An unusual case of pigmented villonodular synovitis after total knee arthroplasty presenting with recurrent hemarthrosis

Cameron Kia, MD; Daniel F. O'Brien, MD; Connor Ziegler, MD; Rafael Pacheco, MD; Faripour Forouhar, MD; Vincent Williams, MD

Arthroplasty Today (Dec 2018)

An unusual case of pigmented villonodular synovitis after total knee arthroplasty presenting with recurrent hemarthrosis

Cameron Kia, MD,
Daniel F. O'Brien, MD,
Connor Ziegler, MD,
Rafael Pacheco, MD,
Faripour Forouhar, MD,
Vincent Williams, MD

Affiliations

Cameron Kia, MD: Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA
Daniel F. O'Brien, MD: Corresponding author. University of Connecticut Department of Orthopedics, 263 Farmington Avenue, Farmington, CT 06032, USA. Tel. +1 860 972 5000.; Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA
Connor Ziegler, MD: Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA
Rafael Pacheco, MD: Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA
Faripour Forouhar, MD: Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA
Vincent Williams, MD: Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA

Journal volume & issue: Vol. 4, no. 4
pp. 426 – 430

Abstract

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Pigmented villonodular synovitis (PVNS) is a benign proliferative joint disease, which is a rare finding after total knee arthroplasty (TKA). There is currently no link between PVNS and TKA, and it has been described infrequently in the literature. Its presentation has varied along with the time that it presents postoperatively. We describe a case of a patient who presents with recurrent hemarthrosis 4 years after TKA. The patient had no previous history of PVNS and had an arthroscopy 1 year after the index operation with no evidence of synovitis. We present details of the first case with a review of imaging and pathology and a brief review of the literature on PVNS occurring after TKA. Keywords: Pigmented villonodular synovitis, PVNS, Total knee arthroplasty, Hemarthrosis

Published in Arthroplasty Today

ISSN: 2352-3441 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery
Website: https://www.journals.elsevier.com/arthroplasty-today/

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