PIGMENTED VILLONODULAR SYNOVITIS OF HIP: A RARE CASE

Autor: Vamshi Krishna Chand. N, Karthik M N, Aakash. E, Rajneesh Rajneesh, Akshatha L, Akshay R, Pradeep Kumar S, Vijay Karthik B K
Rok vydání: 2023
Předmět:
Zdroj: GLOBAL JOURNAL FOR RESEARCH ANALYSIS. :60-62
DOI: 10.36106/gjra/2102349
Popis: Pigmented villonodular synovitis (PVNS) is a rare disease that can affect any joint, bursa or tendon sheath. The hip is less frequently affected than the knee.1 We report a case of a 46 years old male presented with history of pain and limp over right hip since 6months associated with difculty in sitting cross legged and squatting to performing day today activity. There was no history of fever, weight loss, and long term drug intake. Radiological assessment showed secondary arthritis of right hip with features of avascular necrosis (AVN). The provisional diagnosis was Arthritis of right hip secondary to AVN/ Inammatory arthritis and the patient underwent uncemented right total hip replacement(THA), Intra operatively the articular erosion was noted with reddish gray abnormal synovial growth. Histological assessment showed diffuse expansive sheets of histiocytes admixed with hemosiderin laden macrophages and alveolar spaces lined by synovial cells and collagenized stroma. A short term follow up of 18months did not show any clinical recurrence. We conclude that, from our observation, complete excision of lesion combined with THA is an effective treatment for PVNS of Hip.
Databáze: OpenAIRE