Pannu Chaitanya Dev, Morey Vivek, Prashant B, Rastogi Shishir
Department of Orthopedics, All India Institute of Medical sciences, New Delhi, India.
Department of Orthopedics, All India Institute of Medical sciences, New Delhi, India.
Foot (Edinb). 2014 Sep;24(3):146-8. doi: 10.1016/j.foot.2014.05.001. Epub 2014 May 15.
Pigmented villonodular synovitis is a common disease entity particularly in the knee joint but its incidence in the foot is quite rare. A case of first metatarsophalangeal (MTP) joint pigmented villonodular synovitis (PVNS), presented to us with recurrence of symptoms after surgical excision done outside our institute. After histological confirmation of recurrence of the disease, repeat open surgical excision was performed. After being asymptomatic for two months she presented to us with recurrence of symptoms for which hyperkeratotic plaque at the ventral aspect of the first MTP joint was found to be responsible on physical examination. It was treated surgically by pairing it and now patient is symptom free for last 1 year. It signifies the importance of the histopathology in the diagnosis and recurrence of the PVNS and thorough physical examination in the management of the foot pathologies.
色素沉着绒毛结节性滑膜炎是一种常见的疾病，尤其好发于膝关节，但在足部的发病率相当罕见。我们收治了一例第一跖趾关节色素沉着绒毛结节性滑膜炎（PVNS）患者，该患者在我院外接受手术切除后症状复发。在组织学确诊疾病复发后，进行了再次开放性手术切除。在无症状两个月后，她再次出现症状，经体格检查发现第一跖趾关节腹侧的角化过度斑块是症状复发的原因。通过手术切除该斑块进行治疗，目前患者在过去一年中无症状。这表明组织病理学在PVNS诊断和复发中的重要性，以及在足部疾病管理中进行全面体格检查的重要性。
