Glomus tumor and knee pain: A report of four cases

Clark, Marcia; O'Hara, Carolyn; Dobson, Peter J.; Smith, Anthony

doi:10.1016/j.knee.2008.11.013

Cited by 21 publications

(25 citation statements)

References 17 publications

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“…Glomus tumors around the knee have been reported in variable locations: in the lateral aspect [20,22,23], in the medial aspect [13], in the popliteal fossa [24], medial to the tibial tuberosity [25], proximal and medial to the patella [25], in the patellar ligament [26], medial to the patellar ligament [23] and in front of the patellar ligament [23]. It has been also found in intra-articular but extra-synovial locations like in the fat pad [27] and beneath the plica synovialis [6].…”

Section: Discussionmentioning

confidence: 99%

“…Some of the patients do not present with the classical symptoms [6,23] or with other concomitant pathologies of the knee thus delaying the diagnosis of the glomus tumor [13,20,25,26].…”

Section: Discussionmentioning

confidence: 99%

“…The use of MRI to image these tumors has been described as the method of choice; however, it does not yield a detailed image of the tumor, just an adjunct to allow more precise localization [18]. Use of advanced imaging techniques is, therefore, only partly helpful and must be used in conjunction with clinical assessment of a joint, which can have a multitude of reasons for being painful [23].…”

Section: Discussionmentioning

confidence: 99%

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Glomus Tumor as a Rare Cause of Anterior Knee Pain

2015

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Anterior knee pain is caused by a variety of pathologies or anatomical abnormalities. Soft tissue tumors, although rare, can also be presented with anterior knee pain. A case of a glomus tumor located in front of the tibial tubercle, in a patient being treated for 2 years for chondromalacia of the patella is reported. A 28-year-old man presented to our hospital complaining of pain in the front of his right knee for approximately 2 years with gradually worsening over the recent 8 months. The patient has been treated for chondromalacia of the patella with non-steroidal anti-inflammatory drugs, physiotherapy and home exercises. A detailed physical examination of the knee revealed a painful soft tissue mass in the front of the tibial tubercle. Plain radiographs were normal. Ultrasonography of the right knee revealed an oval-shaped hyper/hypoechoic mass with multiple blood vessels in the surrounding area and clear margins. Magnetic resonance imaging (MRI) confirmed the presence of a small soft tissue mass with intermediate signal intensity similar to muscles on T1-weighted images and also intermediate signal intensity similar to surrounding fat on T2-weighted images. On T1 with fat saturation images the mass had high signal intensity (absence of fat). Finally there was an increased similar intensity of the mass after contrast medium administration (consisted of hypervascularity). The mass was excised, and the histology was characteristic of a glomus tumor. The patient was asymptomatic immediately after the operation. At the 2-year follow-up after the operation no recurrence was seen.

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Section: Discussionmentioning

confidence: 99%

“…Some of the patients do not present with the classical symptoms [6,23] or with other concomitant pathologies of the knee thus delaying the diagnosis of the glomus tumor [13,20,25,26].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Glomus Tumor as a Rare Cause of Anterior Knee Pain

2015

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“…Clinical tests for glomus tumour reported in the literature include tenderness on direct localised pressure over the mass,10 and resolution of tenderness in response to ischaemia with infiltration of bupivacaine11 or application of a limb tourniquet 12…”

Section: Discussionmentioning

confidence: 99%

The 30-year wait for treatment of an acutely painful knee

Davenport¹,

Colaco

Edwards

2014

BMJ Case Reports

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A 63-year-old retired man presented to our clinic reporting a severely painful, localised knee pain present for around 30 years and associated with a spontaneous palpable lump. He was prompted to seek medical advice at this point because his symptoms were exacerbated when his young grandchildren bumped into the knee. While radiographs were unhelpful, ultrasonography revealed a well-defined, subcutaneous soft tissue mass at the anterior aspect of the knee. Surgical excision was performed as a day case. Histological examination of the mass showed a glomus tumour. This patient had suffered for many years as a result of this painful mass but full resolution of his pain occurred immediately after excision.

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“…A PubMed search for Bglomus^and Bknee^yielded approximately 53 reported cases of extradigital glomus tumors around the knee, the majority of which were isolated case reports. Of these, where specific locations were mentioned, the majority were in the overlying subcutaneous tissues [13][14][15]; a couple were in Hoffa's fat pad [16,17]; and one was within the joint itself [18].…”

Section: Introductionmentioning

confidence: 99%

Extradigital glomus tumor in the knee: excision with ultrasound guided needle localization

2015

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Glomus tumors are rare neoplasms that are usually subungual in location, but can infrequently be found elsewhere in the body. When they occur in extradigital locations, they present a diagnostic challenge that may result in delay of definitive management. We report a case of a 51-year-old male who experienced decade long chronic pain because of a glomus tumor in the suprapatellar fat pad of the knee. This case is unique not only because of the glomus tumor's location, but also because it ultimately required ultrasound-guided needle localization for excision.

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Glomus tumor and knee pain: A report of four cases

Cited by 21 publications

References 17 publications

Glomus Tumor as a Rare Cause of Anterior Knee Pain

Glomus Tumor as a Rare Cause of Anterior Knee Pain

The 30-year wait for treatment of an acutely painful knee

Extradigital glomus tumor in the knee: excision with ultrasound guided needle localization

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