Subscribe to RSS
Localized Pigmented Villonodular Synovitis Originating from the Lateral Meniscus in a 17-year-old: Case Report and Literature Review of Meniscal-Associated Localized PVNS
Tenosynovial giant cell tumors (TSGCT) are benign tumors originating from the synovial joint, bursa, or tendon sheath. Localized pigmented villonodular synovitis (PVNS), a subtype of TSGCT, commonly affects the hands and feet and has also been reported in the literature in the knee joint. There is sparse literature on localized PVNS arising specifically from meniscal tissue. We present a case report of a 17-year- old male with symptoms and MRI findings consistent with a lateral meniscus tear. Intraoperatively, the patient was found to have a mass originating from the torn meniscal tissue, which was confirmed by pathology to be a TSGCT. We performed a literature review of intra-articular localized PVNS within the knee presenting as a meniscal tear.
Keywordspigmented villonodular synovitis - tenosynovial giant cell tumor meniscus - knee arthroscopy
Received: 15 January 2021
Accepted: 22 July 2021
Article published online:
10 September 2021
© 2021. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
- 1 Falster C, Stockmann Poulsen S, Joergensen U. A rare case of localised pigmented villonodular synovitis in the knee of a 24-year-old female soccer player: diagnosis, management and summary of tenosynovial giant cell tumours. BMJ Case Rep 2017; 2017: bcr2017219549
- 2 Stephan SR, Shallop B, Lackman R, Kim TW, Mulcahey MK. Pigmented villonodular synovitis: a comprehensive review and proposed treatment algorithm. JBJS Rev 2016; 4 (07) e3
- 3 Baroni E, Russo BD, Masquijo JJ, Bassini O, Miscione H. Pigmented villonodular synovitis of the knee in skeletally immature patients. J Child Orthop 2010; 4 (02) 123-127
- 4 Beytemür O, Albay C, Tetikkurt US. et al. Localized giant cell tenosynovial tumor seen in the knee joint. Case Rep Orthop 2014; 2014: 840243
- 5 Harris E, Gillingham B, Hofmeister E, Lyons P. Localized pigmented villonodular synovitis: three cases of intra-articular knee involvement. J Knee Surg 2003; 16 (03) 173-178 , discussion 178
- 6 Bouguennec N, Meyer A, Graveleau N. Localized form of pigmented villonodular synovitis of the knee: the meniscal mime. Orthop Traumatol Surg Res 2014; 100 (02) 251-254
- 7 Myers BW, Masi AT. Pigmented villonodular synovitis and tenosynovitis: a clinical epidemiologic study of 166 cases and literature review. Medicine (Baltimore) 1980; 59 (03) 223-238
- 8 Rao AS, Vigorita VJ. Pigmented villonodular synovitis (giant-cell tumor of the tendon sheath and synovial membrane). A review of eighty-one cases. J Bone Joint Surg Am 1984; 66 (01) 76-94
- 9 Yotsumoto T, Iwasa J, Uchio Y. Localized pigmented villonodular synovitis in the knee associated with locking symptoms. Knee 2008; 15 (01) 68-70
- 10 Xu Z, Mao P, Chen D. et al. Tenosynovial giant cell tumor arising from the posterior cruciate ligament: a case report and literature review. Int J Clin Exp Pathol 2015; 8 (06) 6835-6840
- 11 Flandry FC, Jacobson KE, Andrews JR. Localized pigmented villonodular synovitis of the knee mimicking meniscal injury. Arthroscopy 1986; 2 (04) 217-221
- 12 Roach R, dos Remedios I. Localised pigmented villonodular synovitis: an uncommon cause of knee pain mimicking a meniscal tear. Br J Sports Med 2003; 37 (04) 368-369
- 13 Van Meter CD, Rowdon GA. Localized pigmented villonodular synovitis presenting as a locked lateral meniscal bucket handle tear: a case report and review of the literature. Arthroscopy 1994; 10 (03) 309-312