Top

European Journal of Orthopaedic Surgery & Traumatology

Published in:

01-05-2009 | Case Report

Pigmented villonodular synovitis: an unusual complication of Oxford unicompartmental knee replacement leading to failure and revision. Two case reports and review of the literature

Authors: Nemandra Amir Sandiford, Konstantinos Tsitskaris, Sudhir Rao, Stefan Weitzel

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 4/2009

Abstract

Background

Pigmented villonodular synovitis (PVNS) is a rare disease of the synovial membrane. Its relationship to unicompartmental arthroplasty is unknown and it has never been reported as a complication of this procedure.

Methods

Retrospective review of two cases who presented with this rare condition after Oxford unicompartmental arthroplasty (Biomet, UK). We present their cases and discuss the difficulties we faced in their management.

Discussion

These cases are remarkably similar in their presentation. The diagnosis was confirmed histologically in both cases. We mainly focus on the diagnostic difficulties and our treatment strategies in both cases. We also review the current literature on this unusual disease.

Jaffe HL, Lichtenstein L, Sutro CJ (1941) Pigmented villonodular synovitis, bursitis and tenosynovitis. Arch Pathol 31:731–765

Myers BW, Masi AT (1980) Pigmented villonodular synovitis and tenosynovitis: a clinical epidemiologic study of 166 cases and literature review. Medicine (Baltimore) 59:223–238

Monu JUV MD (2005) Pigmented villonodular synovitis. E medicine. http://www.emedicine.com. Accessed 17 June 2005

Bravo SM, Winalski CS, Weissman BN (1996) Pigmented villonodular synovitis. Radiol Clin North Am 34:311–326PubMed

Cotten A, Flipo RM, Chastanet P, Desvigne-Noulet MC, Duquesnoy B, Delcambre B (1995) Pigmented villonodular synovitis of the hip: review of radiographic features in 58 patients. Skeletal Radiol 24:1–6PubMedCrossRef

Outerbridge RE (2001) The etiology of chondromalacia patellae. Clin Orthop Relat Res 389:5–8PubMedCrossRef

Llauger J, Palmer J, Roson N, Cremades R, Bague S (1999) Pigmented villonodular synovitis and giant cell tumors of the tendon sheath: radiologic and pathologic features. AJR Am J Roentgenol 4:1087–1091

de Visser E, Veth RP, Pruszczynski M, Wobbes T, Van de Putte LB (1999) Diffuse and localized pigmented villonodular synovitis: evaluation of treatment of 38 patients. Arch Orthop Trauma Surg 119:401–404PubMedCrossRef

Mohler DG, Kessler BD (2000) Open synovectomy with cryosurgical adjuvant for treatment of diffuse pigmented villonodular synovitis of the knee. Bull Hosp Jt Dis 59(2):99–105PubMed

10.

Simon G (1865) Extirpation einer sehr grossen, mit dickem stiele angewachensen kneigelen lemons mit glucklichem er folge. Arch Klin Chir 6:573

11.

Moser E (1909) Primaires sarkom du fussgelenk kapsel. Exstirpatom Dauerheilung Deutsche Zeitschriffe Chir 98:306–310

12.

Marberry K, Lowry K, Griffiths H, Kenter K (2001) Radiologic case study. Pigmented villonodular synovitis. Orthopedics 24(7):647, 710–712

13.

Martin RC 2nd, Osborne DL, Edwards MJ, Wrightson W, McMasters KM (2000) Giant cell tumor of tendon sheath, tenosynovial giant cell tumor and pigmented villonodular synovitis: defining the presentation, surgical therapy and recurrence. Oncol Rep 7(2):413–419PubMed

14.

Bojanic I, Ivkovic A, Dotlic S, Ivkovic M, Manojlovic S (2001) Localized pigmented villonodular synovitis of the knee: diagnostic challenge and arthroscopic treatment: a report of three cases. Knee Surg Sports Traumatol Arthrosc 9(6):350–354 (Epub 2001 Aug 1)PubMedCrossRef

15.

Farrokh D, Annaert JM, Fabeck L, Theunis A, Delince P (2001) Localized pigmented villonodular synovitis of the knee with bone involvement mimicking a benign bone tumor: CT and MR findings. JBR-BTR 84(6):253–255PubMed

16.

Frassica FJ, Khanna JA, McCarthy EF (2000) The role of MR imaging in soft tissue tumor evaluation: perspective of the orthopedic oncologist and musculoskeletal pathologist. Magn Reson Imaging Clin N Am 8(4):915–927PubMed

17.

Bouali H, Deppert EJ, Leventhal LJ, Reeves B, Pope T (2004) Pigmented villonodular synovitis: a disease in evolution. J Rheumatol 31(8):1659–1662PubMed

18.

Frassica FJ, Bhimani MA, McCarthy EF, Wenz J (1999) Pigmented villonodular synovitis of the hip and knee. Am Fam Physician 60(5):1404–1410PubMed

19.

Svard UC, Price AJ (2001) Oxford medial unicompartmental knee arthroplasty a survival analysis of an independent series. J Bone Joint Surg Br 83(2):191–194PubMedCrossRef

20.

Clohisy JC, Calvert G, Tull F, McDonald D, Maloney WJ (2004) Reasons for revision hip surgery: a retrospective review. Clin Orthop Relat Res 429:188–192PubMedCrossRef

21.

Granowitz SP, D’Antonio J, Mankin HL (1976) The pathogenesis and long-term end results of pigmented villonodular synovitis. Clin Orthop 114:335–351PubMed

22.

Rao SG, Rae PJ, Royle SG, Noble J (1995) Localized pigmented villonodular synovitis presenting as a locked knee: a report of three cases and a review of the literature. The Knee 2(3):173–176CrossRef

Title: Pigmented villonodular synovitis: an unusual complication of Oxford unicompartmental knee replacement leading to failure and revision. Two case reports and review of the literature
Authors: Nemandra Amir Sandiford
Konstantinos Tsitskaris
Sudhir Rao
Stefan Weitzel
Publication date: 01-05-2009
Publisher: Springer-Verlag
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 4/2009
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-008-0410-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pigmented villonodular synovitis: an unusual complication of Oxford unicompartmental knee replacement leading to failure and revision. Two case reports and review of the literature

Abstract

Background

Methods

Discussion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Discussion

Please log in to get access to this content

Other articles of this Issue 4/2009

Early catastrophic acetabular cup breakage: a rare case report

The utility of the ultrasonographic evaluation of the shoulder joint for the orthopaedic specialist

Wooden foreign body pseudotumour

Post traumatic completely embedded ring

Anatomical repair of distal biceps brachii tendon rupture through a limited anterior approach

The changes in bone mineral density of the forearm and distal radius–ulna subcortical bone due to ulnar variance