Intra-labral pigmented villonodular synovitis: a rare case in two adult patients.
Focal lesions
Pigmented villonodular synovitis
Synovium
Journal
Skeletal radiology
ISSN: 1432-2161
Titre abrégé: Skeletal Radiol
Pays: Germany
ID NLM: 7701953
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
received:
04
05
2022
accepted:
31
10
2022
revised:
24
10
2022
medline:
18
5
2023
pubmed:
7
12
2022
entrez:
6
12
2022
Statut:
ppublish
Résumé
This article discusses two rare cases of intra-labral pigmented villonodular synovitis (PVNS) of the hip. The hip joint represents the second most common location of pigmented villonodular synovitis, second to the knee [1]. The majority of hip PVNS cases either diffusely involve the synovium or are focal lesions within the joint. The lesions and synovium show foci of low signal intensity related to hemosiderin deposition, a finding that differentiates PVNS from other causes of synovial proliferation. Our case report presents two rare manifestations of PVNS lesions localized within the hip labrum. This presentation could easily be mistaken for a cyst by imaging modality. Despite the rarity of this condition, we highlight the importance of questioning the possibility of intra-labral PVNS, when patients have persistent hip pain not responding to therapy and atypical imaging findings. Highlighting this rare presentation is crucial for establishing the correct diagnosis, guiding treatment, and obtaining the best clinical outcome.
Identifiants
pubmed: 36474014
doi: 10.1007/s00256-022-04227-x
pii: 10.1007/s00256-022-04227-x
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1409-1413Informations de copyright
© 2022. The Author(s), under exclusive licence to International Skeletal Society (ISS).
Références
Steinmetz S, Rougemont AL, Peter R. Pigmented villonodular synovitis of the hip. EFORT open reviews. 2016;1(6):260–6.
doi: 10.1302/2058-5241.1.000021
pubmed: 28461957
pmcid: 5367600
Chassaignac CM. Cancer de la gaine des tendons. Gaz Hop Cive Milit. 1852;47:185–6.
Jaffe HL. Pigmented villonodular synovitis, bursitis and tenosynovitis. Arch Pathol. 1941;31:731–65.
Young JM, Hudacek AG. Experimental production of pigmented villonodular synovitis in dogs. Am J Pathol. 1954;30(4):799.
pubmed: 13180689
pmcid: 1942543
Fiocco U, Sfriso P, Lunardi F, Pagnin E, Oliviero F, Scagliori E, Cozzi L, Vezzù M, Molena B, Scanu A, Panziera C. Molecular pathways involved in synovial cell inflammation and tumoral proliferation in diffuse pigmented villonodular synovitis. Autoimmun Rev. 2010;9(11):780–4.
doi: 10.1016/j.autrev.2010.07.001
pubmed: 20620241
Legré V, Boyer T, Dorfmann H, Lafforgue P. Tumeurs et dystrophies de la synoviale. EMC Appareil locomoteur. Paris: Elsevier Masson SAS; 2007. p. 6–8.
Ma X, Shi G, Xia C, Liu H, He J, Jin W. Pigmented villonodular synovitis: a retrospective study of seventy-five cases (eighty-one joints). Int Orthop. 2013;37(6):1165–70.
doi: 10.1007/s00264-013-1858-9
pubmed: 23503697
pmcid: 3664172
Flipo RM, Desvigne-Noulet MC, Cotten A, Fontaine C, Duquesnoy B, Lequesne M, Delcambre B. La synovite villo-nodulaire pigmentée de la hanche: résultats d’une enquête nationale à propos de 58 observations. Rev Rhum. 1994;61(2):85–95.
Aglietti P, Di Muria GV, Salvati EA, Stringa G. Pigmented villonodular synovitis of the hip joint (review of the literature and report of personal case material). Ital J Orthop Traumatol. 1983;9(4):487–96.
pubmed: 6373667
Magerkurth O, Jacobson JA, Girish G, Brigido MK, Bedi A, Fessell D. Paralabral cysts in the hip joint: findings at MR arthrography. Skeletal Radiol. 2012;41(10):1279–85.
doi: 10.1007/s00256-012-1395-4
pubmed: 22434590
Fecek C, Carter KR. Pigmented Villonodular Synovitis. 2021 Nov 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, 2022.
Tang HC, Sadakah M, Wirries N, Dienst M. Outcomes of arthroscopic management for pigmented villonodular synovitis of the hip. Arch Orthop Trauma Surg. 2021. https://doi.org/10.1007/s00402-021-04242-y .
doi: 10.1007/s00402-021-04242-y
pubmed: 34807281
Nazal MR, Parsa A, Gibbs JS, Abraham PF, Martin SD. Mid-term results of arthroscopic synovectomy for pigmented villonodular synovitis of the hip. Arthroscopy. 2020;36(6):1587–98. https://doi.org/10.1016/j.arthro.2020.01.059 .
doi: 10.1016/j.arthro.2020.01.059
pubmed: 32061973