Aboulafia A J, Kaplan L, Jelinek J, Benevenia J, Monson D K
Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Clin Orthop Relat Res. 1996 Apr(325):174-80. doi: 10.1097/00003086-199604000-00020.
Pigmented villonodular synovitis is a benign proliferative process of unknown origin that may cause extensive bone and joint destruction. Patients with this condition typically present with symptoms of mild discomfort and associated stiffness of the involved joint; however, the spectrum of presentations is broad. Although pigmented villonodular synovitis begins in, and usually is confined within, a synovium-lined joint, it may extend beyond the joint capsule and present as a soft tissue mass. Three cases of a previously unrecognized presentation of pigmented villonodular synovitis of the hip joint are presented. The authors believe these to be the first reported cases in the English language literature of pigmented villonodular synovitis of the hip seen with femoral or sciatic neuropathy.
色素沉着绒毛结节性滑膜炎是一种病因不明的良性增生性病变，可导致广泛的骨与关节破坏。患有这种疾病的患者通常表现为受累关节轻度不适及相关僵硬症状；然而，其临床表现范围广泛。尽管色素沉着绒毛结节性滑膜炎始于且通常局限于滑膜衬里的关节内，但它可能延伸至关节囊外并表现为软组织肿块。本文介绍了三例髋关节色素沉着绒毛结节性滑膜炎的此前未被认识的表现。作者认为这些是英文文献中首次报道的伴有股神经或坐骨神经病变的髋关节色素沉着绒毛结节性滑膜炎病例。
