고관절에 발생한 색소융모 결절성 활액막염의 진단과 치료

Other Titles
The Diagnosis and Treatment of Pigmented Villonodular Synovitis of the Hip
Authors
오두환전시현강창수
Department
Dept. of Orthopedic Surgery (정형외과학)
Citation
Keimyung Medical Journal, Vol.19(2) : 259, 2000
Abstract
To investigate the clinical characteristics of pigmented villonodular synovitis of the hip and its appropriate treatment modalities. We retrospectively analyzed the clinical symptoms and signs, laboratory data, radiologic findings and methods and results of treatment of 4 patients of which the diagnosis was confirmed microscopically. The most common complaints was pain and a palpable mass was combined in one case. The limitation of joint motion was present in 3 cases and laboratory data were normal in all cases. On plain films, a classic form with large and multiple lucencies was found in 2 cases and a osteoarthritis-like form was found in 2 cases. The operative treatment was performed in all cases. In one case, there was no evidence of recurrent disease at 20 months after synovectomy alone. In 2 cases, patients were treated with total hip replacement combined with synovectomy and there were no evidence of recurrent disease at 27 months and 36 months each other. In one case, the patient had a recurrence at 7 years and 6 months after synovectomy alone and underwent total hip arthroplasty combined with synovectomy. At 4 years and 1 month after reoperation, this patient had a local recurrence and underwent curettage and bone graft. The early diagnosis and treatment of pigmented villonodular synovitis will prevent the further destruction of the hip and the thorough synovectomy will decrease the recurrent rate.
Keywords
Pigmented villonodular synovitisHip
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15203
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2000
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
Keimyung Author(s)
전시현; 강창수
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