Pigmented Villonodular Synovitis of the Ankle Joint / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
; : 905-910, 2006.
Artículo
en Coreano
| WPRIM (Pacífico Occidental)
| ID: wpr-645932
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE:
To evaluate the clinical manifestations and results of treatment, we have analyzed five cases of Pigmented villonodular synovitis (PVNS) involving the ankle joint, a very rare disease in which the intraarticular joint has active inflammation with hypertrophy of the synovium. MATERIALS ANDMETHODS:
From January 2002 to July 2004, five patients who presented with a mass in the ankle joint had histopathologically confirmed PVNS, retrospectively identified after surgery. Four male patients and one female patient were included in the study. All five patients had preoperative ankle joint swelling and a mass without a history of trauma; all had standard x-rays and three of the five patients had Magnetic resonance imaging (MRI).RESULTS:
As a result of the testing there were two localized and three diffuse types identified. For one diffuse type, arthroscopy assisted intraarticular synovectomy was carried out before invasive synovectomy. Mass excision and broad synovectomy were carried out in all cases, and histological evaluations were performed after surgery. For two cases that had incomplete synovectomy, due to adhesions surrounding soft tissue and severe bony invasion, the surgical region was simultaneously treated with postoperative radiation therapy. After an average postoperative follow-up period of 13 months, the pain, swelling and edema resolved and there were no signs of recurrence.CONCLUSION:
Mass excision and broad synovectomy provided both accurate diagnosis and successful treatment of PVNS of the ankle joint. In cases where incomplete synovectomy is performed due to anatomical difficulties or bony invasion, combination with postoperative radiation therapy may help reduce the recurrence rate.
Texto completo:
Disponible
Contexto en salud:
ODS3 - Meta 3.4 Reducir las muertes prematuras por enfermedades no transmisibles
Problema de salud:
Enfermedades Musculoesqueléticas e Reumáticas
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Artroscopía
/
Recurrencia
/
Membrana Sinovial
/
Sinovitis Pigmentada Vellonodular
/
Imagen por Resonancia Magnética
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Enfermedades Raras
/
Diagnóstico
/
Edema
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Año:
2006
Tipo del documento:
Artículo