Arthroscopic treatment for intra-articular fibroma of the tendon sheath in a teenager.
BMJ Case Rep
; 15(9)2022 Sep 23.
Article
em En
| MEDLINE
| ID: mdl-36150724
ABSTRACT
An adolescent female patient presented with atraumatic left knee pain and limited flexion. MRI demonstrated evidence of a soft tissue lesion abutting the posterior cruciate ligament. Differential diagnosis included pigmented villonodular synovitis (PVNS) and fibroma of the tendon sheath (FTS). Following arthroscopic biopsy, histopathological evaluation confirmed FTS. The tumour was then excised via an arthroscopic approach. This case report provides a unique example of FTS abutting the cruciate ligaments in an uncommonly young female patient. It highlights the importance of including benign processes, such as FTS, in the differential with more aggressive-type diagnoses like PVNS. Furthermore, this case exemplifies an appropriate surgical indication for FTS. Finally, it emphasises the importance of communication and collaboration among orthopaedic subspecialists in providing safe and effective arthroscopic treatment of this unique tumour presentation.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Sinovite Pigmentada Vilonodular
/
Fibroma
Tipo de estudo:
Diagnostic_studies
Limite:
Adolescent
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Female
/
Humans
Idioma:
En
Revista:
BMJ Case Rep
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Estados Unidos