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Localized pigmented villonodular synovitis in a child knee
O Şahap Atik1, Hasan Hüseyin Bozkurt, Efkan Özcan
1Department of Orthopedics and Traumatology, Medical Faculty of Gazi University, 06500 Beşevler, Ankara, Turkey. satikmd@gmail.com.
Summary
Pigmented villonodular synovitis, a rare knee tumor, was observed in a 14-year-old boy. Arthrotomy was chosen over arthroscopy due to the patient's obesity and concerns about tumor recurrence.
Area of Science:
- Orthopedic Surgery
- Pediatric Oncology
- Musculoskeletal Pathology
Background:
- Pigmented villonodular synovitis (PVNS) is a rare, benign neoplastic proliferation of the synovium.
- Most commonly affects the knee joint, but is exceptionally rare in pediatric patients.
- Localized PVNS presents a diagnostic and therapeutic challenge, particularly in children.
Observation:
- A case of localized pigmented villonodular synovitis in the knee of a 14-year-old male is presented.
- The patient's obesity and the perceived high risk of recurrence influenced the surgical approach.
- Arthrotomy was selected over arthroscopy for tumor excision.
Findings:
- Surgical excision via arthrotomy was performed for the localized PVNS.
- The decision-making process considered patient-specific factors like obesity and tumor characteristics.
- Management strategies for pediatric knee PVNS may differ from adult cases.
Implications:
- This case highlights the importance of considering rare conditions like PVNS in pediatric knee pathology.
- The choice of surgical technique (arthrotomy vs. arthroscopy) should be individualized based on patient factors and tumor characteristics.
- Further research into optimal management strategies for pediatric PVNS is warranted to minimize recurrence risk.
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