Co-occurrence of Pigmented Villonodular Synovitis and Patellar Clunk Syndrome Following Total Knee Arthroplasty: A Case Report.

Autor: Ayala-Ortiz JL; Orthopaedic Surgery, The University of Alabama at Birmingham, Birmingham, USA., Hobbs C; Orthopaedic Surgery, The University of Alabama at Birmingham, Birmingham, USA., Murphy J; Orthopaedic Surgery, The University of Alabama at Birmingham, Birmingham, USA., Naranje S; Orthopaedic Surgery, The University of Alabama at Birmingham, Birmingham, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Nov 07; Vol. 16 (11), pp. e73207. Date of Electronic Publication: 2024 Nov 07 (Print Publication: 2024).
DOI: 10.7759/cureus.73207
Abstrakt: Pigmented villonodular synovitis (PVNS) is an uncommon hyperproliferative disease of the synovium presenting either as localized or a more aggressive diffuse form. Its occurrence following total knee arthroplasty (TKA) is rare, and its presentation alongside patellar clunk syndrome (PCS) has not been previously reported. We present a case of a 64-year-old female patient diagnosed with diffuse PVNS (D-PVNS) two and half years following TKA, co-occurring with PCS. The diagnosis was initially suspected during a diagnostic arthroscopy for PCS, after which the patient underwent arthroscopic synovectomy and scar excision. Histological analysis of the resected tissue confirmed the diagnosis, revealing inflammatory cells and hemosiderin deposits.
Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. The University of Alabama at Birmingham issued approval IRB-300000976. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Ayala-Ortiz et al.)
Databáze: MEDLINE