Simultaneous involvement of pigmented villonodular synovitis in the left shoulder glenohumeral joint and ankle joint: a rare case report

Abstract Background Pigmented Villonodular Synovitis, although uncommon, can lead to significant joint destruction if not diagnosed and treated early. Concurrent polyarticular presentation in adults is exceedingly rare, appearing in less than 1% of cases. Case presentation This case report presents...

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Main Authors: Bo-Kyung Suh, Jinhwa Jeong, Jae Min Lee
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Musculoskeletal Disorders
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Online Access:https://doi.org/10.1186/s12891-025-08936-x
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author Bo-Kyung Suh
Jinhwa Jeong
Jae Min Lee
author_facet Bo-Kyung Suh
Jinhwa Jeong
Jae Min Lee
author_sort Bo-Kyung Suh
collection DOAJ
description Abstract Background Pigmented Villonodular Synovitis, although uncommon, can lead to significant joint destruction if not diagnosed and treated early. Concurrent polyarticular presentation in adults is exceedingly rare, appearing in less than 1% of cases. Case presentation This case report presents a unique and rare occurrence of Pigmented Villonodular Synovitis involving both the ankle and shoulder joints simultaneously in an adult patient. The patient initially developed a diffuse form Pigmented Villonodular Synovitis in the left ankle, which was managed with total synovectomy at another tertiary hospital. Two months later, a separate localized form Pigmented Villonodular Synovitis was diagnosed in the left glenohumeral joint, necessitating arthroscopic marginal resection at our hospital. At the one-year follow-up, the magnetic resonance imaging of the left shoulder showed no signs of Pigmented Villonodular Synovitis recurrence, with full range of motion and no pain. However, the magnetic resonance imaging of the left ankle revealed a recurrence of the Pigmented Villonodular Synovitis, despite the range of motion remaining within normal limits. Conclusions This case demonstrates the importance of considering multiarticular Pigmented Villonodular Synovitis when symptoms manifest in multiple joints. Early diagnosis and appropriate intervention are critical to prevent joint destruction and optimize patient outcomes.
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spelling doaj-art-536ebf7a58b6414d860f8ceb27df10352025-08-20T04:01:43ZengBMCBMC Musculoskeletal Disorders1471-24742025-07-012611910.1186/s12891-025-08936-xSimultaneous involvement of pigmented villonodular synovitis in the left shoulder glenohumeral joint and ankle joint: a rare case reportBo-Kyung Suh0Jinhwa Jeong1Jae Min Lee2Department of Orthopedic Surgery, Shinsegae Seoul HospitalDepartment of Orthopedic Surgery, Shinsegae Seoul HospitalDepartment of Orthopedic Surgery, Shinsegae Seoul HospitalAbstract Background Pigmented Villonodular Synovitis, although uncommon, can lead to significant joint destruction if not diagnosed and treated early. Concurrent polyarticular presentation in adults is exceedingly rare, appearing in less than 1% of cases. Case presentation This case report presents a unique and rare occurrence of Pigmented Villonodular Synovitis involving both the ankle and shoulder joints simultaneously in an adult patient. The patient initially developed a diffuse form Pigmented Villonodular Synovitis in the left ankle, which was managed with total synovectomy at another tertiary hospital. Two months later, a separate localized form Pigmented Villonodular Synovitis was diagnosed in the left glenohumeral joint, necessitating arthroscopic marginal resection at our hospital. At the one-year follow-up, the magnetic resonance imaging of the left shoulder showed no signs of Pigmented Villonodular Synovitis recurrence, with full range of motion and no pain. However, the magnetic resonance imaging of the left ankle revealed a recurrence of the Pigmented Villonodular Synovitis, despite the range of motion remaining within normal limits. Conclusions This case demonstrates the importance of considering multiarticular Pigmented Villonodular Synovitis when symptoms manifest in multiple joints. Early diagnosis and appropriate intervention are critical to prevent joint destruction and optimize patient outcomes.https://doi.org/10.1186/s12891-025-08936-xCase reportPigmented villonodular synovitisMultiarticular pigmented villonodular synovitisShoulderMarginal resectionSynovectomy
spellingShingle Bo-Kyung Suh
Jinhwa Jeong
Jae Min Lee
Simultaneous involvement of pigmented villonodular synovitis in the left shoulder glenohumeral joint and ankle joint: a rare case report
BMC Musculoskeletal Disorders
Case report
Pigmented villonodular synovitis
Multiarticular pigmented villonodular synovitis
Shoulder
Marginal resection
Synovectomy
title Simultaneous involvement of pigmented villonodular synovitis in the left shoulder glenohumeral joint and ankle joint: a rare case report
title_full Simultaneous involvement of pigmented villonodular synovitis in the left shoulder glenohumeral joint and ankle joint: a rare case report
title_fullStr Simultaneous involvement of pigmented villonodular synovitis in the left shoulder glenohumeral joint and ankle joint: a rare case report
title_full_unstemmed Simultaneous involvement of pigmented villonodular synovitis in the left shoulder glenohumeral joint and ankle joint: a rare case report
title_short Simultaneous involvement of pigmented villonodular synovitis in the left shoulder glenohumeral joint and ankle joint: a rare case report
title_sort simultaneous involvement of pigmented villonodular synovitis in the left shoulder glenohumeral joint and ankle joint a rare case report
topic Case report
Pigmented villonodular synovitis
Multiarticular pigmented villonodular synovitis
Shoulder
Marginal resection
Synovectomy
url https://doi.org/10.1186/s12891-025-08936-x
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