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A Mouse Model of Ankle-Subtalar Complex Joint Instability
Published on: October 28, 2022
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Diffuse Pigmented Villonodular Synovitis Around the Ankle
Journal of the American Podiatric Medical Association
|April 11, 2018
Summary
Pigmented villonodular synovitis (PVNS) of the ankle requires prompt diagnosis and surgical planning. Careful operative approaches can prevent recurrence of this rare joint disorder.
Area of Science:
- Orthopedics
- Musculoskeletal Oncology
Background:
- Pigmented villonodular synovitis (PVNS) is a rare condition affecting the ankle joint.
- Diffuse-type PVNS presents challenges in treatment due to high recurrence rates.
Purpose of the Study:
- To present clinical features of PVNS patients around the ankle.
- To review current diagnostic and treatment modalities for PVNS.
Main Methods:
- Surgical treatment of five patients with PVNS around the ankle.
- Follow-up averaging 2.9 years post-surgery.
Main Results:
- Average delay of 6.4 years from pain onset to PVNS diagnosis.
- Arthrotomic tumor resection with medial and lateral approaches used for ankle joint PVNS.
- No recurrences observed after a minimum 2-year follow-up; mild persistent pain in some ankle cases.
Conclusions:
- Delayed diagnosis of PVNS is common due to vague symptoms.
- Suspect PVNS in persistent ankle swelling; accurate evaluation and operative planning are crucial.
- A combined medial and lateral surgical approach ensures complete joint cavity exposure and aids in preventing recurrence.
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