Endoscopic resection of a localized tenosynovial giant cell tumor causing posterior ankle impingement in a 15-year-old athlete: A case report

Yıldırım, Kerem

doi:10.5606/ehc.2021.77699

Cited by 2 publications

(4 citation statements)

References 22 publications

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“…In this study, we used the Van Dijk et al technique for the management of LPVNS in the posterior ankle compartment 3 . This is, to our knowledge, only the third known case of management of LPVNS in this part of the ankle, using the van Dijk posterior ankle/hindfoot arthroscopy 29,30 . No recurrences were noted in our case, during 66 months of follow-up, which was also confirmed by the postoperative MRI.…”

Section: Figure 3 Images Depicting a Posterior Ankle Osteoid Osteoma ...mentioning

confidence: 83%

Indications for posterior ankle/hindfoot arthroscopy – much more than just the posterior ankle impingement syndrome

Dimnjaković

2023

ACC

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Posterior ankle/hindfoot arthroscopy has become an established technique for managing posterior ankle impingement syndrome. However, other indications of the posterior part of the ankle/hindfoot remain mostly uninvestigated. The aim of this study is to investigate the indications for posterior ankle/hindfoot arthroscopy performed as a solitary procedure and to report the outcomes. A total of 71 patients, who had undergone this procedure in our department over a period of nine years, were analysed. In all cases, the van Dijk et al. technique was followed. The most prevalent indication for posterior/hindfoot arthroscopy remains posterior ankle impingement syndrome in 59.15% of cases. Other indications included ten various posterior ankle/hindfoot pathologies, with the subtalar joint contracture being the most common one (15.49%). During the mean follow-up period of 79 (range, 24 -127) months, there were 2 minor complications noted, both pertaining to transitory sensory deficits. The total median AOFAS Ankle-Hindfoot score significantly improved from 69 to 98, with the improvement noted regardless of the indication. The satisfaction rate with the procedure was 98.59%. This study has shown that posterior ankle/hindfoot arthroscopy is an efficient and safe orthopaedic tool for the treatment of various posterior ankle and hindfoot articular and periarticular pathologies.

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Section: Figure 3 Images Depicting a Posterior Ankle Osteoid Osteoma ...mentioning

confidence: 83%

Indications for posterior ankle/hindfoot arthroscopy – much more than just the posterior ankle impingement syndrome

Dimnjaković

2023

ACC

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“…Prikazali smo slučaj adolescentice s LTGCT-om u prednjem dijelu gležnja kojeg smo odstranili artroskopskim zahvatom, a pregledom literature pronašli smo još 10 radova u kojima se izvješćuje o kirurškom liječenju tog oblika TGCT-a u adolescenata (Tablica 1.) (6)(7)(8)(9)(10)(11)(12)(13)(14)(15).…”

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“…U općoj se populaciji konačna dijagnoza LTGCT-a u gležnju obično postavlja između jedne i četiri godine od pojave simptoma (10,11). Vremenski okvir od pojave simptoma pa do postavljanja dijagnoze LTGCT-a u gležnju u populaciji adolescenata iznosi između dva tjedna i dvije godine, u prosjeku 12 mjeseci, kao što je i bio slučaj u naše bolesnice (6)(7)(8)(9)(10)(11)(12)(13)(14)(15). Zakašnjelo postavljanje dijagnoze LTGCT-a te posljedično kasno kirurško liječenje može dovesti do unutarzglobnog koštanohrskavičnog oštećenja (1,3).…”

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“…S obzirom na činjenicu da je stopa recidiva difuznog oblika TGCT-a 2,5 puta veća nego lokaliziranog, tako je i razdoblje bez reoperacije manje te iznosi 77% nakon dvije godine, a 49% nakon pet godina (2). Prema provedenoj analizi radova u kojima se izvješćuje o ishodu kirurškog liječenja lokaliziranog oblika TGCT-a gležnja u populaciji adolescenata nije bilo recidiva bolesti tijekom poslijeoperacijskog praćenja neovisno o tome je li korišten otvoreni ili artroskopski operacijski zahvat te neovisno o lokalizaciji (6)(7)(8)(9)(10)(11)(12)(13)(14)(15). Niti kod naše bolesnice tijekom poslijeoperacijskog praćenja od 24 mjeseca nije zamijećen povrat bolesti.…”

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Localized tenosynovial gigantocellular tumor of the ankle in an adolescent: case report and literature review

Dimnjaković¹,

Karakaš²,

Bojanić³

2022

Paediatr Croat

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Tenosynovial giant cell tumor (TGCT) is a rare, benign monoarticular disease that affects the synovial lining of joint, tendon or bursa. We distinguish two forms of the disease, localized and diffuse forms, both of which are histologically identical. The incidence rate of the localized form of TGCT (LTGCT) is 10 cases per million people, of which about 5% of all cases occur in the ankle. We present a rare case of LTGCT in the anterior part of the ankle in an adolescent, which was manifested by swelling and occasional pain, especially during sports activities. On the magnetic resonance imaging (MRI) a heterogeneously structured, well encapsulated tumor was visible in the anterior part of the ankle. In addition to the painless swelling in the anterior part of the ankle, the physical examination revealed a deficit of dorsiflexion of the foot. The operation was performed arthroscopically but the tumor could not be removed in a single piece due to its size, so it was removed in multiple pieces. Histopathological analysis confirmed that the tumor was TGCT. During the two-year follow-up period, the patient did not have problems with the operated ankle and no recurrence of the disease was observed on control MRIs. TGCT should be considered as a possible differential diagnosis, especially when pain and swelling of the ankle occur without injury. Arthroscopic surgery is a safe and effective method of treatment if it is performed by an experienced surgeon backed by a welltrained team. The choice of the type of surgical treatment should be determined depending on the anatomical position of the formation in the joint and the surgeon’s assessment and preference.

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Endoscopic resection of a localized tenosynovial giant cell tumor causing posterior ankle impingement in a 15-year-old athlete: A case report

Cited by 2 publications

References 22 publications

Indications for posterior ankle/hindfoot arthroscopy – much more than just the posterior ankle impingement syndrome

Indications for posterior ankle/hindfoot arthroscopy – much more than just the posterior ankle impingement syndrome

Localized tenosynovial gigantocellular tumor of the ankle in an adolescent: case report and literature review

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