查詢結果分析
來源資料
相關文獻
- 間歇性機械牽拉對膝關節伸直攣縮之療效
- 運用醫學工程中的步態分析評估退化性關節炎患者之針刺比較
- Treatment of Developmental Dysplasia of the Hip after Failed Open Reduction
- Medial Synovial Entrapment Syndrome of the Hip in Chinese Children
- Os Supratrochlear Dorsale of the Elbow: A Report of Two Cases
- Porous Coated Anatomic Total Hip Arthroplasty: 5- to 10-Year Follow Up
- Tuberculosis of the Ankle: Report of Four Cases
- 腦性麻痺導致髖關節脫臼之臨床探討
- Additional Ultrasound Therapy after Myofacial Trigger Point Injection for the Management of Postinjection Soreness
- Intramedullary Versus Extramedullary Tibial Alignment Guides in Total Knee Arthroplasty
頁籤選單縮合
題 名 | Pigmented Villonodular Synovitis of Joints |
---|---|
作 者 | 王德源; 許弘昌; 蔣島夆; 林茂仁; | 書刊名 | 中華民國骨科醫學會雜誌 |
卷 期 | 16:1 1999.03[民88.03] |
頁 次 | 頁31-38 |
分類號 | 416.61 |
關鍵詞 | 關節; Pigmented villonodular synovitis; Joints; |
語 文 | 英文(English) |
英文摘要 | Pigmented villonodular syovitis (PVNS) of joints is a rare disease entity. The over-all annual incidence is 1.8 patients per million population. Herein, we review th 16 cases of ntra-articular PVNS who underwent surgical treatment at our hospital between 1987 and 1998. There were 6 males and 10 females. The average age was 41 years old (range, 25 to 74 years old). 10 knees, 2 ankles, 1 hip, 1 first tarso-metatarsal joint, 1 elbow, and 1 shoulder joint were involved. The average duration from onset of symptoms to presentation was 5.6 years (range, 3 months to 22 years). Discomfort is the most common complaint in the clinic (100%), followed by swelling or effusion and limitation in range of motion (62.5%, both), and less than 40 percent of the patients could recall a distinct his-tory of trauma. Despite the use of CT and MRI as diagnostic tools, the preoper-ative diagnosis rate was only 18.8%. There were 4 localized lesions and 12 dif-fuse lesions to be found during the operation. 4 marginal excisions, 12 wide or near total synovectomies were performed with 4 total joint arthroplasties done in cases with advanced degenerative changes. Two of 12 near-total-synovectomy cases received radiation therapy postoperatively. The average follow-up period was 39.5 months (range, 7 to 106 months). All of four localized form of PVNS have good results after operation with marginal excision. Ten of 12 diffuse form of PVNS were quite satisfied after operation with wide or near total synovecto-my, while two of 12 diffuse form of PVNS were unsatisified and recurred even after adjuvant radiation therapy. The series in this study showed that preoperative diagnosis is difficult even with the use of CT or MRI as diagnostic tools. Painless hemarthorsis is not so typical as reviewed from the literature. Female predominance in our cases is dif-ferent from the previous reports. Surgery plus radiation therapy have been used with no success in two patients with the diffuse form of PVNS. Marginal exci-sion is the appropriate treatment for patients with localized PVNS. |
本系統中英文摘要資訊取自各篇刊載內容。