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Synovial Hemangioma
Hemangioma of Synovium

Presentation

It presents frequently in the knee with pain, tenderness, intermittent swelling and recurrent hemarthrosis. MRI can be helpful in diagnosis of synovial hemangioma. [ncbi.nlm.nih.gov]

We report a case of synovial hemangioma in this location which presented a diagnostic challenge due to unusual clinical presentation. [mss-ijmsr.com]

Hematological

  • Hemophilia A

    It is thought that arthropathy is caused by repeated bleeding episodes similar to the joint disease in hemophilia. Four children aged 4 to 9 years at surgery were treated by anterior open synovectomy for intra-articular synovial hemangiomas. [ncbi.nlm.nih.gov]

    The bleeding is rarely as severe as that seen with the bleeding diatheses (e.g., hemophilia) and early osteoarthritis is usually not seen. Radiographic findings can mimic a soft tissue mass or a joint effusion. [roentgenrayreader.blogspot.com]

    Resnick D, Oliphant M: Hemophilia-like arthropathy of the knee associated with cutaneous and synovial hemangiomas. Report of 3 cases and review of the literature. Radiology. 1975, 114: 323-326. CrossRef PubMed 8. [springermedizin.de]

    In less than 5% of patients they show periosteal reaction, cortical destruction, osteoporosis, advanced maturation of the epiphyses and a discrepancy in leg length or even arthropathy simulating hemophilia [7]. [jmedicalcasereports.biomedcentral.com]

    Hemophilia-like arthropathy of the knee associated with cutaneous and synovial hemangiomas. Report of 3 cases and review of the literature. Radiology, 1975, 114:323-6. Huang TW, Lee SC, Chen JC, Hsu HH, Cheng YL: Cavernous hemangioma of the sternum. [ojs.ukw.edu.pl]

Entire Body System

  • Pain

    To the investigators' knowledge, this is the second reported case of synovial hemangioma presenting as a painful, definitively locked knee. [ncbi.nlm.nih.gov]

  • Soft Tissue Mass

    Plain radiographs showed a soft tissue mass around the elbow with scat- tered nodular intraarticular calcificati ons. [file.scirp.org]

    tissue mass Microscopic (histologic) description Resembles either cavernous hemangioma, lobular capillary hemangioma, arteriovenous hemangioma or venous hemangioma Microscopic (histologic) images Images hosted on other servers: Hip Hyperplastic synovium [pathologyoutlines.com]

    It confirmed increased nodular soft tissue in the joint. Magnetic resonance imaging of the knee showed intra-articular nodular soft tissue filling the medial suprapatellar bursa, also extending into the vastus medialis. [ncbi.nlm.nih.gov]

  • Soft Tissue Swelling

    Soft tissue swelling is mostly posterior with some nodular calcifications, one of which appears intraarticular (arrow). Figure 2. Axial sonogram thro ugh the elbow. [file.scirp.org]

    The MRI of the shoulder showed glenohumeral synovitis with joint effusion and soft tissue swelling in the subscapular bursa, which could correspond to pannus. [doaj.org]

    tissue swelling; - shows spontaneous involution by 4-5 yrs of age; - cavernous hemangiomas: - invasive tumors which often manifest as a deep soft tissue mass, often involving the thigh; - intramuscular hemangiomas may engorged with blood during activity [wheelessonline.com]

    On examination, a poorly defined, soft, compressible swelling was noticed on the medial side of the right knee. A plain radiograph revealed a soft tissue swelling with no bony abnormality. Repeated FNACs yielded altered blood. [ijpmonline.org]

  • Constitutional Symptom

    Case Report This healthy 2-year old girl presented with painless right elbow swelling for 3 months with no history of fever, weight loss, or other constitutional symptoms. [file.scirp.org]

  • Weight Loss

    Case Report This healthy 2-year old girl presented with painless right elbow swelling for 3 months with no history of fever, weight loss, or other constitutional symptoms. [file.scirp.org]

Cardiovascular

  • Vascular Disease

    Medical imagery Diseases of the osteoarticular system Vascular disease Keyword (es) Angioma Crónico Diagnóstico Rodilla Hombre Imaginería RMN Revista bibliográfica Sinovial Vaso sanguíneo Aparato circulatorio patología Imaginería médica Sistema osteoarticular [pascal-francis.inist.fr]

    disease, 040158, 心血管疾患, シンケッカンシッカン, cardiovascular disease, 023404, 病気, ビョウキ, disease, 017213, 脈管組織腫瘍, ミャッカンソシキシュヨウ, vascular tissue tumor, 054282, 腫瘍, シュヨウ, tumor, 011325, 良性腫瘍, リョウセイシュヨウ, benign tumor, 040004, X線検査, Xセンケンサ, X-ray inspection, 003080 [togodb.dbcls.jp]

Musculoskeletal

  • Joint Effusion

    Nontraumatic joint swelling combined with recurrent, possibly hemorrhagic joint effusions must be considered signs of a synovial hemangioma. [ncbi.nlm.nih.gov]

    The clinical presentation is with pain and joint swelling. Patients may also present with restricted joint movements, local tenderness, and joint effusions (hemarthrosis). [mss-ijmsr.com]

    The MRI of the shoulder showed glenohumeral synovitis with joint effusion and soft tissue swelling in the subscapular bursa, which could correspond to pannus. [doaj.org]

