ID 111071
著者
Jha, Subash Chandra Tokushima University
Takeuchi, Makoto Kochi Red Cross Hospital
長町, 顕弘 Mitoyo General Hospital
キーワード
combined open and arthroscopic surgery
pigmented villonodular synovitis
skeletally immature
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
Journal of Pediatric Orthopaedics B
ISSN
1060152X
14735865
cat書誌ID
AA10848526
AA12542265
出版者
Wolters Kluwer Health
25
6
開始ページ
564
終了ページ
569
発行日
2016-11
権利情報
© 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
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
著者版
部局
医学系
病院