Adelani Muyibat A, Wupperman Richard M, Holt Ginger E
Vanderbilt Medical Center, Nashville, TN 37232-8774, USA.
J Am Acad Orthop Surg. 2008 May;16(5):268-75. doi: 10.5435/00124635-200805000-00005.
Collectively, benign synovial disorders are not uncommon, and they may be seen in general orthopaedic practices. Symptoms are nonspecific, often delaying diagnosis. In fact, synovial chondromatosis, pigmented villonodular synovitis, synovial hemangioma, and lipoma arborescens often mimic each other as well as other, more common joint disorders in presentation, making diagnosis extremely difficult. It is important to diagnose these disorders correctly in order to provide appropriate treatment and avoid secondary sequelae, such as bone erosion and cartilage degeneration.
总体而言,良性滑膜疾病并不罕见,在普通骨科诊疗中均可见到。其症状不具有特异性,常常延误诊断。事实上,滑膜软骨瘤病、色素沉着绒毛结节性滑膜炎、滑膜血管瘤和树状脂肪瘤在临床表现上常常相互模仿,也与其他更常见的关节疾病相似,这使得诊断极为困难。正确诊断这些疾病对于提供恰当治疗并避免诸如骨质侵蚀和软骨退变等继发性后遗症至关重要。