A case of localized pigmented villonodular synovitis presenting as a loose body in the medial gutter of the knee

Huseyin Yercan; Guvenir Okcu; Semih Ayhan; Ali Kasap; Ugur Ozic

doi:10.3944/aott.v35i4.1744

A case of localized pigmented villonodular synovitis presenting as a loose body in the medial gutter of the knee

Year 2001, Volume: 35 Issue: 4, 368 - 372, 11.09.2006

Huseyin Yercan Guvenir Okcu Semih Ayhan Ali Kasap Ugur Ozic

Abstract

Pigmented villonodular synovitis is a rare monarticular proliferative disorder of the synovium, most commonly affecting the knee. There are very few reports about the localized form in the knee. A twenty-eight-year-old woman presented with complaints of pain, catching, and locking. The lesion closely resembled a loose body in the medial gutter of the knee. Magnetic resonance imaging was performed to establish the diagnosis. Arthroscopy of the knee was performed and a mass with an attachment to the medial capsule was detected. The mass was removed from the synovium by arthrotomy. Histological examination confirmed the diagnosis. During a-year follow-up, the patient remained asymptomatic. Localized pigmented villonodular synovitis may mimic other intraarticular pathologies and lead to a false diagnosis.
Key words: Arthroscopy; diagnosis, differential; knee injuries/ diagnosis; joint loose bodies/diagnosis; synovial membrane/ surgery; synovitis, pigmented villonodular/diagnosis/surgery.

Keywords

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Diz iç eklem aralığında serbest cismi taklit eden lokalize pigmente villonodüler sinovit: Olgu sunumu

Year 2001, Volume: 35 Issue: 4, 368 - 372, 11.09.2006

Huseyin Yercan Guvenir Okcu Semih Ayhan Ali Kasap Ugur Ozic

Abstract

Pigmente villonodüler sinovit, tek eklem tutulumu ile seyreden, nadir görülen, sıklıkla dizi tutan proliferatif bir süreçtir. Lokalize formu bildiren çalışmalar sınırlı sayıdadır. Bu yazıda, 28 yaşındaki kadın hastada, diz iç eklem aralığındaki serbest cismi taklit eden, ağrı, kilitlenme ve takılma gibi yakınmalara yol açan lokalize pigmente villonodüler sinoviti sunuldu. Ayırıcı tanıda manyetik rezonans görüntülemeden yararlanıldı. Yapılan artroskopide, iç eklem aralığında kapsüle yapışık kitle saptandı. Sinovyadan artrotomiyle çıkarılan kitlenin pigmente villonodüler sinovit olduğu patolojik inceleme ile doğrulandı. Hastanın bir yıllık takibinde nüks ile karşılaşılmadı. Lokalize pigmente villonodüler sinovit başka diz içi patolojileri taklit edip yanlış tanıya yol açabilir.

Keywords

Arthroscopy/methods;diagnosis, differential;knee injuries/diagnosis;joint loose bodies/diagnosis;synovial membrane/surgery;synovitis, pigmented villonodular/diagnosis;synovitis, pigmented villonodular/surgery

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Details

Primary Language	English
Journal Section	Case Report
Authors	Huseyin Yercan This is me Guvenir Okcu This is me Semih Ayhan This is me Ali Kasap This is me Ugur Ozic This is me
Publication Date	September 11, 2006
Published in Issue	Year 2001 Volume: 35 Issue: 4

Cite

APA	Yercan, H., Okcu, G., Ayhan, S., Kasap, A., et al. (2006). A case of localized pigmented villonodular synovitis presenting as a loose body in the medial gutter of the knee. Acta Orthopaedica Et Traumatologica Turcica, 35(4), 368-372. https://doi.org/10.3944/aott.v35i4.1744
AMA	Yercan H, Okcu G, Ayhan S, Kasap A, Ozic U. A case of localized pigmented villonodular synovitis presenting as a loose body in the medial gutter of the knee. Acta Orthopaedica et Traumatologica Turcica. September 2006;35(4):368-372. doi:10.3944/aott.v35i4.1744
Chicago	Yercan, Huseyin, Guvenir Okcu, Semih Ayhan, Ali Kasap, and Ugur Ozic. “A Case of Localized Pigmented Villonodular Synovitis Presenting As a Loose Body in the Medial Gutter of the Knee”. Acta Orthopaedica Et Traumatologica Turcica 35, no. 4 (September 2006): 368-72. https://doi.org/10.3944/aott.v35i4.1744.
EndNote	Yercan H, Okcu G, Ayhan S, Kasap A, Ozic U (September 1, 2006) A case of localized pigmented villonodular synovitis presenting as a loose body in the medial gutter of the knee. Acta Orthopaedica et Traumatologica Turcica 35 4 368–372.
IEEE	H. Yercan, G. Okcu, S. Ayhan, A. Kasap, and U. Ozic, “A case of localized pigmented villonodular synovitis presenting as a loose body in the medial gutter of the knee”, Acta Orthopaedica et Traumatologica Turcica, vol. 35, no. 4, pp. 368–372, 2006, doi: 10.3944/aott.v35i4.1744.
ISNAD	Yercan, Huseyin et al. “A Case of Localized Pigmented Villonodular Synovitis Presenting As a Loose Body in the Medial Gutter of the Knee”. Acta Orthopaedica et Traumatologica Turcica 35/4 (September 2006), 368-372. https://doi.org/10.3944/aott.v35i4.1744.
JAMA	Yercan H, Okcu G, Ayhan S, Kasap A, Ozic U. A case of localized pigmented villonodular synovitis presenting as a loose body in the medial gutter of the knee. Acta Orthopaedica et Traumatologica Turcica. 2006;35:368–372.
MLA	Yercan, Huseyin et al. “A Case of Localized Pigmented Villonodular Synovitis Presenting As a Loose Body in the Medial Gutter of the Knee”. Acta Orthopaedica Et Traumatologica Turcica, vol. 35, no. 4, 2006, pp. 368-72, doi:10.3944/aott.v35i4.1744.
Vancouver	Yercan H, Okcu G, Ayhan S, Kasap A, Ozic U. A case of localized pigmented villonodular synovitis presenting as a loose body in the medial gutter of the knee. Acta Orthopaedica et Traumatologica Turcica. 2006;35(4):368-72.