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Intra-labral pigmented villonodular synovitis: a rare case in two adult patients

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Abstract

This article discusses two rare cases of intra-labral pigmented villonodular synovitis (PVNS) of the hip. The hip joint represents the second most common location of pigmented villonodular synovitis, second to the knee [1]. The majority of hip PVNS cases either diffusely involve the synovium or are focal lesions within the joint. The lesions and synovium show foci of low signal intensity related to hemosiderin deposition, a finding that differentiates PVNS from other causes of synovial proliferation. Our case report presents two rare manifestations of PVNS lesions localized within the hip labrum. This presentation could easily be mistaken for a cyst by imaging modality. Despite the rarity of this condition, we highlight the importance of questioning the possibility of intra-labral PVNS, when patients have persistent hip pain not responding to therapy and atypical imaging findings. Highlighting this rare presentation is crucial for establishing the correct diagnosis, guiding treatment, and obtaining the best clinical outcome.

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Authors and Affiliations

  1. Diagnostic Radiology Department, University of Iowa Hospital and Clinics, 200 Hawkins Dr, Iowa City, IA, 52242, USA

    Catherina Zadeh & Nastaran Fatemi

  2. Orthopedic Surgery Department, University of Iowa Hospital and Clinics, 200 Hawkins Dr, Iowa City, IA, 52242, USA

    Jacob Henrichsen & Robert Westermann

Authors
  1. Catherina Zadeh
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  2. Jacob Henrichsen
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  3. Nastaran Fatemi
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  4. Robert Westermann
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Corresponding author

Correspondence to Robert Westermann.

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Informed consent was obtained from the subjects described in this report.

Conflict of interest

Robert Westermann:

• Consultant—Smith and Nephew.

• Consultant—Conmed.

• Consultant—Responsive Arthroscopy.

• Research Support—Smith and Nephew R2018120186.

• Research Support—DOD (ANCHOR GROUP) W81XWH-18-PRORP-CTRA.

• Editorial Board—Arthroscopy Journal.

• Editorial Board—AJSM.

• Committee—AOSSM.

Catherina Zadeh, Fatemi Nastaran, Jacob Henrichsen:

No conflict of interest.

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Zadeh, C., Henrichsen, J., Fatemi, N. et al. Intra-labral pigmented villonodular synovitis: a rare case in two adult patients. Skeletal Radiol 52, 1409–1413 (2023). https://doi.org/10.1007/s00256-022-04227-x

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  • DOI: https://doi.org/10.1007/s00256-022-04227-x

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