal tears.
Refractory Lyme arthritis commonly is treated successfully with arthroscopic synovectomy. We describe a patient who presented with a concomitant medial meniscal tear; he underwent initial medial meniscal repair and a partial meniscectomy. He required additional surgery before full recovery was achieved.