Simultaneous Pigmented Villonodular Synovitis and Synovial Chondromatosis in the Ankle Joint

AbstractIntra-articular (IA) and peri-articular (PA) tumors of the knee are frequently encountered by orthopaedic surgeons. Nonetheless, due to the possibility of great morbidity and potential mortality, it is important to recognize and differentiate between benign and malignant lesions in a timely manner. Therefore, the purpose of this article is to provide a concise, practical, and updated review of commonly encountered IA and PA tumors including intratendinous gout, synovial chondromatosis, schwannoma, pigmented villonodular synovitis, and synovial sarcoma, and a detailed description of differentiating features to include various imaging modalities.

Download Full-text

Diffuse Pigmented Villonodular Synovitis Around the Ankle

Journal of the American Podiatric Medical Association ◽

10.7547/16-100 ◽

2018 ◽

Vol 108 (2) ◽

pp. 140-144 ◽

Cited By ~ 1

Author(s):

Keiichi Muramatsu ◽

Ryuta Iwanaga ◽

Yasuhiro Tominaga ◽

Takahiro Hashimoto ◽

Toshihiko Taguchi

Keyword(s):

Ankle Joint ◽

Tumor Resection ◽

Tumor Location ◽

Pigmented Villonodular Synovitis ◽

Growth Patterns ◽

Treatment Modalities ◽

Villonodular Synovitis ◽

Lateral Incision ◽

Pigmented Villonodular

Background: Pigmented villonodular synovitis (PVNS) is a rare disorder around the ankle joint. The optimal treatment for diffuse-type PVNS is still controversial because of the high incidence of recurrence. We present the clinical features of our patients and review the current diagnostic and treatment modalities. Methods: Five patients with PVNS located around the ankle were surgically treated. In three patients, diffuse PVNS arose from the ankle joint, and in the other two it arose from the calcaneocuboid and intercuneiform joints. The average follow-up time after surgery was 2.9 years (range, 2–4.6 years). Results: The average time between onset of pain and diagnosis of PVNS was 6.4 years (range, 4–10 years). Arthrotomic tumor resection was performed in all of the patients. In the three patients with ankle joint PVNS, both medial and lateral approaches were used. One patient experienced mild infection at the surgical site, but this healed conservatively. No tumor recurrences had occurred after minimum follow-up of 2 years, although mild pain persisted in the three patients with ankle PVNS. Conclusions: Diagnosis of diffuse PVNS is frequently delayed due to vague symptoms and variable growth patterns. Orthopedic clinicians should be aware of the existence of this lesion, and it should be suspected in patients with persistent ankle swelling. To prevent tumor recurrence, accurate evaluation of tumor location and careful operative planning are mandatory. A combined surgical approach involving medial and lateral incision is necessary to expose the entire joint cavity.

Download Full-text

Synovial Chondromatosis and Pigmented Villonodular Synovitis of the Elbow

Surgical Techniques for Trauma and Sports Related Injuries of the Elbow ◽

10.1007/978-3-662-58931-1_25 ◽

2019 ◽

pp. 201-205

Author(s):

Tendai Mwaturura ◽

Gregory Bain

Keyword(s):

Synovial Chondromatosis ◽

Pigmented Villonodular Synovitis ◽

Villonodular Synovitis ◽

Pigmented Villonodular

Download Full-text

Pigmented Villonodular Synovitis of Ankle Joint.

Orthopedics & Traumatology ◽

10.5035/nishiseisai.51.782 ◽

2002 ◽

Vol 51 (4) ◽

pp. 782-785

Author(s):

Tateki Segata ◽

Keizo Morisawa ◽

Katsuhiko Kunitake ◽

Atsuyoshi Ichihara ◽

Masataka Harada

Keyword(s):

Ankle Joint ◽

Pigmented Villonodular Synovitis ◽

Villonodular Synovitis ◽

Pigmented Villonodular

Download Full-text

Giant Melon seed Bodies in Painless Shoulder Swelling

Indian Journal of Musculoskeletal Radiology ◽

10.25259/ijmsr_38_2020 ◽

2021 ◽

Vol 3 ◽

pp. 57-59

Author(s):

Rashmi Singh ◽

Ankur Goyal ◽

Deep N. Srivastava ◽

Deepak Gautam

Keyword(s):

Synovial Chondromatosis ◽

Pigmented Villonodular Synovitis ◽

Villonodular Synovitis ◽

Seronegative Arthritis ◽

Resonance Imaging ◽

Melon Seed ◽

Arthroscopic Removal ◽

Magnetic Resonance Imaging Mri ◽

Specific Manifestation ◽

Pigmented Villonodular

Melon seed bodies are a non-specific manifestation of chronic synovial inflammation associated with various arthritides such as tubercular, rheumatoid, and seronegative arthritis. Characteristic magnetic resonance imaging (MRI) appearance of these bodies differentiates them from other differential diagnoses (such as synovial chondromatosis and pigmented villonodular synovitis). Ultrasonography and MRI, in combination with clinical and laboratory details, can suggest the possible etiology. Medical management of the underlying cause, along with arthroscopic removal of pathognomonic bodies, is the preferred treatment.

Download Full-text