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Concentric joint space narrowing of the hip associated with hemosiderotic synovitis (HS) including pigmented villonodular synovitis (PVNS)

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Abstract

Concentric joint space narrowing of the hip is an expected radiographic finding in cases of inflammatory arthritis such as rheumatoid arthritis or sepsis. However, similar joint space narrowing is associated with chronic hemorrhagic conditions that produce hemosiderotic synovitis. Hemosiderotic synovitis results from chronic intraarticular bleeding such as occurs in pigmented villonodular synovitis, generalized bleeding diathesis, synovial hemangioma, and chronic trauma. Five hips in five patients with concentric joint space narrowing not associated with inflammatory arthritis or with hemophilia were reviewed clinically, radiographically, and pathologically. All patients had a hemosiderotic synovitis. The definitive diagnosis of pigmented villonodular synovitis was made pathologically in two cases that demonstrated nodular areas of giant cell proliferation, collagen production, and lipid-laden histiocytes on histologic samples.

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References

  1. Atmore WG, Dahlin DC, Ghormley RK (1956) Pigmented villonodular synovitis: Clinical and pathologic study. Minn Med 39:196

    Google Scholar 

  2. Breimer CW, Freiberger RH (1958) Bone lesions associated with villonodular synovitis. AJR 79:618

    Google Scholar 

  3. Byers PD, Cotton RE, Deacon OW, Lowy M, Newman PH, Sissons HA, Thompson AD (1968) The diagnosis and treatment of pigmented villonodular synovitis. J Bone Joint Surg [Br] 50:290

    Google Scholar 

  4. Carr CR, Berley FV, Davis WC (1954) Pigmented villonodular synovitis of the hip joint: a case report. J Bone Joint Surg [Am] 36:1007

    Google Scholar 

  5. Chung SMK, Jones JM (1965) Diffuse pigmented villonodular synovitis of the hip joint: Review of the literature and report of four cases. J Bone Joint Surg [Am] 47:293

    Google Scholar 

  6. Clark WS (1951) Case records of the Massachusetts General Hospital: case 37292. N Engl J Med 245:112

    Google Scholar 

  7. Danzig LA, Gershuni DH, Resnick D (1982) Diagnosis and treatment of diffuse villonodular synovitis of the hip. Clin Orthop 168:42

    Google Scholar 

  8. Docken WP (1979) Pigmented villonodular synovitis: a review with illustrative case reports. Semin Arthritis Rheum 9:1

    Google Scholar 

  9. Dorwart RH, Genant HK, Johnston WH, Morris JM (1984) Pigmented villonodular synovitis of synovial joints: Clinical, pathologic and radiologic features. AJR 143:877

    Google Scholar 

  10. Gehweiler JA, Wilson JW (1969) Diffuse biarticular pigmented villonodular synovitis. Radiology 93:845

    Google Scholar 

  11. Ghormley RK, Romness JO (1954) Pigmented villonodular synovitis (xanthomatosis) of the hip joint. Mayo Clin Proc 29:171

    Google Scholar 

  12. Ivins JC, Shives TC (1981) Case report 140. Skeletal Radiol 6:123

    Google Scholar 

  13. Jaffe HL, Lichtenstein L, Sutro GJ (1941). Pigmented villonodular synovitis, bursitis, and tenosynovitis. Arch Pathol Lab Med 31:731

    Google Scholar 

  14. Johannson JE, Ajjoub S, Coughlin LP, Wener JA, Cruess RL (1982) Pigmented villonodular synovitis of joints. Clin Orthop 163:159

    Google Scholar 

  15. Lewis RW (1947) Roentgen diagnosis of pigmented villonodular synovitis and synovial sarcoma of the knee joint. Radiology 49:26

    Google Scholar 

  16. McMaster PE (1960) Pigmented villonodular synovitis with invasion of bone: Report of six cases. J Bone Joint Surg [Am] 42:1170

    Google Scholar 

  17. Nilsonne U, Moberger G (1969) Pigmented villonodular synovitis of joints. Acta Orthop Scand 40:448

    Google Scholar 

  18. Nybonde T, Mortensson W, Robertson B (1983) Villonodular synovitis in the hip joint diagnosed by arthrography. Acta Radiol [Diagn] (Stockh) 24:67

    Google Scholar 

  19. Pantazopoulos T, Stavrou Z, Stamos C, Kehayas G, Hartofilabidis-Garofalidis G (1975) Bone lesions in pigmented villonodular synovitis. Acta Orthop Scand 46:579

    Google Scholar 

  20. Rogers WA (1944) Case records of the Massachusetts General Hospital: Case 30131. N Engl J Med 230:409

    Google Scholar 

  21. Schajowicz F, Blumenfield I (1968) Pigmented villonodular synovitis of the wrist with penetration into bone. J Bone Joint Surg [Br] 50:312

    Google Scholar 

  22. Scott PM (1968) Bone lesions in pigmented villonodular synovitis. J Bone Joint Surg [Br] 50:306

    Google Scholar 

  23. Smith JH, Pugh DG (1962) Roentgenographic aspects of articular pigmented villonodular synovitis. AJR 87:1146

    Google Scholar 

  24. Tartalgia L, Chiroff RT (1976) Diffuse pigmented billonodular synovitis: An indication for total hip replacement in the young patient. Clin Orthop 115:172

    Google Scholar 

  25. Van Rens TJG (1972) Pigmented villonodular synovitis of the hip joint. Acta Orthop Belg 38:221

    Google Scholar 

  26. Vigorita VJ, Rao AS (1984) Pigmented villonodular synovitis. J Bone Joint Surg [Am] 66:76

    Google Scholar 

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Author notes

  1. Tod G. Abrahams M.D.

    Present address: Maine Medical Center, 22 Bram Hall, 04102, Portland, ME, USA

Authors and Affiliations

  1. Department of Radiology, The Hospital for Special Surgery, affiliated with The New York Hospital, Cornell University Medical College, New York, NY, USA

    Tod G. Abrahams M.D. & Helene Pavlov M.D.

  2. Department of Pathology, The Hospital for Special Surgery, affiliated with The New York Hospital, Cornell University Medical College, New York, NY, USA

    Manjula Bansal M.D. & Peter Bullough M.D.

Authors
  1. Tod G. Abrahams M.D.
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  2. Helene Pavlov M.D.
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  3. Manjula Bansal M.D.
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  4. Peter Bullough M.D.
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Abrahams, T.G., Pavlov, H., Bansal, M. et al. Concentric joint space narrowing of the hip associated with hemosiderotic synovitis (HS) including pigmented villonodular synovitis (PVNS). Skeletal Radiol 17, 37–45 (1988). https://doi.org/10.1007/BF00361454

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