Arthroscopic treatment of diffuse pigmented villonodular synovitis of the elbow

Outcomes of arthroscopic elbow synovectomy and neurolysis of the ulnar nerve for tenosynovial giant cell tumor in a young athlete: a case report and literature review

“…It is important to note that this rate is similar to the recurrence rates reported in other studies on open synovectomy for diffuse TGCT of the knee, which vary from 8.0% to 22.6%. 6 Additionally, arthroscopic techniques have been reported in a total of 14 patients in seven reports, 1 , 5 , 8 , 9 , 13 , 14 with a recurrence rate of 14.3% reported in 2 out of 14 cases ( Table I ). The follow-up period for these cases ranged from 6 to 104 months.…”

“…Total synovectomy is the current consensus for treating such lesions in the knee, hip, shoulder, and elbow joints for either localized or diffused TGCT. 3 , 9 However, until now, there has been no clear consensus regarding the most appropriate surgical synovectomy, either with an arthroscopic or open approach. Regardless of the technique, the goal is to obtain sufficient removal of the lesion necessary to reduce the possibility of recurrence.…”

“…The follow-up period for these cases ranged from 6 to 104 months. Lavignac et al 9 reported that two out of eight patients required revision surgery with an open procedure due to a recurrence detected 6 and 21 months after arthroscopic total synovectomy. The authors acknowledged that the recurrence rates might be influenced by the technical challenges of posterior arthroscopic synovectomy and highlighted the importance of adequate follow-up to detect any recurrence.…”

“…The authors acknowledged that the recurrence rates might be influenced by the technical challenges of posterior arthroscopic synovectomy and highlighted the importance of adequate follow-up to detect any recurrence. 9 Koca et al 8 described a similar arthroscopic technique for the treatment of TGCT in the elbow joint, but with the addition of adjuvant radiotherapy as a potential treatment option to improve local control and minimize the risk of recurrence. The authors reported no recurrence after 20 months of follow-up.…”

“…TGCT in the elbow is relatively rare, with only 37 cases reported in the literature. 1 , 3 , 9 , 11 Treatment may include open or arthroscopic synovectomy, radiation therapy, or medication. Currently, very limited information exists about the arthroscopic treatment and outcomes after surgery for the elbow joint.…”