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Current Rheumatology Reviews

Author(s): Gayathri Drondula, Jyotsna Bharti*, Jyoti Verma, Samireddypalle Yugandhar and Purushotham Lingaiah

DOI: 10.2174/0115733971266035231123154807

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Undiagnosed Intra-articular Synovial Hemangioma: A Rare Cause of Knee Pain and Swelling

Page: [332 - 336] Pages: 5

  • * (Excluding Mailing and Handling)

Abstract

Introduction: Synovial hemangioma is a benign soft-tissue tumor of vascular origin. Hemangioma only accounts for 1% of all bone lesions and is mostly an incidental finding among the primary skeleton tumors. A delay in diagnosis results in joint degeneration and osteoarthritic damage because of infiltrating tumor growth.

Case Presentation: We presented a rare case of an intra-articular synovial hemangioma in a 13- year-old pediatric patient who was asymptomatic for 5 years. She attended orthopedics OPD at AIIMS, Mangalagiri. Surgical excision of the mass and partial synovectomy was done. Synovial hemangioma came out to be the diagnosis following a histologic study.

Conclusion: As radiography has limited diagnostic ability, synovial hemangiomas are difficult and challenging to identify on an outpatient basis. Histological examination and magnetic resonance imaging are extremely helpful. To minimize the hemarthrosis risks, early complete excision can be used as the best treatment modality.

Graphical Abstract

[1]
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 2019; 29(6): 1291-6.
[http://dx.doi.org/10.1007/s00590-019-02431-5] [PMID: 30980138]
[2]
Bouchut E. Erectile tumor of the knee joint. Gaz Hop Paris 1856; 29: 379.
[3]
Okahashi K, Sugimoto K, Iwai M, Tanaka M, Fujisawa Y, Takakura Y. Intra-articular synovial hemangioma; a rare cause of knee pain and swelling. Arch Orthop Trauma Surg 2004; 124(8): 571-3.
[http://dx.doi.org/10.1007/s00402-004-0735-9] [PMID: 15340750]
[4]
Mlynarek RA, Ross JR, Fessell DP, Bedi A. Synovial disorders of the knee MRI-Arthroscopy Correlations: A Case-Based Atlas of the Knee. Shoulder, Elbow and Hip 2015; pp. 131-43.
[http://dx.doi.org/10.1007/978-1-4939-2645-9_10]
[5]
Holzapfel BM, Geitner U, Diebold J, Glaser C, Jansson V, Dürr HR. Synovial hemangioma of the knee joint with cystic invasion of the femur: A case report and review of the literature. Arch Orthop Trauma Surg 2009; 129(2): 143-8.
[http://dx.doi.org/10.1007/s00402-008-0690-y] [PMID: 18758797]
[6]
Moon NF. Synovial hemangioma of the knee joint: A review of previously reported cases and inclusion of two new cases. Clin Orthop Relat Res 1973; 90: 183-90.
[7]
Price NJ, Cundy PJ. Synovial hemangioma of the knee. J Pediatr Orthop 1997; 17(1): 74-7.
[http://dx.doi.org/10.1097/01241398-199701000-00017] [PMID: 8989706]
[8]
Sonobe T, Hakozaki M, Kaneuchi Y, et al. Radiological and pathological characteristics of synovial hemangioma of the knee. Exp Ther Med 2022; 25(1): 23.
[http://dx.doi.org/10.3892/etm.2022.11722] [PMID: 36561614]
[9]
Slouma M, Hannech E, Msolli A, et al. Synovial hemangioma: A rare cause of chronic knee pain. Clin Case Rep 2022; 10(7): ccr3.6007.
[http://dx.doi.org/10.1002/ccr3.6007] [PMID: 35846940]
[10]
Abdulwahab AD, Tawfeeq DN, Sultan OM. Intra-articular synovial hemangioma: A rare cause of knee pain and swelling. J Clin Imaging Sci 2021; 11: 26.
[http://dx.doi.org/10.25259/JCIS_129_2020] [PMID: 33948341]
[11]
Shyam K, Andrew D, Johny J. Progressively growing paediatric knee swelling: Synovial haemangioma. BMJ Case Rep 2021; 14(9): e242694.
[http://dx.doi.org/10.1136/bcr-2021-242694] [PMID: 34551911]
[12]
Watanabe S, Takahashi T, Fujibuchi T, et al. Synovial hemangioma of the knee joint in a 3-year-old girl. J Pediatr Orthop B 2010; 19(6): 515-20.
[http://dx.doi.org/10.1097/BPB.0b013e32833c31ad] [PMID: 20697297]
[13]
Tohma Y, Mii Y, Tanaka Y. Undiagnosed synovial hemangioma of the knee: A case report. J Med Case Reports 2019; 13(1): 231.
[http://dx.doi.org/10.1186/s13256-019-2107-7] [PMID: 31311579]
[14]
Cotten A, Flipo RM, Herbaux B, Gougeon F, Lecomte-Houcke M, Chastanet P. Synovial haemangioma of the knee: A frequently misdiagnosed lesion. Skeletal Radiol 1995; 24(4): 257-61.
[http://dx.doi.org/10.1007/BF00198409] [PMID: 7644936]
[15]
Alaoui N, Lamalmi N, Saouab R, Gourinda H, Dendane MA. Synovial hemangioma: A rare case of knee joint tumefaction in children. Ann Vasc Surg 2014; 28(1): 260.e1-4.
[http://dx.doi.org/10.1016/j.avsg.2012.08.019] [PMID: 24189010]
[16]
Devaney K, Vinh TN, Sweet DE. Synovial hemangioma: A report of 20 cases with differential diagnostic considerations. Hum Pathol 1993; 24(7): 737-45.
[http://dx.doi.org/10.1016/0046-8177(93)90010-E] [PMID: 8319952]
[17]
Depalma AF, Mauler GG. Hemangioma of synovial membrane. Clin Orthop Relat Res 1964; (32): 93-9.
[18]
Bennett G. Hemangioma of joints: Report of five cases. Arch Surg 1939; 38(3): 487-500.
[http://dx.doi.org/10.1001/archsurg.1939.01200090092008]
[19]
Maeyama A, Saeki K, Hamasaki M, Kato Y, Naito M. Deformation of the patellofemoral joint caused by synovial hemangioma. J Pediatr Orthop B 2014; 23(4): 346-9.
[http://dx.doi.org/10.1097/BPB.0000000000000047] [PMID: 24626098]
[20]
Bruns J, Eggers-Stroeder G, von Torklus D. Synovial hemangioma — a rare benign synovial tumor. Knee Surg Sports Traumatol Arthrosc 1994; 2(3): 186-9.
[http://dx.doi.org/10.1007/BF01467924] [PMID: 7584204]
[21]
Kim SJ, Cho SH, Ko DH. Arthroscopic excision of synovial hemangioma of the hip joint. J Orthop Sci 2008; 13(4): 387-9.
[http://dx.doi.org/10.1007/s00776-007-1232-0] [PMID: 18696201]
[22]
Pérez A, Salvago M, Dolores M. Synovial knee affected in multiple hemangiomatosis. Arch Orthop Trauma Surg 2007; 127(9): 845-8.
[http://dx.doi.org/10.1007/s00402-007-0321-z] [PMID: 17429665]