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Synovial hemangioma — a rare benign synovial tumor

Report of four cases

  • Case Report
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

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. Nontraumatic joint swelling combined with recurrent, possibly hemorrhagic joint effusions must be considered signs of a synovial hemangioma. Although no preoperative diagnostic tool enables confirmation of the diagnosis, and MRI seems to be the diagnostic procedure of first choice, it is most important fact for the clinician to be aware of the existence of this disease. Early surgical treatment with the excstence of this disease. Early surgical treatment with excision of the tumor within wide margins of noninvolved normal synovial tissue as partial or total synovectomy is the therapy of choice and avoids degenerative changes as demonstrated with the four cases reported here.

Zusammenfassung

Anhand von 4 Kasuistiken wird über mögliche Symptome, Befunde und präoperativ durchgeführte diagnostische Verfahren beichtet, die mit der Erkennung und Therapie des seltenen, gutartigen synovialen Hämangioms verbunden sein können. Danach gibt es keine präoperative Maßnahme, die in jedem Fall die sichere Diagnosestellung ermöglicht. Daraus ist zu folgern, daß bei mehrdeutigen klinischen und bildgebenden Befunden frühzeitig an das Vorliegen eines synovialen Hämangioms gedacht werden muß. Als Therapie der Wahl ist die möglichst frühzeitige und vollständige Tumorresektion, verbunden (je nach Befund) mit einer partiellen oder totalen Synovektomie, zu empfehlen. Langfristiges Abwarten oder Verzicht auf eine Tumorentfernung haben sekundärarthrotische Veränderungen zur Folge.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, University of Hamburg, Martinistrasse 52, D-20246, Hamburg, Germany

    J. Bruns, G. Eggers-Stroeder & D. von Torklus

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  1. J. Bruns
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  2. G. Eggers-Stroeder
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  3. D. von Torklus
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Bruns, J., Eggers-Stroeder, G. & von Torklus, D. Synovial hemangioma — a rare benign synovial tumor. Knee Surg, Sports traumatol, Arthroscopy 2, 186–189 (1994). https://doi.org/10.1007/BF01467924

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