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Peeled off water chestnut in the knee
Jitesh Kumar Jain1, Abhishek Chandra1, Aakanksha Agarwal2
1Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India.
Journal of Clinical Orthopaedics and Trauma
|November 12, 2019
Summary
This study presents a rare case of intra-articular fibroma of tendon sheath (FTS) in the knee. Surgical excision successfully treated the tumor, relieving symptoms in a middle-aged female patient.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Oncology
- Diagnostic Imaging
Background:
- Fibroma of tendon sheath (FTS) is a rare soft tissue tumor arising from tendon synovial sheaths.
- Intra-articular FTS originating from the joint capsule is exceptionally uncommon.
- This case highlights a rare presentation of FTS within the knee joint.
Observation:
- A middle-aged female presented with knee pain, swelling, and limited range of motion.
- Magnetic Resonance Imaging (MRI) and arthroscopy revealed an intra-articular mass with lobulated contours, originating from the synovial membrane.
- The tumor's large size precluded arthroscopic removal.
Findings:
- Histopathological examination confirmed the diagnosis of intra-articular fibroma of tendon sheath.
- Open excision was successfully performed due to the tumor's size and location.
- The patient experienced complete symptom relief following the surgical intervention.
Implications:
- This case expands the known spectrum of FTS presentation.
- It underscores the importance of considering rare intra-articular masses in the differential diagnosis of knee pathologies.
- Successful surgical management of intra-articular FTS can lead to excellent patient outcomes.
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