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Pigmented Villonodular Synovitis of Ankle Joint - A Case Report
Santosh Kumar Sahu1, Khusubu Parichha2, Aniruddh Dash1
1Department of Orthopaedics,institute of Medical Sciences and Sum Hospital, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India.
Introduction:
Pigmented villonodular synovitis (PVNS)is a very uncommon lesion that involves the synovium of joints, tendon sheaths, or bursae. Approximately 2.5% of cases occur around the ankle. PVNS was earlier considered to be a synovial malignancy. Complete surgical excision is curative if bony destruction is not there. Radiotherapy is rarely helpful for residual lesions.
Case Report:
We share a case report on PVNS of ankle in a 22-years old male patient. Clinical diagnosis was confirmed with the help of magnetic resonance imaging and histopathology. A surgical excision with synovectomy was carried out. There were no signs of recurrence in 1.5 years follow-up.
Conclusion:
Complete surgical excision with radical synovectomy is crucial for the treatment of PVNS in rare locations like the ankle joint.
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