Arthroscopic Management of Pigmented Villonodular Synovitis of the Hip: A Case Report

Author Info

Omar El-Omar Sanat Shah Ashok S Paul

Corresponding Author

Ashok S Paul
The Regional Sarcoma Centre, Manchester Royal Infirmary, Manchester, UK

A B S T R A C T

Background: Pigmented villonodular synovitis, particularly of the hip joint, has been historically treated via open synovectomy. However, an arthroscopic approach to management has been trailed successfully in recent years and has demonstrated encouraging outcomes. Case Presentation: We report the case of a 17-year-old man with pigmented villonodular synovitis of the right hip who underwent arthroscopic treatment. He remains well 5 years later with no signs of recurrence. We discuss the advantages and disadvantages of arthroscopically managed pigmented villonodular synovitis as well as the recent literature surrounding this topic. We also explain a technical tip during hip arthroscopy to access these difficult lesions. Conclusion: Arthroscopy can be used for hip pigmented villonodular synovitis treatment. These lesions may also be accessed by extending the hip to 10 degrees and releasing the traction. There is evidence to suggest that arthroscopically managed pigmented villonodular synovitis carries better outcomes and lower morbidity rates compared to an open approach in suitable cases.

Article Info

Article Type

Case Report

Publication history

Received: Tue 03, Nov 2020
Accepted: Sat 14, Nov 2020
Published: Wed 02, Dec 2020

Copyright

© 2023 Ashok S Paul. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.12.04