Intraarticular Synovial Hemangioma of the Knee: An Unusual Cause of Chronic Pain in a Sportsman

Silva, Rogerio Teixeira; Laurino, Cristiano Frota de Souza; Moraes, Vinícius Ynoe de

doi:10.1097/jsm.0b013e31815889cf

Cited by 2 publications

(5 citation statements)

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“…Our other three cases were local sessile intra-articular SH located near the superior pole of the patella, by far the most frequent location in the anterior compartment of the knee ( 5 – 8 , 19 , 21 , 24 , 27 – 29 , 38 , 40 , 42 , 44 , 50 , 53 – 57 ), followed by the infrapatellar fat pad ( 11 , 18 , 23 , 30 , 45 , 59 ), the posterior compartment, the medial compartment ( 2 – 4 , 25 , 35 , 39 , 42 , 54 , 61 ) and the intercondylar notch ( 22 , 43 , 46 , 47 , 54 ). The three reported patients with KSH near the superior pole of the patella had the rare phenomenon of bone erosion, which was localized in the patella in two cases, a previously undescribed location for KSH bone erosion, and in the supratrochlear cortical bone in one case.…”

Section: Discussionmentioning

confidence: 81%

“…MRI appears to be the examination of choice ( 1 , 2 , 5 – 11 , 16 – 18 , 21 – 24 , 26 , 27 , 33 , 35 – 40 , 42 , 43 , 46 , 48 , 50 , 53 – 57 ). It is non-invasive and non-irradiating and usually allows three-dimensional localization, although occasionally, as in our series, a tumor mass may not be identified ( 3 , 47 ).…”

Section: Discussionmentioning

confidence: 99%

“…Some authors recommend arthroscopic resection for localized intra-articular KSH ( 6 , 14 , 15 , 20 – 22 , 33 , 36 , 38 – 40 , 42 , 43 , 47 , 56 , 57 , 59 , 60 ). Hoffa fat pad SH can be arthroscopically resected using suprapatellar accessory portals ( 11 , 20 , 59 ).…”

Section: Discussionmentioning

confidence: 99%

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Location, Clinical Presentation, Diagnostic Algorithm and Open vs. Arthroscopic Surgery of Knee Synovial Haemangioma: A Report of Four Cases and a Literature Review

et al. 2021

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Objective: The aim was to report 4 patients with intra-articular knee synovial haemangioma (KSH) and to perform a systematic review to describe the patient characteristics, patterns of tumor location, clinical presentation, usefulness of imaging examinations, pros and cons of arthroscopic vs. open resection, and follow-up in the literature.Design: From 1996 to 2016, four patients with KSH were retrospectively reviewed. A literature search was conducted in PubMed from 2000/01 to 2020/06 using the search terms “synovial haemangioma” and “knee.” Fifty full-text articles that included a total of 92 patients were included for further discussion.Results: Four adults (20–40 years) were diagnosed with KSH. Three lesions located in the suprapatellar pouch, two eroding the patella and one the supratrochlear bone, and one in the posterior compartment. Persistent anterior knee pain was the main complain. MRI revealed a benign tumor mass in all cases except one. Open excisional biopsy and regional synovectomy were performed in three patients, and by arthroscopy of the posterior compartment in the fourth. Histological type was arteriovenous in three cases and capillary in one. A pain-free knee without recurrence was achieve in all cases except one, which was successfully reoperated. Average follow-up time was 3.5 years. A literature review showed that KSH appears most frequently in children and teenagers (64.6%) and does not differ by gender. The suprapatellar and patella-femoral joint compartment was the most frequent location (47.9%). The bony tissue of the knee was rarely affected (13.5%). Pain, swelling and haemarthrosis were frequently reported (88.2, 66.7, and 47.1%). MRI was the most commonly used imaging test (98%). Treatment consisted of regional synovectomy by open surgery or arthroscopy in 66.7 and 15.6% of cases, respectively.Conclusions: KSH should be considered in the differential diagnosis of adult patients with chronic low-intensity knee pain. MRI is the most useful exam because it establishes the location, extent and benign characteristics of the tumor. Definitive diagnosis requires histological examination. We believe excisional biopsy and regional synovectomy by arthroscopy should be the treatments of choice for intra-articular tumors, but we recommend open surgery when the lesion extends to the tendons, muscle or bone.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

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Location, Clinical Presentation, Diagnostic Algorithm and Open vs. Arthroscopic Surgery of Knee Synovial Haemangioma: A Report of Four Cases and a Literature Review

et al. 2021

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“…[3] Till now, fewer than 250 cases have been reported since the first case that was reported by Bouchut in 1856. [1] They are rare causes of recurrent, non-specific joint complaints, most commonly affecting the knee joint. There are very few published cases of synovial hemangioma occurring in the ankle joint.…”

Section: Discussionmentioning

confidence: 99%

“…Synovial hemangiomas are usually mono-articular mostly affecting knee, less commonly elbow, hip and temporomandibular joint. [1] Though various modalities of investigation are available, histopathology remains the gold standard for diagnosis. [2]Our case is interesting by virtue of its extremely rare location in the ankle joint and occurrence in an adult patient.…”

Section: Introductionmentioning

confidence: 99%

Synovial hemangioma of the ankle joint: a rare and unusual encounter

Mahata

Gayen²,

Dasgupta

et al. 2015

Int Jour of Biomed Res

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Synovial hemangioma is a rare, benign disorder of the synovium that have been reported to manifest within joints, tendon sheaths, and bursae. The rarity of the condition and its nonspecific symptomatology makes the diagnosis challenging. Awareness of this entity would help to initiate early treatment thereby avoiding permanent joint damage. We report a case of synovial hemangioma of the ankle joint which is an extremely rare location for such a lesion.

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Intraarticular Synovial Hemangioma of the Knee: An Unusual Cause of Chronic Pain in a Sportsman

Cited by 2 publications

References 5 publications

Location, Clinical Presentation, Diagnostic Algorithm and Open vs. Arthroscopic Surgery of Knee Synovial Haemangioma: A Report of Four Cases and a Literature Review

Location, Clinical Presentation, Diagnostic Algorithm and Open vs. Arthroscopic Surgery of Knee Synovial Haemangioma: A Report of Four Cases and a Literature Review

Synovial hemangioma of the ankle joint: a rare and unusual encounter

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