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Related Experiment Videos

Localized nodular tenosynovitis: experience with 115 cases.

J R Moore, A J Weiland, R M Curtis

    The Journal of Hand Surgery
    |May 1, 1984
    PubMed
    Summary
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    Localized nodular synovitis, also known as giant cell tumor of the tendon sheath, often recurs after treatment. Thorough local excision is the recommended treatment for this benign hand tumor.

    Area of Science:

    • Orthopedics
    • Hand Surgery
    • Pathology

    Background:

    • Localized nodular synovitis (LNS), or giant cell tumor of the tendon sheath (GCTTS), is a common soft tissue tumor.
    • Optimal treatment and recurrence rates for LNS are not well-established.
    • LNS can arise from various synovial sites in the hand, potentially causing bone deformation.

    Purpose of the Study:

    • To review cases of localized nodular synovitis.
    • To evaluate treatment outcomes and recurrence rates.
    • To analyze the characteristics of LNS in the hand.

    Main Methods:

    • Retrospective review of 115 cases of localized nodular synovitis.
    • Analysis of treatment modalities and recurrence patterns.
    • Histopathological assessment of lesions.

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    Main Results:

    • LNS occurred in various synovial sites of the hand, including joints, capsular ligaments, and tendon sheaths.
    • Bone surface deformation was common, but bone invasion was rare.
    • Recurrence was observed in 10 cases (9%), requiring multiple surgical procedures for eradication.

    Conclusions:

    • Localized nodular synovitis is a benign tumor that does not metastasize.
    • Thorough local excision, with adjacent joint exploration when necessary, is the preferred treatment.
    • Despite adequate excision, a significant recurrence rate necessitates vigilant follow-up and potentially further surgical intervention.