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Synovial hemangioma of the knee joint in pediatrics: our case series and review of literature

  • Original Article • KNEE - TUMORS
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Background

Synovial hemangioma is a benign intra-articular tumor. This condition is rare and unfamiliar soft tissue tumor to most orthopedic surgeons. Delayed diagnosis causes osteoarthritic damage and the destruction of joint structures due to infiltrating tumor growth. We discuss the patterns of tumor location and the appropriate surgical procedure for this condition.

Methods

Ten patients were treated surgically in our department. These comprised five males and five females ranging in age from 0 to 17 years (average age 12.4 years). Preoperative diagnosis was made using clinical findings, plain radiographs and magnetic resonance imaging. The follow-up time after surgery was at least 3 years.

Results

The main symptom was pain. Three cases revealed hemarthrosis. The range of motion of the affected knee joint was limited in five cases. The average time between onset of pain and diagnosis was 3 years. Tumor location was classified into three patterns: (1) anterior patellofemoral joint type in five, (2) posterior popliteal type in two and (3) diffuse proliferation type in two. Open arthrotomy with synovectomy was performed in all cases. No tumor recurrences were experienced after a minimum follow-up of 3 years.

Conclusion

Clinical symptom and magnetic resonance imaging are helpful to obtain the diagnosis and determine the extent of the lesion. Depending on the tumor location, synovial hemangioma in the knee joint can be classified into patellofemoral, popliteal and diffuse types. Open arthrotomy with sufficient tumor and synovectomy is important to prevent tumor recurrence.

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Funding

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

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Author notes

  1. Keiichi Muramatsu, Ryuta Iwanaga and Takashi Sakai have contributed equally to this work.

Authors and Affiliations

  1. Department of Orthopedic Surgery, Yamaguchi University School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan

    Keiichi Muramatsu, Ryuta Iwanaga & Takashi Sakai

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  1. Keiichi Muramatsu
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  2. Ryuta Iwanaga
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  3. Takashi Sakai
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Correspondence to Keiichi Muramatsu.

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Muramatsu, K., Iwanaga, R. & Sakai, T. Synovial hemangioma of the knee joint in pediatrics: our case series and review of literature. Eur J Orthop Surg Traumatol 29, 1291–1296 (2019). https://doi.org/10.1007/s00590-019-02431-5

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  • DOI: https://doi.org/10.1007/s00590-019-02431-5

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