Intra-articular haemangioma of the knee in the skeletally immature

Wong, Kai Ann; Singh, Vivek Ajit; Pailoor, Jayalakshmi

doi:10.11622/smedj.2013232

Cited by 5 publications

(9 citation statements)

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“…It may include sclerotherapy, 4 selective embolization, arthroscopic excision, 19 arthroscopic laser ablation for small‐sized tumors, and open excision for large‐sized ones 20 . After this treatment, pain disappearance and joint motion improvement had been reported 21,22 . However, recurrence is possible in patients with diffuse synovial hemangioma, highlighting the necessity of a long‐term follow‐up in these patients.…”

Section: Discussionmentioning

confidence: 99%

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Synovial hemangioma: A rare cause of chronic knee pain

Slouma

Hannech

Msolli

et al. 2022

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

“…20 After this treatment, pain disappearance and joint motion improvement had been reported. 21,22 However, recurrence is possible in patients with diffuse synovial hemangioma, highlighting the necessity of a long-term follow-up in these patients.…”

Section: Discussionmentioning

confidence: 99%

Synovial hemangioma: A rare cause of chronic knee pain

Slouma

Hannech

Msolli

et al. 2022

Clinical Case Reports

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“…MRI appears to be the examination of choice ( 1 , 2 , 5 – 11 , 16 – 18 , 21 – 24 , 26 , 27 , 33 , 35 – 40 , 42 , 43 , 46 , 48 , 50 , 53 – 57 ). It is non-invasive and non-irradiating and usually allows three-dimensional localization, although occasionally, as in our series, a tumor mass may not be identified ( 3 , 47 ).…”

Section: Discussionmentioning

confidence: 99%

“…The clinical presentation is non-specific, with symptom onset usually occurring in childhood and young adulthood, although it has been described at later ages, probably due to delayed diagnosis. Various imaging modalities have been used, but all are non-specific, and there is no clear diagnostic algorithm ( 2 , 4 , 9 , 13 , 18 , 25 , 28 – 30 , 32 , 33 , 38 , 45 , 48 , 50 , 55 , 57 , 58 ).…”

Section: Introductionmentioning

confidence: 99%

Location, Clinical Presentation, Diagnostic Algorithm and Open vs. Arthroscopic Surgery of Knee Synovial Haemangioma: A Report of Four Cases and a Literature Review

et al. 2021

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Objective: The aim was to report 4 patients with intra-articular knee synovial haemangioma (KSH) and to perform a systematic review to describe the patient characteristics, patterns of tumor location, clinical presentation, usefulness of imaging examinations, pros and cons of arthroscopic vs. open resection, and follow-up in the literature.Design: From 1996 to 2016, four patients with KSH were retrospectively reviewed. A literature search was conducted in PubMed from 2000/01 to 2020/06 using the search terms “synovial haemangioma” and “knee.” Fifty full-text articles that included a total of 92 patients were included for further discussion.Results: Four adults (20–40 years) were diagnosed with KSH. Three lesions located in the suprapatellar pouch, two eroding the patella and one the supratrochlear bone, and one in the posterior compartment. Persistent anterior knee pain was the main complain. MRI revealed a benign tumor mass in all cases except one. Open excisional biopsy and regional synovectomy were performed in three patients, and by arthroscopy of the posterior compartment in the fourth. Histological type was arteriovenous in three cases and capillary in one. A pain-free knee without recurrence was achieve in all cases except one, which was successfully reoperated. Average follow-up time was 3.5 years. A literature review showed that KSH appears most frequently in children and teenagers (64.6%) and does not differ by gender. The suprapatellar and patella-femoral joint compartment was the most frequent location (47.9%). The bony tissue of the knee was rarely affected (13.5%). Pain, swelling and haemarthrosis were frequently reported (88.2, 66.7, and 47.1%). MRI was the most commonly used imaging test (98%). Treatment consisted of regional synovectomy by open surgery or arthroscopy in 66.7 and 15.6% of cases, respectively.Conclusions: KSH should be considered in the differential diagnosis of adult patients with chronic low-intensity knee pain. MRI is the most useful exam because it establishes the location, extent and benign characteristics of the tumor. Definitive diagnosis requires histological examination. We believe excisional biopsy and regional synovectomy by arthroscopy should be the treatments of choice for intra-articular tumors, but we recommend open surgery when the lesion extends to the tendons, muscle or bone.

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“…Therefore, early diagnosis is essential. 4 Tumor and tumor like lesions such as synovial haemangiomas should be kept in mind in patients with extraordinary findings in single joint. In case of doubt, imaging methods should be used for early diagnosis and prevent long term sequel especially for intra-articular lesions.…”

Section: Author(s) Affiliation(s) Article Informationmentioning

confidence: 99%

A Rare Cause of Joint Pain: Synovial Haemangioma

Şahin¹,

Çiçek²

2020

J. Pediatr. Acad.

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A Rare Cause of Joint Pain: Synovial Haemangioma A 17-year-old girl was admitted with complaints of recurrent pain, swelling and tenderness in her left knee since she was 3 years old. The swelling of the knee has occasionally increased. She was diagnosed as chronic arthritis and non-steroidal anti-inflammatory drugs were recommended before admission. With non-steroidal antiinflammatory drugs, her pain was relieved initially but only partially resolved. On admission, physical examination was unremarkable for arthritis. There was localized swelling measuring 3,5x4 cm in diameter on the upper part of left knee. Acute phase reactants and antinuclear antibodies were negative. Magnetic resonance imaging showed synovial haemangioma characterized by a well-circumscribed contour with a lobule filling the left suprapatellar bursa and space-filling formation with heterogeneous intense contrast enhancement after contrast agent administration (Figure 1). It was required open total synovectomy and mass resection (Figure 2), and histopathological findings were compatible with cavernous haemangioma. Joint pain in children can be result from a variety of acute and chronic diseases. 1 Synovial hemangioma, a benign tumor that occurs in children and young adults, is a non-common cause of recurrent nontraumatic pain and swelling in the knee. 2,3

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Intra-articular haemangioma of the knee in the skeletally immature

Cited by 5 publications

References 9 publications

Synovial hemangioma: A rare cause of chronic knee pain

Synovial hemangioma: A rare cause of chronic knee pain

Location, Clinical Presentation, Diagnostic Algorithm and Open vs. Arthroscopic Surgery of Knee Synovial Haemangioma: A Report of Four Cases and a Literature Review

A Rare Cause of Joint Pain: Synovial Haemangioma

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