title: Pigmented villonodular synovitis of 1st metatarsophalangeal joint: a case report and literature review.
abstract: Pigmented villonodular synovitis is a common disease entity particularly in the knee joint but its incidence in the foot is quite rare. A case of first metatarsophalangeal (MTP) joint pigmented villonodular synovitis (PVNS), presented to us with recurrence of symptoms after surgical excision done outside our institute. After histological confirmation of recurrence of the disease, repeat open surgical excision was performed. After being asymptomatic for two months she presented to us with recurrence of symptoms for which hyperkeratotic plaque at the ventral aspect of the first MTP joint was found to be responsible on physical examination. It was treated surgically by pairing it and now patient is symptom free for last 1 year. It signifies the importance of the histopathology in the diagnosis and recurrence of the PVNS and thorough physical examination in the management of the foot pathologies.
authors.affiliation: Department of Orthopedics, All India Institute of Medical sciences, New Delhi, India. Electronic address: cdpannu@gmail.com.
authors.forename: Chaitanya Dev
authors.initials: CD
authors.lastname: Pannu
authors.affiliation: Department of Orthopedics, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Morey
authors.affiliation: Department of Orthopedics, All India Institute of Medical sciences, New Delhi, India.
authors.forename: B
authors.initials: B
authors.lastname: Prashant
authors.affiliation: Department of Orthopedics, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Shishir
authors.initials: S
authors.lastname: Rastogi
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008683:Metatarsophalangeal Joint / Q000473:pathology*; D013586:Synovitis, Pigmented Villonodular / Q000175:diagnosis*
keywords: Magnetic resonance imaging (MRI); Metatarsophalangeal (MTP); Non steroidal anti-inflammatory drugs (NSAIDs); Pigmented villonodular synovitis (PVNS)