1. Intra-articular Localized Haemangioma of the Knee Mimicking Localized Pigmented Villonodular Synovitis: A Case Report
- Author
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Teruyasu-Tanaka Tt, Koji-Natsu Kn, Toshihiro-Sugioka Ts, Norimasa-Matsubara Nm, and Goki-Kamei Gk
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Synovectomy ,Case Report ,Osteoarthritis ,pigmented villonodular synovitis ,arthroscopic resection ,Right knee joint ,03 medical and health sciences ,0302 clinical medicine ,Intra articular ,Restricted range ,medicine ,Orthopedics and Sports Medicine ,synovial haemangioma ,Orthopedic surgery ,030222 orthopedics ,business.industry ,Cartilage ,medicine.disease ,body regions ,medicine.anatomical_structure ,Pigmented villonodular synovitis ,Arthroscopic resection ,Emergency Medicine ,Surgery ,Radiology ,business ,030217 neurology & neurosurgery ,RD701-811 - Abstract
Intra-articular synovial haemangioma of the knee is a benign tumour. However, diagnostic delay leads to degenerative changes in the cartilage and osteoarthritis due to recurrent haemarthrosis. Therefore, treatment should be performed immediately. We report the case of a localized synovial haemangioma arising from the medial plica in a 38-year old female presenting with pain and restricted range of motion in the right knee joint. Initially, we diagnosed this case as a localized pigmented villonodular synovitis (LPVS) based on MRI and arthroscopic findings and performed only arthroscopic en bloc excision of the mass and synovectomy around the mass for diagnostic confirmation. Fortunately, there was no difference in the treatment approaches for LPVS and localized haemangioma and the synovial haemangioma had not recurred at the 3-month postoperative follow-up with MRI. The patient's clinical symptoms resolved and had not relapsed two years after surgery.
- Published
- 2017