膝关节及髌骨内色素沉着性绒毛结节性滑膜炎一例报告
高明暄
李旭升
邵宏斌
陈彦飞
常彦峰
李生贵
郝晓东
1.730050,兰州军区兰州总医院骨科2.730050,兰州军区兰州总医院骨科3.730050,兰州军区兰州总医院骨科4.730050,兰州军区兰州总医院骨科5.730050,兰州军区兰州总医院骨科6.730050,兰州军区兰州总医院骨科7.730050,兰州军区兰州总医院骨科
摘要：Objective To describe a rare case of pigmented villonodular synovitis ( PVNS ) with a nodular lesion in the left patella, diffuse affected synovial tissue in the left knee and an extra-articular mass in the left poplitea. Methods A 37-year-old female with complaints of intermittent left knee pain ( 3 years ) and a painful mass palpated in her left poplitea was analyzed.Results On plain radiograph, an osteolytic lesion was evident in the left patella, ESR: 8 mm / h, CRP: 3.1 mg / L, no obvious abnormal signals. Magnetic resonance imaging ( MRI ) of left knee showed lesions with same signal intensity coexist both in the inner left patella, left intra-articular knee joint and left extra-articular poplitea. Diagnosis of PVNS was made. Combined with arthroscopic synovectomy, open resection of lesions and iliac crest bone graft for patellar bone defect were performed. The postoperative pathological diagnoses of the resected mass from the poplitea, the affected synovial tissue and the lesion in the patella were consistent with PVNS. The postoperative clinical course was uneventful. No signs of recurrence were found at 1-year follow-up.Conclusions This is the ifrst report of PVNS occurring both in the inner left patella, left intra-articular knee joint and left extra-articular poplitea.
关键词：滑膜炎色素绒毛结节性巨细胞瘤髌骨膝关节
分类号：R684(骨科学（运动系疾病、矫形外科学）)
论文发表日期：2016-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 553-556 )
英文信息