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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(S 02): e188-e193
DOI: 10.1055/s-0044-1779313
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Localized Pigmented Villonodular Synovitis in the Shoulder: Report of a Case Treated through Arthroscopy

Article in several languages: português | English
Jair Simmer Filho 
1   Serviço de Ortopedia e Traumatologia, Hospital Santa Rita de Cássia, Vitória, ES, Brasil
,
Thiago Henrique Cruz Ghidetti
1   Serviço de Ortopedia e Traumatologia, Hospital Santa Rita de Cássia, Vitória, ES, Brasil
,
Raul Meyer Kautsky
1   Serviço de Ortopedia e Traumatologia, Hospital Santa Rita de Cássia, Vitória, ES, Brasil
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Financial Support The authors declare that the present study did not receive any financial support from public, commercial, or not-for-profit sources.
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Abstract

Pigmented villonodular synovitis (PVNS) is rare in the shoulder, with few descriptions in the literature. We present the case of a 58-year-old female patient with no history of trauma. The patient reported pain for 2 months with no limb irradiation and presented lifting strength loss and progressive limitation of active and passive mobility. She underwent unsupervised physical therapy and there was no improvement in symptoms. A magnetic resonance imaging (MRI) scan of the shoulder showed an oval structure of approximately 2 cm in diameter in the anteroinferior region of the glenohumeral joint with internal hypointense signal foci. We performed the arthroscopic treatment, with marginal resection of the lesion and tenotomy of the long bicipital head. The anatomopathological report confirmed the diagnosis of PVNS. Four years and five months after the surgery, the patient is pain-free, with full recovery of the left shoulder function. A follow-up MRI showed no recurrence, demonstrating the effectiveness of the arthroscopic treatment in this case.

Keywords

arthroscopy - giant cell tumor of tendon sheath - shoulder injuries - shoulder joint

Work carried out at the Santa Rita de Cássia Hospital, Vitória, ES, Brazil.




Publication History

Received: 04 May 2022

Accepted: 29 May 2023

Article published online:
22 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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