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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2019

Open Access 01-12-2019 | Magnetic Resonance Imaging | Case report

Intra-articular nodular fasciitis: a rare lesion case report and an updated review of the literature

Authors: Wei Wang, Yiting Huang, Changxing Wang, Jianqiao Hong, Chiyuan Ma, Nong Lin, Zhaoming Ye, Shiyuan Yan, Haobo Wu

Published in: BMC Musculoskeletal Disorders | Issue 1/2019

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Abstract

Background

Nodular fasciitis is a benign proliferation of myofibroblasts that usually arises in subcutaneous tissues of the trunk, neck, head, and upper extremities of young adults. It is not reported to arise in the joints.

Case presentation

In this report, we describe a rare case where nodular fasciitis occurred in an intra-articular location in the right knee of a 20-year-old man. The patient presented with 3-months’ duration of knee pain without history of trauma to the extremity. Physical examination revealed pain, joint effusion, and limited range of motion (ROM) of the affected knee. Magnetic resonance imaging (MRI) showed a 2.5 × 2 × 1 cm lesion in front of the posterior cruciate ligament. Arthroscopically, the soft tissue mass was removed and pathologically diagnosed as a rare, benign, intra-articular nodular fasciitis. Symptoms resolved 1 month after the operation and no recurrence was found at the 6 months follow-up.

