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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2004, Number 2

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Acta Ortop Mex 2004; 18 (2)

Villonodular synovitis in the shoulder joint. Report of a case

Martínez-Molina O, Vázquez-García J

Language: Spanish
References: 18
Page: 70-73
PDF size: 174.41 Kb.


ABSTRACT

Introduction. Pigment hairy-nodule synovitis is a proliferating disorder which affects joints, tendinous sheaths, and bursas. The most affected joints are: knee, hip, and fingers. According to literature reviews, shoulder is the least affected part of the body. Material and methods. In the present article, we report a case placed in glenohumeral joint, from a 77 year-old patient, who also presented rheumatic arthritis. Having clinical symptoms characterized by a profuse joint extravasation, this patient was subjected to shoulder arthroscopy, through biopsies and the histophatology diagnosis of diffuse pigment hairy-nodular synovitis was corroborated. Discussion. Due to the rare form of shoulder presentation, it is very difficult to define the clinical findings and diagnosis support; however, our case, the same as most general cases reported up to the present, it shares: slow clinical evolution, general pain presence and no specific ache in shoulder, volume increase, and area asymmetry. In every case the anatomic-pathological findings show long fuzziness, extended from the peripheral osteocondral union to the joint, with a brown coloring, sometimes sanguinolent and whose microscopic description shows a proliferating synovia, fibroplasts or primitive mesenchymatous cells, what finally offers the specific diagnosis.


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