Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Arthroscopic Treatment of Pigmented Villonodular Synovitis of the Shoulder - A Case Report -

견관절 색소 융모 결절성 활막염의 관절경적 치료 - 증례 보고 -

  • Lee, Seoung-Joon (Department of Orthopedic Surgery, Konkuk University Hospital) ;
  • Yoo, Jae-Chul (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lim, Kyung-Sub (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 이승준 (건국대학교 의과대학 정형외과학교실) ;
  • 유재철 (성균관대학교 의과대학 삼성서울 병원 정형외과학교실) ;
  • 임경섭 (성균관대학교 의과대학 삼성서울 병원 정형외과학교실)
  • Published : 2007.06.15
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Abstract

Pigmented villonodular synovitis(PVNS) is a benign proliferative lesion, involving synovial tissue in joints, tendon sheaths, and bursae. Pigmented villonodular synovitis is a rare and usually monoarticular condition and primarily affects the knee joint and hand. Polyarticular PVNS appears in less than 1% of all case and its occurrence in the shoulder is rare(<2%). We present a 64-year-old male who had pigmented villonodular synovitis of both shoulder joints, which was treated by arthroscopic total synovectomy.

색소 융모 결절성 활막염은 양성 증식성 활막의 병변으로 관절이나 건초, 점액낭 등을 침범한다. 이는 주로 한 관절에 발생하며, 다 관절 침범은 1% 미만에서 보고되고 있다. 또 슬관절 및 수부에 주로 발생하며, 견관절에서 발생하는 경우는 드물다. 색소 융모 결절성 활막염의 치료에 대해서는 아직까지 논란이 많은 상태이나 일반적으로 활액막 전 절제술이 표준치료로 알려져 있다. 저자들은 양측 견관절에 동시에 발생한 색소 융모 결절성 활막염으로 내원한 환자에 대해서 관절경적 활액막 절제술을 시행하여 수술소견과 임상 경과에 대해 문헌고찰과 함께 보고하고자 한다.

Keywords

References

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