Kumar Indrajeet, Sanchay Vaibhav, Ahmed Wasim, Kumar Santosh, Bhadani Janki Sharan
Department of Orthopaedics, Indira Gandhi Institute of Medical Science, Patna, Bihar, India.
Department of Orthopaedics, Paras HMRI Hospital, Patna, Bihar, India.
J Orthop Case Rep. 2024 Oct;14(10):184-187. doi: 10.13107/jocr.2024.v14.i10.4856.
Synovial hemangioma of the knee is a benign vascular malformation that is often misdiagnosed due to its non-specific symptoms.
We present a case involving a 7-year-old male child with chronic knee pain and swelling in the left knee, which remained undiagnosed for over 3 years. Magnetic resonance imaging revealed a synovial vascular malformation. Surgical excision of the lesion and partial synovectomy were performed, and histopathological analysis confirmed the diagnosis of synovial hemangioma. After 18 months of follow-up, there were no signs of recurrence or recurrent joint effusion.
Synovial hemangioma of the knee, although uncommon, should be considered as a differential diagnosis in cases of chronic knee pain and swelling. En-bloc excision is the treatment of choice to prevent recurrence, yielding good clinical outcomes.
膝关节滑膜血管瘤是一种良性血管畸形，因其症状不具特异性，常被误诊。
我们报告一例7岁男性儿童，左膝关节慢性疼痛、肿胀，3年多未确诊。磁共振成像显示为滑膜血管畸形。对病变进行手术切除及部分滑膜切除术，组织病理学分析确诊为滑膜血管瘤。随访18个月后，无复发迹象或反复关节积液。
膝关节滑膜血管瘤虽不常见，但在慢性膝关节疼痛和肿胀病例中应作为鉴别诊断考虑。整块切除是预防复发的首选治疗方法，临床效果良好。