  • Joint Swelling

    It may be a cause of pain and recurrent joint swelling in children and young adults. This report presents a 29-year-old patient with a synovial hemangioma in the left knee joint. [ncbi.nlm.nih.gov]

    Definition / general Uncommon; usually young adults, more common in males Presents as nontraumatic joint swelling with recurrent effusions Radiology images Images hosted on other servers: MRI of knee of 32 year old man Gross description Tumor usually [pathologyoutlines.com]

  • Synovial Disorder

    Synovial Hemangioma of the Knee. Arthroscopy 2003;19(7):E27-30. Adelani MA, Wupperman RM, Holt GE. Benign Synovial Disorders. J Am Acad Orthop Surg 2008;16(5):268-75. Akgun I, Kesmezacar H, Ogut T, et al. Intra-articular Hemangioma of the Knee. [acta.tums.ac.ir]

  • Elbow Swelling

    Lateral radiograph of the right elbow. Soft tissue swelling is mostly posterior with some nodular calcifications, one of which appears intraarticular (arrow). Figure 2. Axial sonogram thro ugh the elbow. [file.scirp.org]

Psychiatrical

  • Suggestibility

    We present a 7-year-old boy referred to our department for Tc red blood cell (RBC) scan for the confirmation of hemangioma suggested by the MRI. [ncbi.nlm.nih.gov]

    These features strongly suggested a diagnosis of hemangioma. [em-consulte.com]

    Repeated fine needle aspirations yielded blood and a provisional diagnosis of hemarthrosis was suggested. Coagulation profile subsequently carried out was found to be within normal limits. [ijpmonline.org]

Workup

Workup revealed free intraarticular nodules, which were subsequently arthroscopically removed and identified to be synovial hemangioma. [ncbi.nlm.nih.gov]

Synovial Fluid

  • Synovial Hemangioma

    Histological examination confirmed the diagnosis of a synovial hemangioma. In a review of the recent literature we report the common features of a synovial hemangioma, with emphasis on its diagnosis and therapy. [ncbi.nlm.nih.gov]

    Juhl M, Krebs B: Arthroscopy and synovial hemangioma or giant cell tumor of the knee. Arch Orthop Trauma Surg. 1989, 108: 250-252. 10.1007/BF00936211. CrossRef PubMed 13. Forrest J, Staple TW: Synovial hemangioma of the knee. [springermedizin.de]

  • Synovial Cyst

    The predilection of an anterior epidural space and a person's relatively young age may favor type A or B of a spinal epidural hemangioma to a synovial cyst. [ajnr.org]

Treatment

Abstract We report our clinical experiences in the diagnosis and treatment of four patients with synovial hemangiomata. Synovial hemangiomata are rare causes of recurrent, nonspecific joint complaints and occur most often at the knee joint. [ncbi.nlm.nih.gov]

Prognosis

What is the Prognosis of Synovial Hemangioma? (Outcomes/Resolutions) The prognosis of Synovial Hemangiomas is generally very good, when the lesions are small. [dovemed.com]

Following total excision, prognosis is usually excellent and recurrence is rare. No recurrences were detected during a follow-up period of 16 months. [agris.fao.org]

Long-standing synovial hemangiomas which are localized with spared articular cartilage have a good prognosis with arthroscopic synovectomy. Introduction Hemangiomas of bone constitute 1% of all primary bone tumors. [ncbi.nlm.nih.gov]

Long-standing synovial hemangiomas which are localized with spared articular cartilage have a good prognosis with arthroscopic synovectomy. [jocr.co.in]

Etiology

The etiology of the lesion is discussed, together with a brief review of the literature. [online.boneandjoint.org.uk]

Etiology  Many chromosomal abnormalities have been detected. [slideshare.net]

Hemangiomas The etiology of hemangiomas is unclear. [emedicine.medscape.com]

The precise etiology of ganglion cysts is not understood. [ijoonline.com]

Epidemiology

RadioGraphics 15:893–917 PubMed Google Scholar Myers BW, Massi AT, Feigenbaum SL (1980) Pigmented villonodular synovitis and tenosynovitis: A clinical epidemiologic study of 166 cases and literature review. [link.springer.com]

Epidemiology Intramuscular hemangiomas Most deep soft tissue hemangiomas probably are asymptomatic and small and go completely unnoticed; therefore, the exact incidence and prevalence are impossible to determine with any degree of certainty. [emedicine.medscape.com]

Pathophysiology

Irrespective of the primary aetiology, electrophysiological studies suggest that the underlying pathophysiology relates to compression of the vasa nervosum of the nerve [ 6 Sunderland S. [benthamopen.com]

Pathophysiology Hemangiomas are benign lesions with increased numbers of blood vessels. [emedicine.medscape.com]

Prevention

Early diagnosis is important to prevent prolonged suffering from chronic joint swelling with probable joint damages, unnecessary treatment procedures and as well school and sports absenteeism. [ncbi.nlm.nih.gov]

Pearls and Pitfalls in Musculoskeletal Imaging will help you spot artifacts, mimics and other unusual conditions, enabling you to avoid misdiagnosis and prevent mismanagement. An essential diagnostic tool for radiologists at every level. [books.google.com]

Orthopedicians must exercise a high index of suspicion, as prompt diagnosis and treatment can prevent progressive secondary degeneration of the joint. [jocr.co.in]

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