58-293
Tratamiento de la sinovitis villonodular pigmentada difusa de rodilla: Sinovectomía artroscópica seguida de sinoviortesis radioisotópica
Treatment of diffuse pigmented villonodular synovitis of the knee: Arthroscopic synovectomy followed by radioisotope synoviotrosis
MARTÍNEZ LÓPEZ D, VILLAR BLANCO A, COLOMINA LAIZ T, LÓPEZ LÓPEZ S, RODRIGO PÉREZ JL SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA, HOSPITAL UNIVERSITARIO DOCTOR PESET
Recepción:
20/03/2023
Aceptación:
20/03/2023
Publicación:
20/03/2023
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Resumen (ES)
Pigmented villonodular synovitis (SNVP) is a benign but locally aggressive disease of synovial proliferation that can occur
in all joints, tendon sheaths and bursae, with a predilection for the knee. The etiology of PVNS remains unclear. Magnetic
Resonance Imaging (MRI) is the best diagnostic method to establish suspected SNVP, although synovial biopsy is the
gold standard for diagnosis. Initial treatment is based on synovectomy, open or arthroscopic. After surgery, there is a high
rate of recurrence.1 Radioisotope synoviotrosis as an adjunct to surgical synovectomy appears to decrease the rate of
local recurrence. Management of a case of knee SNVP by arthroscopic synovectomy and adjuvant radiosynoviordesis is
presented.
in all joints, tendon sheaths and bursae, with a predilection for the knee. The etiology of PVNS remains unclear. Magnetic
Resonance Imaging (MRI) is the best diagnostic method to establish suspected SNVP, although synovial biopsy is the
gold standard for diagnosis. Initial treatment is based on synovectomy, open or arthroscopic. After surgery, there is a high
rate of recurrence.1 Radioisotope synoviotrosis as an adjunct to surgical synovectomy appears to decrease the rate of
local recurrence. Management of a case of knee SNVP by arthroscopic synovectomy and adjuvant radiosynoviordesis is
presented.
Palabras clave (ES):
radiosinoviortesis.
pigmentada
sinovitis
villonodular
Resumen (EN)
Pigmented villonodular synovitis (SNVP) is a benign but locally aggressive disease of synovial proliferation that can occur
in all joints, tendon sheaths and bursae, with a predilection for the knee. The etiology of PVNS remains unclear. Magnetic
Resonance Imaging (MRI) is the best diagnostic method to establish suspected SNVP, although synovial biopsy is the
gold standard for diagnosis. Initial treatment is based on synovectomy, open or arthroscopic. After surgery, there is a high
rate of recurrence.1 Radioisotope synoviotrosis as an adjunct to surgical synovectomy appears to decrease the rate of
local recurrence. Management of a case of knee SNVP by arthroscopic synovectomy and adjuvant radiosynoviordesis is
presented.
in all joints, tendon sheaths and bursae, with a predilection for the knee. The etiology of PVNS remains unclear. Magnetic
Resonance Imaging (MRI) is the best diagnostic method to establish suspected SNVP, although synovial biopsy is the
gold standard for diagnosis. Initial treatment is based on synovectomy, open or arthroscopic. After surgery, there is a high
rate of recurrence.1 Radioisotope synoviotrosis as an adjunct to surgical synovectomy appears to decrease the rate of
local recurrence. Management of a case of knee SNVP by arthroscopic synovectomy and adjuvant radiosynoviordesis is
presented.
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