Arthroscopic treatment of localized pigmented villonodular synovitis of the knee

Loriaut, P.; Djian, P.; Boyer, T.; Bonvarlet, Jean-Paul; Delin, Cyrille; Makridis, Konstantinos G.

doi:10.1007/s00167-011-1747-y

Cited by 50 publications

(32 citation statements)

References 25 publications

(43 reference statements)

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“…Mean follow-up of approximately six years (range 1-31) was longer when compared with the majority of previously published reports [3,19,23,29,31,32]. Together with the relatively high recurrence rates in this study (58-77 % after arthroscopic and 36-64 % after open synovectomy), this may indicate that to date, an underestimate of the true local recurrence rate of PVNS has been published.…”

Section: Discussioncontrasting

confidence: 47%

“…Functional results after surgical treatment for PVNS have been reported (Table 5) [3,[18][19][20][21][22][23][24][25][26][27][28][29][30][31][32], but comparison is difficult, as functional results were not specified for diffuse and localized disease, type of surgery, primary or recurrent disease and different localizations. In this study, there was no difference in functional outcome and QOL between patients who underwent primary arthroscopic or open synovectomy.…”

Section: Discussionmentioning

confidence: 99%

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Pigmented villonodular synovitis: a crowdsourcing study of two hundred and seventy two patients

Heijden

Piner

Sande

2016

International Orthopaedics (SICOT)

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Purpose We aimed to ascertain the feasibility of crowdsourcing via Facebook for medical research purposes; by investigating surgical, oncological and functional outcome and quality-of-life (QOL) in patients with pigmented villonodular synovitis (PVNS) enrolled in a Facebook community (1112 members). Methods Patients completed online open surveys on demographics, surgery and clinical outcomes (group 1); and patient-reported outcome measures (PROMs) including knee-injury osteoarthritis outcome score (KOOS), hipdisability osteoarthritis outcome score (HOOS), Toronto extremity salvage score (TESS) and SF-36 (group 2). Mean follow-up was 70 months (12-374). Consistency checks were performed with Cohen's kappa statistic for intra-rater agreement. Results The first survey was completed by 272 patients (group 1) and 72 patients completed the second (group 2). In group 1, recurrence-rate was 58 % (69/118) after Conclusion Local recurrence-risk was higher for diffusetype disease and arthroscopic synovectomy. Functional outcome and QOL were comparable for both types of surgery. Gathering data via crowdsourcing seems a promising and innovative way of evaluating rare diseases including PVNS.

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Section: Discussioncontrasting

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Pigmented villonodular synovitis: a crowdsourcing study of two hundred and seventy two patients

Heijden

Piner

Sande

2016

International Orthopaedics (SICOT)

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“…Our follow-up data showed a higher disease recurrence rate for open surgical arthrotomy than for arthroscopic procedures. We believe that this occurred because some lesions in the mini spaces in the involved joints could be excised via arthroscopy but not via arthrotomy [10].…”

Section: Discussionmentioning

confidence: 99%

Pigmented villonodular synovitis: a retrospective study of seventy five cases (eighty one joints)

Shi

Xia

et al. 2013

International Orthopaedics (SICOT)

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Purpose Pigmented villonodular synovitis (PVNS) is a relatively rare, benign proliferation lesion of the synovium of large joints, but there is not much information available about the disease's aetiology, clinical history, differential diagnosis, treatment, and long-term effects. We conducted a study to analyse these aspects of PVNS. Methods We reviewed all clinical data for 75 patients with PVNS (81 joints) who were treated either by synovectomy alone or synovectomy plus arthroplasty. Results In all cases, the diagnosis of PVNS was confirmed by pathological examination. The ratio of males to females was 27:48, and the average age of patients was 46 years (range, 15-80 years). Lesions were located in the knee, hip, or ankle, and pain and swelling were the main symptoms. Of 75 patients, 42 had a history of trauma to the involved joint. Forty-one patients (43 joints) underwent synovectomy alone, and 34 patients (38 joints) underwent synovectomy and arthroplasty together. Of the 75 patients, 61 had full follow-up data. Twelve patients had recurrent legions detected by pathological examinations; four patients had more than two recurrences. Moreover, five patients developed PVNS after arthroplasty. Conclusions PVNS occurs most often in middle-aged women and most frequently involves the knee, followed by the hip and ankle. The disease's etiology is varied and unclear. Surgical excision alone or with arthroplasty is an effective treatment, but there is a high rate of recurrence.

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“…There is currently no consensus on optimal treatment of localised PVNS, but it is generally accepted that arthroscopic excision often results in successful treatment 13. As localised PVNS is a rare disorder, the recurrence frequency has not been definitively established; however, a review of long-term follow-up studies on arthroscopically treated localised PVNS by Dines et al 16 reported no recurrences in patients followed for up to 4.5 years postoperatively, hinting that arthroscopic treatment alone might be sufficient.…”

Section: Discussionmentioning

confidence: 99%

A rare case of localised pigmented villonodular synovitis in the knee of a 24-year-old female soccer player: diagnosis, management and summary of tenosynovial giant cell tumours

Falster¹,

Poulsen

Joergensen

2017

BMJ Case Reports

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Localised pigmented villonodular synovitis (PVNS) of the knee is a rare diagnosis, with clinical signs and symptoms mimicking meniscal damage or other common knee injuries.We report the case of a 24-year-old female soccer player, seeking treatment after 7 months of persisting knee pain. Additionally, we present an overview of tenosynovial giant cell tumours.On examination, the patient was found to have tenderness in the medial joint space of the knee. MRI revealed a heterogeneous formation in the central part of the knee. The formation was completely enucleated arthroscopically, histological analyses confirmed the diagnosis of localised PVNS. The patient was subsequently free of symptoms with no signs of recurrence on MRI and had resumed soccer practice at the 1-year follow-up appointment.

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Arthroscopic treatment of localized pigmented villonodular synovitis of the knee

Abstract: Arthroscopy is a safe and effective procedure for the treatment of localized pigmented villonodular synovitis of the knee. Magnetic resonance imaging is essential to diagnose this pathologic condition and to define accurately its localization and treatment strategy.

Cited by 50 publications

References 25 publications

Pigmented villonodular synovitis: a crowdsourcing study of two hundred and seventy two patients

Pigmented villonodular synovitis: a crowdsourcing study of two hundred and seventy two patients

Pigmented villonodular synovitis: a retrospective study of seventy five cases (eighty one joints)

A rare case of localised pigmented villonodular synovitis in the knee of a 24-year-old female soccer player: diagnosis, management and summary of tenosynovial giant cell tumours

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