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Tumors Mimicking Sports Injuries

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Sports Injuries

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Abstract

Although musculoskeletal tumors are less common, they frequently occur in the same age group and also around the joints – most commonly knee joint – and patients often recall some traumatic event with pain and swelling about the knee. The overlapping clinical appearance of some sports-related injuries and orthopedic oncologic conditions continues to lead to delayed diagnosis or an incorrect arthroscopic diagnosis. Physicians performing arthroscopy must be familiar with common orthopedic oncologic conditions similar to those of a sports-related injury. To avoid the misdiagnosis, appropriate, good quality radiographs or MRI studies should be obtained before any invasive procedure like arthroscopy. Imaging studies should be obtained at least 3 weeks before the planned procedure, and they should be carefully reviewed by the surgeon and radiologist. If any lesion is discovered, it should be evaluated carefully for special diagnosis before any arthroscopic procedure. A thorough history and physical examination with attention to possibility of referred pain is essential. Arthroscopic biopsy is only advisable if the diagnosis of pigmented villonodular synovitis, synovitis, or synovial chondromatosis is radiologically evitable. In case of possibility of a tumor, the patient must be consulted to an orthopedic oncologist.

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Authors and Affiliations

  1. Faculty of Medicine, Department of Orthopedics and Traumatology, Hacettepe University, Ankara, Sihhiye, Turkey

    Mehmet Ayvaz

  2. Department of Orthopaedics and Traumatology, Dr. Sami Ulus Training and Research Hospital, Ankara, Altindag, Turkey

    Senol Bekmez

  3. Department of Orthopaedic Surgery, Memorial Sloan Kettering Cancer Center, Memorial Hospital 1275 York Avenue New York, New York, NY, USA

    Nicola Fabbri

Authors
  1. Mehmet Ayvaz
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  2. Senol Bekmez
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  3. Nicola Fabbri
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Corresponding author

Correspondence to Mehmet Ayvaz .

Editor information

Editors and Affiliations

  1. Department of Orthopaedics and Traumatology and Department of Sports Medicine, Hacettepe University, Istanbul, Turkey

    Mahmut Nedim Doral

  2. Department of Orthopaedic Surgery, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden

    Jon Karlsson

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Ayvaz, M., Bekmez, S., Fabbri, N. (2015). Tumors Mimicking Sports Injuries. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_261

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  • DOI: https://doi.org/10.1007/978-3-642-36569-0_261

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36568-3

  • Online ISBN: 978-3-642-36569-0

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