Localised pigmented villonodular synovitis: an uncommon cause of knee pain mimicking a meniscal tear.
A previously well 30 year old man presented with a short history of intra-articular mechanical locking, swelling, and anteromedial joint line pain. There was localised tenderness, and McMurray's test was positive. Arthroscopy revealed a 3.6 x 2.6 x 1.5 cm firm pedicular localised pigmented villonodular synovitis originating from the insertion of the anterior horn of the medial meniscus. Owing to its size and consistency, mini-arthrotomy was required. This allowed a return to sporting activities. Localised pigmented villonodular synovitis can mimic symptoms of a meniscal tear.
Roach
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Sports Department, Robert Jones and Agnes Hunt Hospital, Oswestry, Shropshire, UK. candr.roach1@btinternet.com
dos Remedios
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D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D007718:Knee Injuries / Q000175:diagnosis*; D007719:Knee Joint; D008297:Male; D012916:Soccer / Q000293:injuries*; D013586:Synovitis, Pigmented Villonodular / Q000175:diagnosis*; D000070600:Tibial Meniscus Injuries