2022, Number 2
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Rev Acta Médica 2022; 23 (2)
Arthroscopy in pigmented villonodular synovitis of the knee
Chico CA, Estévez TM, García HR
Language: Spanish
References: 9
Page:
PDF size: 184.21 Kb.
ABSTRACT
Introduction: Pigmented villonodular synovitis is a benign proliferation in the synovial membrane of joints, bursae and tendon sheaths, accompanied by hemosiderin deposits. The knee is the most commonly affected joint. Magnetic resonance and arthroscopy are useful to make the diagnosis, but the anatomopathological study confirms it.
Objective: To present a case of pigmented villonodular synovitis treated by arthroscopy.
Case presentation: The case is presented of a 70-year-old female patient who came for consultation due to pain and swelling of the right knee of four months of evolution. The presumptive diagnosis and treatment of pigmented villonodular synovitis was made by arthroscopy. Synovial biopsy confirmed the suspicion.
Conclusions: Arthroscopy is a safe and effective tool for the diagnostic and therapeutic approach to pigmented villonodular synovitis. It enables biopsy associated with a low incidence of complications.
REFERENCES
Murphey MD, Rhee JH, Lewis RB, Fanburg-Smith JC, Flemming DJ, Walker EA. Pigmeted villonodular synovitis: radiologic correlation. Radiographics. 2018;28:1493-518. DOI: https://doi.org/10.1148/rg.285085134
Cattelan M, Bonnomet F, Bierry G, Di Marco A, Brinkert D, Adam P, et al. Villonodular synovitis of the ankle. Analysis of the risk of recurrence. Orthop Traumatol Surges. 2016;102(5):639-44. DOI: https://doi.org/10.1016/j.otsr.2016.03.016
Stephan SR, Shallop B, Lackman R, Kim TW, Mulcahey MK. Pigmented Villonodular Synovitis: A Comprehensive Review and Proposed Treatment Algorithm. JBJS Rev. 2016;4(7). DOI: https://doi.org/10.2106/JBJS.RVW.15.00086
Gouin F, Noailles T. Localized and diffuse forms of tenosynovial giant cell tumor (formerly giant cell tumor of the tendon sheath and pigmented villonodular synovitis). Orthop Traumatol Surg Res. 2017;103(1S):S91-7. DOI: https://doi.org/10.1016/j.otsr.2016.11.002
Stevenson JD, Jaiswal A, Gregory JJ, Mangham DC, Cribb G, Cool P. Diffuse pigmented villonodular synovitis (diffuse-type giant cell tumour) of the foot and ankle. Bone Joint J. 2013;95-B(3):384-90. DOI: https://doi.org/10.1302/0301-620X.95B3.30192
Dornes Ramón R, Vázquez Mora Y, Cerdeira Mora AR. Sinovitis vellonodular pigmentada difusa. Rev Med Electron Ciego de Avila. 2019; [acceso: 01/09/2020];25(3):1029-35. Disponible en: http://www.revmediciego.sld.cu/index.php/mediciego/article/view/882
Guo Q, Shi W, Jiao C, Xie X, Jiang D, Hu Y. Results and recurrence of pigmented villonodular synovitis of the ankle: does diffuse PVNS with extra-articular extension tend to recur more often? Knee Surg Sports Traumatol Arthrosc. 2018; 26(10):3118-23. DOI: https://doi.org/10.1007/s00167-017-4488-8
Kubat O, Bojanić I, Smoljanović T. Localized pigmented villonodular synovitis of the ankle: Expect the unexpected. Foot Ankle Surg. 2017;23(1):68-72. DOI: https://doi.org/10.1016/j.fas.2016.03.001
Li X, Xu Y, Zhu Y, Xu X. Surgical treatment for diffused-type giant cell tumor (pigmented villonodular synovitis) about the ankle joint. BMC Musculoskelet Disord. 2017;18(1):450. DOI: https://doi.org/10.1186/s12891-017-1824-6