Jerome J Terrence Jose, Sankaran Balu
Department of Orthopedics, St Stephen's Hospital, Tiz Hazari, Delhi, India.
Indian J Pediatr. 2009 Apr;76(4):414-6. doi: 10.1007/s12098-009-0007-3. Epub 2009 Feb 10.
We present a 16 year old student with right elbow pigmentary villonodular synovitis. Clinical diagnosis, radiological features, MRI findings, biopsy results, management and follow up are discussed. MRI is the diagnostic modality of choice and assists the surgeon for a proper incision. Correlation of all the clinical aspects and the histologic features is usually required for definitive diagnosis. A complete surgical synovectomy provides the best chance for cure, but the goal of eradication of this benign process must be balanced against the morbidity of more aggressive surgery. The patient made a full recovery at the end of 4 years and leads a normal life. Pigmented villonodular synovitis should be included in the differential diagnosis of elbow monoarticular joint swelling in young and middle-aged adults.
我们报告一例16岁患有右肘色素沉着绒毛结节性滑膜炎的学生。文中讨论了临床诊断、放射学特征、磁共振成像（MRI）表现、活检结果、治疗及随访情况。MRI是首选的诊断方式，有助于外科医生确定合适的手术切口。明确诊断通常需要综合所有临床方面及组织学特征。完整的手术滑膜切除术提供了最佳的治愈机会，但根除这一良性病变的目标必须与更激进手术带来的发病率相权衡。该患者在4年后完全康复，过上了正常生活。色素沉着绒毛结节性滑膜炎应纳入中青年肘单关节肿胀的鉴别诊断。
