Pigmented villonodular synovitis of the proximal tibiofibular joint

Abstract

Pigmented villonodular synovitis is an uncommon proliferative disease of the synovium, which is usually monoarticular, presenting as chronic monoarthritis of the knee. To our knowledge, the case under discussion is only the second report in the English language medical literature of isolated involvement of the proximal tibiofibular joint.

Isolated proximal tibiofibular joint arthritis in a patient with juvenile idiopathic arthritis: A case report

“…The differential diagnosis of pain in this area should include infection, chronic arthritis, degenerative disease, pigmented villonodular synovitis (PVS), and ganglion cyst [3][4][5][6][7][8]. In previous reports, ganglion cyst was reported more often, but ruling out PVS is important on MRI.…”

MR Imaging Assessment of Arthritis of the Knee

“…Extra-articular PVNS can be seen about the knee, 63 and can be isolated to the tibiofibular joint. 70 Malignant PVNS is rare but occurs over a wide range of ages. Extensive marrow involvement, though nonspecific, can be seen, and suspicion for malignant transformation should be raised.…”

Proximal Tibiofibular Joint in Knees with Arthroplasty

“…Pigmented villonodular synovitis (PVNS) is an uncommon proliferative disease of the synovium, which is usually monoarticular, presenting as chronic monoarthritis of the knee (Forster et al, 2007). PVNS is characterized by synovial hypertrophy with diffuse or focal hemosiderin deposition in the joint (Ryan et al, 2004). The disease can affect the PTFJ similarly to other synovial joints.…”

“…Pathologies of this joint include primary osteoarthritis (Bozkurt et al, 2004;Öztuna et al, 2003;Özcan et al, 2009), trauma (Ogden, 1974;Resnick et al, 1978), infection, and inflammatory arthritis (Resnick & Niwayama,1995), synovial osteochondromatosis (Bozkurt et al, 2007;Heybeli et al, 2009;Weiss et al, 1975), neoplasms (Forster et al, 2007), ganglion cysts (Miskovsky et al, 2004;Mortazavi et al, 2006;Ward & Echardt, 1994), and pigmented villonodular synovitis (Ryan et al, 2004).…”