scholarly journals Arthroscopic Management of Pigmented Villonodular Synovitis of the Hip: A Case Report

2020 ◽  
pp. 1-4
Author(s):  
Ashok S Paul ◽  
Omar El-Omar ◽  
Sanat Shah ◽  
Ashok S Paul
Keyword(s):  
Recent Literature ◽  
Pigmented Villonodular Synovitis ◽  
Open Approach ◽  
Villonodular Synovitis ◽  
Case Presentation ◽  
Arthroscopic Management ◽  
Advantages And Disadvantages ◽  
The Right ◽  
Pigmented Villonodular ◽  
Lower Morbidity

Background: Pigmented villonodular synovitis, particularly of the hip joint, has been historically treated via open synovectomy. However, an arthroscopic approach to management has been trailed successfully in recent years and has demonstrated encouraging outcomes. Case Presentation: We report the case of a 17-year-old man with pigmented villonodular synovitis of the right hip who underwent arthroscopic treatment. He remains well 5 years later with no signs of recurrence. We discuss the advantages and disadvantages of arthroscopically managed pigmented villonodular synovitis as well as the recent literature surrounding this topic. We also explain a technical tip during hip arthroscopy to access these difficult lesions. Conclusion: Arthroscopy can be used for hip pigmented villonodular synovitis treatment. These lesions may also be accessed by extending the hip to 10 degrees and releasing the traction. There is evidence to suggest that arthroscopically managed pigmented villonodular synovitis carries better outcomes and lower morbidity rates compared to an open approach in suitable cases.

scholarly journals Extra-synovial Pigmented Villonodular Synovitis of the knee joint, Case Repor

2021 ◽  
pp. 192
Author(s):  
Keyword(s):  
Histopathological Examination ◽  
Giant Cells ◽  
Pigmented Villonodular Synovitis ◽  
Villonodular Synovitis ◽  
Biopsy Result ◽  
Posterior Aspect ◽  
Case Presentation ◽  
History Of ◽  
Full Flexion ◽  
Pigmented Villonodular

Background: PVNS is a rare, benign & aggressive disorder arising from either synovial joints or tendon sheaths; it may erode articular structures and bones. We present a case with unique features of PVNS being extra-synovial and by this report we open a gate for more researches in this field. Case Presentation: This case report concerns a 35-year-old female with a history of right knee pain for 6-month duration proceeded by gradual swelling over posterior aspect of the knee, she denies any history of trauma, clinical examination was unremarkable but apart from tenderness over the infrapatellar region with full flexion. MRI shows a heterogenous signal extra-articular and extra-synovial lesion in posterior aspect of the knee suggesting Pigmented Villonodular Synovitis, FNA revealed a hemosiderin-laden macrophages and multinucleated giant cells, Tru-cut biopsy result was suggesting PVNS as synovial cells were seen admixed with hemosiderin-laden macrophages with fibroblastic elements. Through posterior approach; the lesion was surgically excised and histopathological examination confirmed the diagnosis, the lesion was recurrent after 1-year and MRI revealed the same features, the lesion was excised by arthroscopic intervention. Conclusion: We concluded that PVNS cannot be excluded when extra-synovial lesion is assessed, and further researches on this topic will expand our understanding of the etiological and pathological aspects of this tumor.

Extra-articular pigmented villonodular synovitis of the temporomandibular joint

1998 ◽  
Vol 112 (2) ◽  
pp. 182-185 ◽  
Author(s):  
Louis T. C. Chow ◽  
S. M. Kumta ◽  
Walter W. K. King
Keyword(s):  
Local Recurrence ◽  
Temporomandibular Joint ◽  
Mandibular Condyle ◽  
Careful Analysis ◽  
Pigmented Villonodular Synovitis ◽  
Pathological Examination ◽  
Villonodular Synovitis ◽  
Inferior Aspect ◽  
The Right ◽  
Pigmented Villonodular

