ID 111071
Author
Jha, Subash Chandra Tokushima University
Takeuchi, Makoto Kochi Red Cross Hospital
Nagamachi, Akihiro Mitoyo General Hospital
Keywords
combined open and arthroscopic surgery
pigmented villonodular synovitis
skeletally immature
Content Type
Journal Article
Description
Pigmented villonodular synovitis is an extremely rare disease in skeletally immature patients. Erosive destruction of the involved joint leads to early arthritis, and its high recurrence rate makes treatment challenging. Multiple surgical approaches exist, but it is unclear as to which among them achieves the lowest possible recurrence rate and morbidity. We report the case of a 5-year-old girl with left knee pain and swelling who was diagnosed with diffuse pigmented villonodular synovitis of the left knee based on MRI findings. Combined open and arthroscopic surgery was performed to completely remove the tumor. Postoperative histopathological examination confirmed the diagnosis of diffuse pigmented villonodular synovitis. The postoperative course was uneventful, with a gradual improvement in symptoms. There were no signs of recurrence on postoperative MRI performed at the 8-month follow-up, with neither knee pain nor limitation of range of motion. The favorable outcome in this case suggests that combined open and arthroscopic surgery may be an effective method for treating pigmented villonodular synovitis in skeletally immature patients.
Journal Title
Journal of Pediatric Orthopaedics B
ISSN
1060152X
14735865
NCID
AA10848526
AA12542265
Publisher
Wolters Kluwer Health
Volume
25
Issue
6
Start Page
564
End Page
569
Published Date
2016-11
Rights
© 2016 Wolters Kluwer Health, Inc. All rights reserved. This final peer-reviewed manuscript version is made available under the CC-BY-NC 4.0 license http://creativecommons.org/licenses/by-nc/4.0/
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Author
departments
Medical Sciences
University Hospital