• Title/Summary/Keyword: 관절경하 활액막 절제술

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Arthroscopic Treatment for the Pigmented Villonodular Synovitis in the Knee (관절경을 이용한 슬관절의 색소 응모 결절성 활액막염의 치료)

  • Kim, Kyung-Taek;Kim, Chul-Hong;Lee, Myung-Jin
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.2
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    • pp.111-115
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    • 2001
  • Purpose : To confirm the efficacy of arthroscopic synovectomy for the pigmented villonodular synovitis in the knee. Materials and Methods : We analysed 8 patient(9 cases) that were diagnosed and performed arthroscopic synovectomy as pigmented villonodular synovitis from July 1992 to May 2000. The diagnosis was confirmed by pathologist. The average follow-up period was 29 months(range, $15\~48$ months). The average age at initial visit was 40.4 years(rage, $15\~67$ years). Male were 6 cases and female 2 cases. The average duration from onset of the symptom to the operation was 23 months($2\~86$ months). Previous history of the trauma was noted in 2 case. There was 1 case involved both knee joints. Results : According to the athroscopic findings, there were 4 localized forms and 5 diffuse forms. At preoperational examinations, the average of flexion contracture was $4.4^{\circ}(0\~5^{\circ})$ and that of the further flexion was $117.8^{\circ}(90\~135^{\circ})$. At last follow-up examinations, the knee range of motion was normalized, the average of flexion range was $133.9^{\circ}(120\~140^{\circ})$. All patients had improvement in pain, swelling and range of motion and there was no evidence of recurrence. Conclusion : In the pigmented villonodular synovitis, arthroscopic synovectomy can be considered one of the good modality to expect good results.

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Pigmented Villonodular Synovitis of the Shoulder Associated with Rotator Cuff Tear - A Case Report - (회개근 개 파열과 동반된 색소 융모 결절성 활액막염 - 증례 보고 -)

  • Ha, Sung-Sik;Hong, Ki-Do;Sim, Jae-Chun;Kim, Tae-Ho;Cho, Hye-Jae;Kim, Jong-Hyun
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.275-279
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    • 2010
  • Purpose: Here we report a case of pigmented villonodular synovitis of the shoulder associated with a rotator cuff tear. Materials and Methods: A 52 year-old female who had suffered from pigmented villonodular synovitis of the shoulder associated with a rotator cuff tear was treated with arthroscopic synovectomy and subacromial decompression. Results: Pain was reduced and the patient achieved a good functional outcome after surgery. Conclusion: The current authors report a case of pigmented villonodular synovitis of the shoulder associated with rotator cuff tear and a review of literature.

Arthroscopic Treatment for the Pigmented Villonodular Synovitis in the Knee (슬관절에 발생한 색소 융모 결절성 활액막염의 관절경적 치료)

  • Bae, Dae-Kyung;Cho, Nam-Su
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.1
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    • pp.22-26
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    • 2001
  • Purpose : To confirm the efficacy of arthroscopic synovectomy fur the pigmented villonodular synovitis in the knee. Materials and Methods : Between October 1996 and February 2000, the arthroscopic synovectomy had been performed in six patients(six knee joints), whose diagnoses were confirmed by pathologist. All patients complained of painful swelling in involved knee and four of the six patients had trauma history. There were three male and three female patients. Average age was 35.8 years ranging from 16 to 67 years. Follow up period was average 22.7 months(range, $13\~53$ months). Results : According to arthroscopic findings, there were three localized forms and three diffuse forms. At their last follow-up examinations, all patients had improvement in pain, swelling and range of motion and there was no evidence of recurrence. Conclusion : Complete arthroscopic excision is the definitive treatment for localized pigmented villonodular synovitis and meticulous arthroscopic excision through all portals including posterior portal can be considered as a valid alternative to traditional open synovectomy for the patients with diffuse pigmented villonodular synovitis.

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Intra-articular Synovial Hemangioma of the Knee - A Case Report - (슬관절의 관절내 활액막 혈관종 - 증례 보고 -)

  • Kim, Jin-Wan;Cho, Hyung-Lae;Ku, Jung-Hoei;Ko, Young-Chul;Hong, Seong-Hwak
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.91-94
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    • 2006
  • Synovial hemangioma of the knee joint has been reported as a rare cause of pain, limitation of motion and hemarthrosis, often seen as an internal derangement of the knee. A 39-year-old woman presented with spontaneous hemarthrosis of the left knee joint and physical exam revealed a small painful mass adjacent to the medial side of the patella. Magnetic resonance imaging revealed an intra-articular tumor. Arthroscopic excision was performed and the histology was characteristic of hemangioma. Through this case, we discuss the diagnosis and treatment options for the synovial hemangioma of the knee.

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Arthroscopic Synovectomy of the Shoulder Joint for Rheumatoid Arthritis (류마티스 관절염환자에서 견관절의 관절경적 활액막절제술)

  • Kim, Kyung-Taek;Lee, Myung-Jin;Kim, Wook
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.1
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    • pp.76-80
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    • 2003
  • Purpose : To analyze the result of arthroscopic synovectomy of the shoulder for rheumatoid arthritis. Material and Method : Sixteen patients were treated from May, 1998 to December, 2002 who undergone arthroscopic synocvectomy of the shoulder for rheumatoid arthritis. The study group constisted 2 men and 14 women. the age at surgery ranged from 32 to 66 years, with average of 50 years. The result were analyzed using the clinical assessment of shoulder surgery classification system issued by the Japanese Orthopaedic Association and subjective satisfactation of the patients cartegorized excellent, good, poor. Results : The mean score of ROM was increased from 13.9 preoperative to 23.8 postoperative and the mean score of pain was inclosed from 22.0 preoperative to 26.5 postoperative. The result of subjective satisfaction were 7 excellent, 7 good,2 unsatisfied, so forteen cases $(88\%)$ above the good. Conclusions : The shorter morbidity date, and the letter damage of articular cartillage, the better results of the arthroscopic synocvectomy of the shoulder for rheumatoid arthritis.

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