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Semin Musculoskelet Radiol 2003; 7(3): 205-216
DOI: 10.1055/s-2003-43231
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Imaging of Pigmented Villonodular Synovitis

Sulabha Masih1 , Alon Antebi2
  • 1Department of Radiology, Veterans Administration of Greater Los Angeles/UCLA, Los Angeles, CA
  • 2Department of Orthopedic Surgery, Botsford General Hospital, Farmington Hills, MI
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Publication History

Publication Date:
31 October 2003 (online)

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ABSTRACT

Pigmented villonodular synovitis (PVNS) is a rare, benign, idiopathic proliferative disorder of the synovium that results in villous and/or nodular formation in joints, tendon sheaths, and bursae. The disease can be localized or diffuse. Patients with this condition typically present with symptoms of mild discomfort and associated stiffness of the involved joint; however, the spectrum of presentations is broad. Diagnosis of PVNS can be clinically difficult, and plain radiographs are usually nonspecific. Magnetic resonance (MR) imaging is a highly diagnostic modality in characterizing PVNS when it contains hemosiderin deposits exhibiting low signal intensity on all MR image pulse sequences. This article discusses the presentation, pathology, differential diagnosis, diagnostic modalities as well as various treatment options of PVNS.

KEYWORDS

Pigmented villonodular synovitis - localized - diffuse - hemosiderin - magnetic resonance

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