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Pigmented villonodular synovitis of the elbow
J Terrence Jose Jerome1, Balu Sankaran
1Department of Orthopedics, St Stephen's Hospital, Tiz Hazari, Delhi, India. terrencejose@gmail.com
Indian Journal of Pediatrics
|February 12, 2009
Summary
Pigmented villonodular synovitis (PVNS) is a rare joint condition. Early MRI diagnosis and complete surgical synovectomy are key for treating elbow PVNS, ensuring a full recovery.
Area of Science:
- Orthopedic Surgery
- Radiology
- Pathology
Background:
- Pigmented villonodular synovitis (PVNS) is a rare, benign neoplastic proliferation of the synovium.
- Elbow involvement is uncommon, making diagnosis challenging.
Observation:
- A case of a 16-year-old student with right elbow PVNS is presented.
- Clinical presentation included joint swelling.
- Radiological and MRI findings were crucial for diagnosis.
Findings:
- MRI is the diagnostic modality of choice for elbow PVNS.
- Histologic correlation with clinical and radiological findings is essential for definitive diagnosis.
- Complete surgical synovectomy offers the best chance for cure.
Implications:
- PVNS should be considered in the differential diagnosis of elbow monoarticular joint swelling.
- Balancing complete eradication with surgical morbidity is crucial for patient outcomes.
- Early diagnosis and appropriate management lead to full recovery and normal life.
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