Greenspan Adam, Grainger Andrew J
Department of Radiology, University of California School of Medicine, Sacramento, California, USA.
Leeds Teaching Hospitals and Leeds University, Leeds, UK.
J Ultrason. 2018;18(74):212-223. doi: 10.15557/JoU.2018.0032.
There are numerous abnormalities that present with similar signs and symptoms to arthritis. In this article some of these conditions that can masquerade as arthritis are discussed. Synovial osteochondromatosis is an uncommon benign disorder marked by the metaplastic proliferation of multiple cartilaginous nodules in the synovial membrane of the joints, bursae, or tendon sheaths. Pigmented villonodular synovitis, also known as diffuse-type tenosynovial giant cell tumor, is a locally destructive fibrohistiocytic proliferation, characterized by many villous and nodular synovial protrusions which affects the joints. Synovial hemangioma is a rare benign lesion whose pathogenesis is still unclear. It commonly affects the knee joint, although the other articulations, such as elbow, wrist, and ankle may also be involved. Lipoma arborescens, also known as villous lipomatous proliferation of the synovial membrane, is a rare intra-articular disorder characterized by a non-neoplastic lipomatous proliferation of the synovium. The term "arborescens" refers to the characteristic tree-like morphology of the lesion, which resembles a frond-like mass.
有许多异常情况会表现出与关节炎相似的体征和症状。在本文中,将讨论一些可能伪装成关节炎的病症。滑膜骨软骨瘤病是一种罕见的良性疾病,其特征是关节、滑囊或腱鞘的滑膜中多个软骨结节的化生增殖。色素沉着绒毛结节性滑膜炎,也称为弥漫型腱鞘巨细胞瘤,是一种局部破坏性的纤维组织细胞增殖,其特征是许多绒毛状和结节状滑膜突起,可累及关节。滑膜血管瘤是一种罕见的良性病变,其发病机制仍不清楚。它通常影响膝关节,不过其他关节,如肘部、腕部和踝部也可能受累。脂瘤性滑膜炎,也称为滑膜绒毛状脂肪瘤增殖,是一种罕见的关节内疾病,其特征是滑膜的非肿瘤性脂肪瘤增殖。术语“arborescens”指的是病变具有特征性的树状形态,类似于叶状肿块。