[Open surgical management of recurrent pigmented villonodular synovitis: case report and literature review].

Autor: Ramírez-Torres AA; Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua. Chihuahua, México., Hérnandez-Contreras M; Servicio de Ortopedia y Traumatología, Hospital Christus Muguerza del Parque. Chihuahua, Chihuahua, México., Almela-Mendoza RA; Servicio de Ortopedia y Traumatología, Hospital Christus Muguerza del Parque. Chihuahua, Chihuahua, México., Muñoz-Cabello RA; Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua. Chihuahua, México., Aguilar-Orduño EJ; Servicio de Ortopedia y Traumatología, Hospital Christus Muguerza del Parque. Chihuahua, Chihuahua, México., Hernández-Aragón F; Servicio de Ortopedia y Traumatología, Hospital Christus Muguerza del Parque. Chihuahua, Chihuahua, México.
Jazyk: Spanish; Castilian
Zdroj: Acta ortopedica mexicana [Acta Ortop Mex] 2024 Jul-Aug; Vol. 38 (4), pp. 263-266.
Abstrakt: Introduction: pigmented villonodular synovitis (PVNS) is a benign condition that affects the knee, leading to abnormal proliferation of the synovial membrane and the accumulation of hemosiderin in the joint cavity. Although it can be surgically treated, PVNS tends to have a high recurrence rate, potentially resulting in chronic joint damage.
Case Report: we present the case of a young woman who experienced localized pain in her right knee due to a recurrence of PVNS. Magnetic resonance imaging revealed multiple multilobulated cystic lesions affecting the entire joint, including the ligaments. The patient underwent open surgical resection with a favorable clinical outcome. Histopathological examinations confirmed the absence of malignancy.
Conclusion: while arthroscopy is typically the preferred treatment for PVNS, this case highlights the tendency for recurrence associated with this approach. Open surgical resection, supported by benign histopathological findings in this case, suggests a favorable long-term prognosis.
Databáze: MEDLINE
Externí odkaz: