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2022, Number 3

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Ortho-tips 2022; 18 (3)

Diffuse pigmented villonodular synovitis as a cause of nonspecific gonalgia in a pediatric patient: case report

Cendo DEA, Ramírez OLR, Salcido RMV, García TÓI

Language: Spanish
References: 20
Page: 245-249
PDF size: 230.54 Kb.


ABSTRACT

Pigmented villonodular synovitis is a rare condition in the general population, caused by a benign synovial proliferative disorder and mostly described in the adult population, so its presentation in the pediatric population is often a missed diagnosis. Its incidence is approximately 1.8 cases per million population, and the usual age of presentation is between 20 and 50 years; however, there are reports of small case series and individual case reports on this disease in the pediatric population, finding the youngest age of presentation at 12 months of age. The most common area of localization is the knee, but there are reports in hip, foot and ankle, elbow, shoulder and even polyarticular character. In terms of symptomatology it is usually very nonspecific with intermittent localized pain, swelling, functional limitation, temperature changes. Magnetic resonance imaging is considered the gold standard in imaging for diagnosis. The following is a case of diffuse pigmented villonodular pigmented synovitis of the left knee in a 13-year-old male patient with nonspecific gonalgia of 2 years of evolution, its chronology and clinical assessments until its diagnosis. Our aim is to contribute to the literature on this rare condition in pediatric patients.


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