Published in:
Open Access
01-02-2013 | Meeting abstract
Diffuse pigmented villonodular synovitis in a child – what is the best management?
Authors:
Sharmin Nizam, Lesley D Hordon
Published in:
BMC Musculoskeletal Disorders
|
Special Issue 1/2013
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Excerpt
A 5 year old boy presented to orthopaedics in 2004 with a 3-4 month history of intermittent left knee pain. As examination was normal he required no specific treatment. In 2007, he attended A&E with a spontaneous left knee effusion with a CRP of 9 mg/l, ESR 9 mm/h, raised platelet count of 559 (109/l) and mild neutrophilia of 9.23 (109/l). Knee x-ray was normal. 20 mls of haemorrhagic fluid was aspirated (cultures negative). 2 months later, he was seen by rheumatologists due to fluctuant swelling, initially responding to oral non-steroidals but later requiring an intra-articular injection (20 mg triamcinolone). MRI imaging suggested PVNS. …