Official Journal of the Italian Society of Orthopaedics and Traumatology
Case | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
---|---|---|---|---|---|---|---|
Age | 39 | 53 | 53 | 37 | 34 | 57 | 40 |
Gender | Woman | Woman | Woman | Man | Man | Man | Woman |
Additional conditions/situations | None | None | None | Marathon runner | -Lymphoma B | -High blood pressure | None |
-Dyslipidemia | |||||||
-Obesity | |||||||
-Smoking | |||||||
-Alcoholism | |||||||
Trigger or particular debut | None | None | None | After a twist playing soccer | None | Sudden, oppressive and atraumatic left knee pain with a large effusion | None |
Prior to surgery | 12 months | 37 months | 30 months | 4 months | 11 months in the right knee | 23 months | 10 months |
Prior to surgery Physical symptoms and Findings | Recurrent effusions and discomfort | Recurrent effusions, swelling and a large palpable supra-patellar mass | Recurrent effusions and anterior knee pain | Soft tissue palpable mass above the superior aspect of the patella and anterior knee pain | Recurrent effusions, pain and swelling in both knees | Oppressive left knee pain. | Pain, swelling and recurrent effusions |
Laterality | Right | Right | Right | Left | Bilateral | Bilateral | Left |
Treatment | AS | OS | 2 AS. PFA*. 1 AS after PFA | AS | AS in both knees | OS in the left knee, no treatment in the right knee | AS |
Results | Pain free. No effusions | Pain free. No effusions | Still pain. Still effusions | Pain free. No effusions | Asymptomatic in both knees | The symptoms of the left knee subsided almost completely. Still pain in the right knee | Pain free. No effusions |
Surgical Findings | Bright yellow villi in the whole suprapatellar pouch | Large, pedicled and encapsulated tumor | Synovitic villi in the whole knee | Synovitic villi in the suprapatellar pouch | Synovitic villi at the suprapatellar pouch of both knees | An elongated diffuse synovial proliferation in the whole knee | Synovitic villi in the whole knee |
Follow up | 14 months | 22 months | 25 months | 12 months | 27 months in the right knee | 29 months | 44 months |
Evidence of osteoarthritis | No | Yes | Yes | No | Yes, in the left knee | Yes, in both knees | No |