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一名24岁女性足球运动员膝关节局限性色素沉着绒毛结节性滑膜炎罕见病例:腱鞘巨细胞瘤的诊断、治疗及总结

A rare case of localised pigmented villonodular synovitis in the knee of a 24-year-old female soccer player: diagnosis, management and summary of tenosynovial giant cell tumours.

作者信息

Falster Casper, Stockmann Poulsen Simon, Joergensen Uffe

机构信息

Department of Molecular Endocrinology and Stem Cell Research Unit (KMEB), Odense University Hospital, Odense, Denmark.

Department of Orthopedic Surgery and Sports Traumatology, Odense University Hospital, Odense, Denmark.

出版信息

BMJ Case Rep. 2017 Oct 4;2017:bcr-2017-219549. doi: 10.1136/bcr-2017-219549.

Abstract

Localised pigmented villonodular synovitis (PVNS) of the knee is a rare diagnosis, with clinical signs and symptoms mimicking meniscal damage or other common knee injuries.We report the case of a 24-year-old female soccer player, seeking treatment after 7 months of persisting knee pain. Additionally, we present an overview of tenosynovial giant cell tumours.On examination, the patient was found to have tenderness in the medial joint space of the knee. MRI revealed a heterogeneous formation in the central part of the knee. The formation was completely enucleated arthroscopically, histological analyses confirmed the diagnosis of localised PVNS. The patient was subsequently free of symptoms with no signs of recurrence on MRI and had resumed soccer practice at the 1-year follow-up appointment.

摘要

膝关节局限性色素沉着绒毛结节性滑膜炎(PVNS)是一种罕见的诊断,其临床体征和症状类似半月板损伤或其他常见的膝关节损伤。我们报告一例24岁的女性足球运动员病例,该患者在持续膝关节疼痛7个月后寻求治疗。此外,我们还对腱鞘巨细胞瘤进行了概述。经检查,发现该患者膝关节内侧关节间隙有压痛。磁共振成像(MRI)显示膝关节中部有一个不均匀的结构。通过关节镜手术将该结构完全摘除,组织学分析证实为局限性PVNS。该患者随后无症状,MRI检查无复发迹象,在1年的随访预约时已恢复足球训练。

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