Akkaya Tolga, Ersözlü Salim, Ozgür Ahmet Fevzi, Tandoğan N Reha
Başkent Universitesi Tip Fakültesi, Ortopedi ve Travmatoloji Anabilim Dali, Konya.
Acta Orthop Traumatol Turc. 2006;40(2):169-72.
Pigmented villonodular synovitis is a benign proliferative disorder of the joint and of the tendon sheath synovium. It has a predilection for the lower extremities, particularly the knee and the hip. The elbow joint is rarely affected. A 56-year-old woman had complaints of pain and swelling in the left elbow for three years. She had no history of trauma. On physical examination, she had swelling of the left elbow, varus deformity, and flexion contracture of 20 degrees. Active and passive joint movements were painful. Magnetic resonance imaging showed synovial thickening and signal changes. An incisional biopsy yielded a diagnosis of pigmented villonodular synovitis. She underwent subtotal synovectomy and excision of the radius head. No evidence of clinical or radiologic recurrence was detected within a follow-up of 16 months.
色素沉着绒毛结节性滑膜炎是一种关节和腱鞘滑膜的良性增生性疾病。它好发于下肢，尤其是膝关节和髋关节。肘关节很少受累。一名56岁女性因左肘疼痛和肿胀三年前来就诊。她没有外伤史。体格检查发现左肘肿胀、内翻畸形以及20度的屈曲挛缩。关节主动和被动活动均疼痛。磁共振成像显示滑膜增厚及信号改变。切开活检诊断为色素沉着绒毛结节性滑膜炎。她接受了滑膜次全切除术和桡骨头切除术。在16个月的随访中未发现临床或影像学复发的证据。