Conclusion

The present paper describes detailed characteristics of intra-articular nodular fasciitis and provides an updated comprehensive summary of 21 prior case reports.
Literature
1.
Meyer CA, Kransdorf MJ, Jelinek JS, Moser RJ. MR and CT appearance of nodular fasciitis. J Comput Assist Tomogr. 1991;15(2):276–9.CrossRef
2.
Wang XL, De Schepper AM, Vanhoenacker F, De Raeve H, Gielen J, Aparisi F, Rausin L, Somville J. Nodular fasciitis: correlation of MRI findings and histopathology. Skelet Radiol. 2002;31(3):155–61.CrossRef
3.
Choi HY, Kim SM, Jang M, Yun BL, Ahn HS, Park SY, Kim SW, Kang EY. Nodular fasciitis of the breast: a case and literature review. Ultraschall Med. 2015;36(3):290–1.PubMed
4.
Celik SY, Dere Y, Celik OI, Derin S, Sahan M, Dere O. Nodular fasciitis of the neck causing emergency: a case report. Oman Med J. 2017;32(1):69–72.CrossRef
5.
Choi HJ, Jung KH, Lee HJ. Nodular fasciitis on temple area resulting in surgical trauma. J Craniofac Surg. 2014;25(6):e546–8.PubMed
6.
Montgomery EA, Meis JM. Nodular fasciitis. Its morphologic spectrum and immunohistochemical profile. Am J Surg Pathol. 1991;15(10):942–8.CrossRef
7.
Falco G, Ragazzi M, Cenini E, Foroni M, Silvotti M, Veltri S, Ferrari G. Intramuscular nodular fasciitis of the pectoralis major. Breast J. 2016;22(1):122–3.CrossRef
8.
Lai FM, Lam WY. Nodular fasciitis of the dermis. J Cutan Pathol. 1993;20(1):66–9.CrossRef
9.
Patchefsky AS, Enzinger FM. Intravascular fasciitis: a report of 17 cases. Am J Surg Pathol. 1981;5(1):29–36.CrossRef
10.
Chan MF, Ong KO, Foo SS, Selvarajan S. Intra-articular nodular fasciitis: an unexpected diagnosis for a joint lesion: a case report. Malays Orthop J. 2014;8(2):63–5.CrossRef
11.
Gans I, Morrison MR, Chikwava KR, Wells L. Intra-articular nodular fasciitis of the knee in a pediatric patient. Orthopedics. 2014;37(3):e313–6.CrossRef
12.
Hagino T, Ochiai S, Sato E, Watanabe Y, Senga S, Kondo T, Haro H. Intraarticular nodular fasciitis causing limitation of knee extension: a case report. Knee. 2010;17(6):424–7.CrossRef
13.
Harish S, Kuruvilla M, Alowami S, DeNardi F, Ghert M. Intra-articular nodular fasciitis of the shoulder: a case report and review of the literature. Skelet Radiol. 2011;40(10):1383–6.CrossRef
14.
Hornick JL, Fletcher CD. Intraarticular nodular fasciitis--a rare lesion: clinicopathologic analysis of a series. Am J Surg Pathol. 2006;30(2):237–41.CrossRef
15.
Ko PY, Huang MT, Song HL, Lin MC. Intra-articular nodular fasciitis of the knee in a 4-year-old girl: a case report and review of the literature. J Pediatr Orthop B. 2013;22(4):350–2.CrossRef
16.
Ladermann A, Kindynis P, Taylor S, Ceroni D, Hoffmeyer P, Kaelin A, Resnick D. Articular nodular fasciitis in the glenohumeral joint. Skelet Radiol. 2008;37(7):663–6.CrossRef
17.
Matsuzaki T, Akisue T, Kishimoto K, Kishimoto S, Imabori M, Hara H, Okada Y, Hitora T, Kuroda R, Kurosaka M, et al. Intra-articular nodular fasciitis of the knee: a rare cause of recurrent hemarthrosis. Rheumatol Int. 2012;32(6):1691–4.CrossRef
18.
Soejima T, Murakami H, Tanaka N, Sato K, Nagata K, Sugita Y. Fasciitis-like proliferation in the knee joint. Arthroscopy. 2003;19(4):E33.CrossRef
19.
Strazar K, Drobnic M, Zupanc O, Jovic V, Pizem J. Intraarticular nodular fasciitis of the hip. Arch Orthop Trauma Surg. 2013;133(4):537–40.CrossRef
20.
Tajima S, Zuki T, Koda K. Articular nodular fasciitis of the right shoulder joint: report of an unusual case with focus on immunohistochemical differential diagnosis. Int J Clin Exp Pathol. 2015;8(4):4242–7.PubMedPubMedCentral
21.
Yamamoto T, Nagira K, Mitsuaki N. Intra-articular Nodular Fasciitis. J Arthrosc Relat Surg. 2001;17(9):E38.
22.
Goldstein JA, Cates JM. Differential diagnostic considerations of desmoid-type fibromatosis. Adv Anat Pathol. 2015;22(4):260–6.CrossRef
23.
Bhattacharya B, Dilworth HP, Iacobuzio-Donahue C, Ricci F, Weber K, Furlong MA, Fisher C, Montgomery E. Nuclear beta-catenin expression distinguishes deep fibromatosis from other benign and malignant fibroblastic and myofibroblastic lesions. Am J Surg Pathol. 2005;29(5):653–9.CrossRef
24.
Ng TL, Gown AM, Barry TS, Cheang MC, Chan AK, Turbin DA, Hsu FD, West RB, Nielsen TO. Nuclear beta-catenin in mesenchymal tumors. Mod Pathol. 2005;18(1):68–74.CrossRef
25.
Lin XY, Wang L, Zhang Y, Dai SD, Wang EH. Variable Ki67 proliferative index in 65 cases of nodular fasciitis, compared with fibrosarcoma and fibromatosis. Diagn Pathol. 2013;8:50.PubMedPubMedCentral
26.
van der Heijden L, Gibbons CL, Dijkstra PD, Kroep JR, van Rijswijk CS, Nout RA, Bradley KM, Athanasou NA, Hogendoorn PC, van de Sande MA. The management of diffuse-type giant cell tumour (pigmented villonodular synovitis) and giant cell tumour of tendon sheath (nodular tenosynovitis). J Bone Joint Surg Br. 2012;94(7):882–8.CrossRef
27.
Frassica FJ, Bhimani MA, McCarthy EF, Wenz J. Pigmented villonodular synovitis of the hip and knee. Am Fam Physician. 1999;60(5):1404 -1410, 1415.PubMed
28.
Lewis MM, Marshall JL, Mirra JM. Synovial chondromatosis of the thumb. A case report and review of the literature. J Bone Joint Surg Am. 1974;56(1):180–3.CrossRef
29.
Ho YY, Choueka J. Synovial chondromatosis of the upper extremity. J Hand Surg Am. 2013;38(4):804–10.CrossRef
30.
Eckert F, Schaich B. Tendon sheath fibroma. A case report with immunohistochemical studies. Hautarzt. 1992;43(2):92–6.PubMed
31.
Hung CY, Chang KV, Ozcakar L. Nodular fasciitis causing progressive limitation of knee flexion in a marathon runner: imaging with ultrasound and magnetic resonance. Kaohsiung J Med Sci. 2017;33(5):266–8.CrossRef
32.
Chang KV, Wu WT, Huang KC, Jan WH, Han DS. Limb muscle quality and quantity in elderly adults with dynapenia but not sarcopenia: an ultrasound imaging study. Exp Gerontol. 2018;108:54–61.CrossRef
33.
Chang KV, Wu WT, Han DS, Ozcakar L. Static and dynamic shoulder imaging to predict initial effectiveness and recurrence after ultrasound-guided subacromial corticosteroid injections. Arch Phys Med Rehabil. 2017;98(10):1984–94.CrossRef
Metadata
Title
Intra-articular nodular fasciitis: a rare lesion case report and an updated review of the literature
Authors
Wei Wang
Yiting Huang
Changxing Wang
Jianqiao Hong
Chiyuan Ma
Nong Lin
Zhaoming Ye
Shiyuan Yan
Haobo Wu
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2019
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-018-2375-1

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