Novikov David, Richardson Meghan W, Ho Corey, Gould Elaine S, Khan Fazel A
Medical Student, Department of Orthopaedic Surgery, Stony Brook University Hospital, Stony Brook, NY.
Resident, Department of Orthopaedic Surgery, Stony Brook University Hospital, Stony Brook, NY.
J Foot Ankle Surg. 2018 Nov-Dec;57(6):1263-1266. doi: 10.1053/j.jfas.2018.03.029. Epub 2018 Aug 23.
Pigmented villonodular synovitis mostly affects the knee and other large joints such as the hip. Although the disease is most commonly found in adult patients aged 30 to 40 years, rare cases in children and the elderly have been reported. We present the case of an 11-year-old female who was found to have biopsy-proven pigmented villonodular synovitis in her subtalar joint in 2012. Five years after surgical excision, the patient has continued to be involved in competitive dancing and cheerleading without any pain in her ankle. Moreover, follow-up magnetic resonance imaging studies showed no evidence of recurrence. Our case report emphasizes that the disease should not be solely considered in the middle-age population but should be included in the differential diagnosis of the pediatric patient.
色素沉着绒毛结节性滑膜炎多累及膝关节及其他大关节，如髋关节。虽然该病最常见于30至40岁的成年患者，但也有儿童和老年人的罕见病例报道。我们报告一例11岁女性病例，2012年经活检证实其距下关节患有色素沉着绒毛结节性滑膜炎。手术切除五年后，该患者继续参加竞技舞蹈和啦啦队活动，踝关节无任何疼痛。此外，随访磁共振成像研究未显示复发迹象。我们的病例报告强调，该病不应仅在中年人群中考虑，而应纳入儿科患者的鉴别诊断。
