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Synovial cyst of the hip in a patient with rheumatoid arthritis

  • Case Report
  • Published:
Modern Rheumatology

Abstract

A 67-year-old woman with rheumatoid arthritis (RA; Steinblocker stage IV, class 4) who had RA onset at 34 years of age had anterior thigh pain, femoral neuropathy and lower abdominal pain. Physical examination showed multidirectional limit of motion, and radiographic examination showed destruction of the hip joint. MRI and arthrography indicated a cystic lesion that communicated with the hip joint. The rheumatoid synovial cyst was removed during total hip arthroplasty. The symptoms were relieved, and the mass was reduced in size.

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Acknowledgments

We wish to thank Dr. Harold Gainer (National Institute of Neurological Disorders and Stroke, National Institutes of Health) for his critical reading of the manuscript and Dr. Fumitaka Hirano (Department of Orthopaedics, Tohoku Rosai Hospital) for his assistance in gathering information on the patient.

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Authors and Affiliations

  1. Department of Orthopaedics, Tohoku Rosai Hospital, 4-3-21 Dainohara, Aoba-ku, Sendai, Miyagi, 981-8563, Japan

    Makoto Kawasaki, Hisayoshi Inoue, Ken Sabanai & Katsumi Sato

  2. Department of Pathology, Iwate Medical University, 2-1-1 Nishiokuda, Yahaba-cho, Shiwa-gun, Iwate, 020-3694, Japan

    Takashi Sawai

  3. School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanisi-ku, Kitakyushu, Fukuoka, 807-8555, Japan

    Makoto Kawasaki

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  1. Makoto Kawasaki
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  2. Hisayoshi Inoue
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  3. Ken Sabanai
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  4. Takashi Sawai
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  5. Katsumi Sato
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Corresponding author

Correspondence to Makoto Kawasaki.

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Kawasaki, M., Inoue, H., Sabanai, K. et al. Synovial cyst of the hip in a patient with rheumatoid arthritis. Mod Rheumatol 23, 587–592 (2013). https://doi.org/10.1007/s10165-012-0697-7

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  • DOI: https://doi.org/10.1007/s10165-012-0697-7

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