Orthopedic & Muscular System: Current Research
Open Access
ISSN: 2161-0533
+44-77-2385-9429
ISSN: 2161-0533
+44-77-2385-9429
Jesslyn Lim and Ashwini Sood
Hospital Kulim, Malaysia
Posters & Accepted Abstracts: Orthop Muscular Syst
Pigmented villonodullar tenosynovitis (PVNS) is a rare disease and often be missed. We are reporting a case of a morbid obese young lady, has history of chikungunya infection, presented to us with bilateral knee pain for 6 years, worsening and recurrent knee swelling for past 9 months. X-ray bilateral knee shown reduced knee joint space with articular surface destruction. Initially, our impression was bilateral knee osteoarthritis secondary post inflammatory viral arthritis. Proceed with right Total Knee Replacement (TKR). Intraoperatively, noted multiple brownish synovium nodular, HPE reported as PVNS. Subsequently patient also had a left TKR done. PVNS is a benign neoplasm that develops in the synovial lining of joints common in age group of 20s-40s, diagnosis can be made by MRI and confirmed by biopsy. Treatment include synovectomy, follow by post-synovectomy adjuvant . Late stages of treatment include TKR or arthrodesis. We should have high index of suspicion for similar cases. If this patient could have presented to us earlier, synovectomy followed by adjuvant radiotherapy would have prevented the neoplastic lesion from destructing the joint surface and TKR could be avoided.
Email: jesslynl@gmail.com