Arthroscopy in pigmented villonodular synovitis of the knee

Authors

  • Araceli Chico Capote HHA
  • Miguel Estévez del Toro HHA
  • Ramón García Hernández HHA

Keywords:

pigmented villonodular synovitis, magnetic resonance, arthroscopy, anatomopathological.

Abstract

Introduction: Pigmented villonodular synovitis is a benign proliferation in the synovial membrane of joints, bursae and tendon sheaths, accompanied by hemosiderin deposits. The knee is the most commonly affected joint. Magnetic resonance and arthroscopy are useful to make the diagnosis, but the anatomopathological study confirms it.

Objective: To present a case of pigmented villonodular synovitis treated by arthroscopy.

Case presentation: The case is presented of a 70-year-old female patient who came for consultation due to pain and swelling of the right knee of four months of evolution. The presumptive diagnosis and treatment of pigmented villonodular synovitis was made by arthroscopy. Synovial biopsy confirmed the suspicion.

Conclusions: Arthroscopy is a safe and effective tool for the diagnostic and therapeutic approach to pigmented villonodular synovitis. It enables biopsy associated with a low incidence of complications.

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Author Biographies

Araceli Chico Capote, HHA

Servicio de Reumatologia. Departamento de artroscopia. Especialista. Jefa de Servicio

Miguel Estévez del Toro, HHA

Director HHA

References

Murphey MD, Rhee JH, Lewis RB, Fanburg-Smith JC, Flemming DJ, Walker EA. Pigmeted villonodular synovitis: radiologic correlation. Radiographics. 2018;28:1493-518. DOI: https://doi.org/10.1148/rg.285085134

Cattelan M, Bonnomet F, Bierry G, Di Marco A, Brinkert D, Adam P, et al. Villonodular synovitis of the ankle. Analysis of the risk of recurrence. Orthop Traumatol Surges. 2016;102(5):639-44. DOI: https://doi.org/10.1016/j.otsr.2016.03.016

Stephan SR, Shallop B, Lackman R, Kim TW, Mulcahey MK. Pigmented Villonodular Synovitis: A Comprehensive Review and Proposed Treatment Algorithm. JBJS Rev. 2016;4(7). DOI: https://doi.org/10.2106/JBJS.RVW.15.00086

Gouin F, Noailles T. Localized and diffuse forms of tenosynovial giant cell tumor (formerly giant cell tumor of the tendon sheath and pigmented villonodular synovitis). Orthop Traumatol Surg Res. 2017;103(1S):S91-7. DOI: https://doi.org/10.1016/j.otsr.2016.11.002

Stevenson JD, Jaiswal A, Gregory JJ, Mangham DC, Cribb G, Cool P. Diffuse pigmented villonodular synovitis (diffuse-type giant cell tumour) of the foot and ankle. Bone Joint J. 2013;95-B(3):384-90. DOI: https://doi.org/10.1302/0301-620X.95B3.30192

Dornes Ramón R, Vázquez Mora Y, Cerdeira Mora AR. Sinovitis vellonodular pigmentada difusa. Rev Med Electron Ciego de Avila. 2019; [acceso: 01/09/2020];25(3):1029-35. Disponible en: http://www.revmediciego.sld.cu/index.php/mediciego/article/view/882

Guo Q, Shi W, Jiao C, Xie X, Jiang D, Hu Y. Results and recurrence of pigmented villonodular synovitis of the ankle: does diffuse PVNS with extra-articular extension tend to recur more often? Knee Surg Sports Traumatol Arthrosc. 2018; 26(10):3118-23. DOI: https://doi.org/10.1007/s00167-017-4488-8

Kubat O, Bojanić I, Smoljanović T. Localized pigmented villonodular synovitis of the ankle: Expect the unexpected. Foot Ankle Surg. 2017;23(1):68-72. DOI: https://doi.org/10.1016/j.fas.2016.03.001

Li X, Xu Y, Zhu Y, Xu X. Surgical treatment for diffused-type giant cell tumor (pigmented villonodular synovitis) about the ankle joint. BMC Musculoskelet Disord. 2017;18(1):450. DOI: https://doi.org/10.1186/s12891-017-1824-6

Published

2022-07-14

How to Cite

1.
Chico Capote A, Estévez del Toro M, García Hernández R. Arthroscopy in pigmented villonodular synovitis of the knee. Acta Médica [Internet]. 2022 Jul. 14 [cited 2025 May 12];23(2). Available from: https://revactamedica.sld.cu/index.php/act/article/view/274

Issue

Section

Presentación de caso