Arthroscopic removal of a broken bone staple occurring 24 years after insertion that presented as lateral joint line pain and joint locking.

Bone staples are commonly used as a method of fixation in orthopedics, often at or near the joint line of the knee. Specific uses in sports medicine include ligament reconstruction fixation. Like all orthopedic hardware, these staples may break or loosen years after a successful ligament reconstruction and cause local, intra-articular' or remote symptoms. This article presents an unusual case in which a bone staple used to reconstruct a torn medial collateral ligament (MCL) remained quiescent for 24 years before migrating intra-articularly and presenting clinically as a displaced lateral meniscus bucket handle tear.