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Pigmented villonodular synovitis in children. A case report

J Bruns1, T Schubert, G Eggers-Stroeder

  • 1Department of Orthopedic Surgery, University of Hamburg, Germany.

Archives of Orthopaedic and Trauma Surgery
|January 1, 1993
PubMed
Summary

Pigmented villonodular synovitis (PVS) is a rare joint disease. Early diagnosis and surgical treatment, like total synovectomy, can prevent further joint damage.

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Area of Science:

  • Orthopedics
  • Pediatric Rheumatology
  • Surgical Pathology

Background:

  • Pigmented villonodular synovitis (PVS) is a rare neoplastic proliferation of the synovium.
  • It primarily affects young adults and children, potentially leading to secondary osteoarthritis.
  • Early diagnosis and intervention are crucial to preserve joint function.

Observation:

  • This article details a rare case of diffuse PVS in an 11-year-old girl.
  • Clinical presentation, diagnostic challenges, and treatment strategies are discussed.
  • The importance of high clinical suspicion for PVS in pediatric patients is highlighted.

Findings:

  • Diagnostic procedures for PVS have varying efficacy.
  • Preoperative histological confirmation is often not possible.
  • Early invasive investigations like arthroscopy are recommended for definitive diagnosis.

Implications:

  • Arthroscopy or arthrotomy followed by total synovectomy is the recommended surgical approach.
  • Prompt surgical management can prevent the development of osteoarthritic lesions.
  • This case underscores the importance of considering PVS in pediatric joint pathology and the efficacy of timely surgical intervention.

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