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07.12.2022 | Case Report

Intra-labral pigmented villonodular synovitis: a rare case in two adult patients

verfasst von: Catherina Zadeh, Jacob Henrichsen, Nastaran Fatemi, Robert Westermann

Erschienen in: Skeletal Radiology

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Abstract

This article discusses two rare cases of intra-labral pigmented villonodular synovitis (PVNS) of the hip. The hip joint represents the second most common location of pigmented villonodular synovitis, second to the knee [1]. The majority of hip PVNS cases either diffusely involve the synovium or are focal lesions within the joint. The lesions and synovium show foci of low signal intensity related to hemosiderin deposition, a finding that differentiates PVNS from other causes of synovial proliferation. Our case report presents two rare manifestations of PVNS lesions localized within the hip labrum. This presentation could easily be mistaken for a cyst by imaging modality. Despite the rarity of this condition, we highlight the importance of questioning the possibility of intra-labral PVNS, when patients have persistent hip pain not responding to therapy and atypical imaging findings. Highlighting this rare presentation is crucial for establishing the correct diagnosis, guiding treatment, and obtaining the best clinical outcome.
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Metadaten
Titel
Intra-labral pigmented villonodular synovitis: a rare case in two adult patients
verfasst von
Catherina Zadeh
Jacob Henrichsen
Nastaran Fatemi
Robert Westermann
Publikationsdatum
07.12.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-022-04227-x

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