AbstractPigmented villonodular synovitis, a benign but locally destructive fibrohistiocytic proliferative lesion involving tendon sheaths, bursae and diarthrodial joints, is distinctly rare in the temporomandibular joint. We report one such case occurring in a 42-year-old housewife who presented with a progressively enlarging right zygomatic mass for six months. On exploration, an orange-brown firm mass, 5 × 3 × 2 cm, was seen adherent to the lateral aspect of the capsule of the right temporomandibular joint, and eroding into the inferior aspect of the right temporal bone and part of the mandibular condyle. The mass was completely excised. Pathological examination showed features typical of those of pigmented villonodular synovitis and the lesion was entirely extra-articular in location. The patient remained well with no evidence of local recurrence two years after operation. Review of the literature and careful analysis of the clinicopathological features showed that the vast majority of the reported cases of pigmented villonodular synovitis of the temporomandibular joint belonged to the extraarticular variant, which is associated with a more aggressive local infiltrative behaviour and higher rate of local recurrence than the localized type. The recommended treatment for this condition is therefore wide local excision, aiming to remove the lesion as completely as possible without producing severe disability for the patient.

scholarly journals Extended Pigmented Villonodular Synovitis of the Hand

2017 ◽  
Vol 45 (02) ◽  
pp. 125-129
Author(s):  
Carlos Irisarri ◽  
Javier Yañez Calvo
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Pigmented Villonodular Synovitis ◽  
Wide Area ◽  
Villonodular Synovitis ◽  
Resonance Imaging ◽  
Cosmetic Results ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Pigmented Villonodular

AbstractWe present the case of a 36-year-old woman with pigmented villonodular synovitis (PVNS) of the right hand. The magnetic resonance imaging (MRI) showed that the lesion had spread over an unusually wide area. Despite this, after one single operation, there has been no relapse after 5 years, with both the functional and cosmetic results remaining satisfactory.

scholarly journals A Rare Case of Hip Pain Secondary to Pigmented Villonodular Synovitis

2020 ◽  
Vol 4 (2) ◽  
pp. 225-226
Author(s):  
Gary Lai ◽  
Brett Staller ◽  
Bhaskar Ganguly ◽  
Quan Ta ◽  
Alexander Scumpia
Keyword(s):  
Magnetic Resonance Imaging ◽  
Rare Case ◽  
Benign Tumor ◽  
Pigmented Villonodular Synovitis ◽  
Hip Pain ◽  
Villonodular Synovitis ◽  
Resonance Imaging ◽  
Asian Male ◽  
The Right ◽  
Pigmented Villonodular

A 19-year-old Asian male presented to our emergency department with atraumatic right hip pain radiating to the right groin associated with pain on ambulation. Magnetic resonance imaging of the right hip with and without contrast revealed the diagnosis. Pigmented villonodular synovitis is a rare, monoarticular benign tumor originating from the synovium of the joint. The treatment is synovectomy of the pathological joint to prevent further disease progression.

scholarly journals Pigmented Villonoular Synovitis of the Popliteal Fossa – Case Report

2018 ◽  
Vol 1 (Supplement) ◽  
pp. 14
Author(s):  
M. Pleniceanu ◽  
M. Popa ◽  
M. Nica ◽  
Z. Panti ◽  
B. Şerban ◽  
...  
Keyword(s):  
Treatment Options ◽  
Pigmented Villonodular Synovitis ◽  
Popliteal Fossa ◽  
Surgical Removal ◽  
Villonodular Synovitis ◽  
Joint Reconstruction ◽  
Post Surgery ◽  
Common Location ◽  
The Right ◽  
Pigmented Villonodular

Abstract Pigmented villonodular synovitis is a benign proliferative condition that causes the synovium of the joints and tendons to thicken and overgrow. The causes have not been completely discovered, with trauma and repetitive inflammation being the most incriminated. Genetic aberrations have been reported in most cases and could suggest a neoplastic origin of the disease. It appears in 2 forms: localized or diffuse. Although it can affect all joints, the most common location is the knee. The treatment options include anti-inflammatory medication, surgical removal (open or arthroscopic) and radiotherapy (mixed results). We present the case of a 31-year-old male who came to our Clinic with pain and tumefaction of the right popliteal fossa. From the patient’s medical history, it resulted that he had developed a tumoral growth in the popliteal fossa 20 months before, which was removed. After extensive investigations (X-ray, CT, and MRI), a biopsy was performed. The result was pigmented villonodular synovitis. The proliferation was removed for the second time. The immediate post-surgery evolution was good and the patient is scheduled for periodic follow-ups. Although the proliferation was removed entirely, studies show that this disease has a high chance of recurrence (46% for the diffuse form). Also, in time, repeated excisions can force the surgeon to choose more radical options (joint reconstruction or even amputation).

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