Articular abnormalities that may mimic arthritis

• Authors: Adam Greenspan , Andrew J. Grainger

Title variants

PL

Choroby stawów mogące imitować zapalenie stawów

• Languages of publication: EN PL

Abstracts

EN

There are numerous abnormalities that present with similar signs and symptoms to arthritis. In this article some of these conditions that can masquerade as arthritis are discussed. Synovial osteochondromatosis is an uncommon benign disorder marked by the metaplastic proliferation of multiple cartilaginous nodules in the synovial membrane of the joints, bursae, or tendon sheaths. Pigmented villonodular synovitis, also known as diffuse-type tenosynovial giant cell tumor, is a locally destructive fibrohistiocytic proliferation, characterized by many villous and nodular synovial protrusions which affects the joints. Synovial hemangioma is a rare benign lesion whose pathogenesis is still unclear. It commonly affects the knee joint, although the other articulations, such as elbow, wrist, and ankle may also be involved. Lipoma arborescens, also known as villous lipomatous proliferation of the synovial membrane, is a rare intra-articular disorder characterized by a non-neoplastic lipomatous proliferation of the synovium. The term “arborescens” refers to the characteristic tree-like morphology of the lesion, which resembles a frond-like mass.

PL

Istnieje wiele chorób, które mogą dawać podobne objawy przedmiotowe i podmiotowe do zapalenia stawów. Niniejszy artykuł przedstawia przegląd niektórych z nich. Kostniakochrzęstniakowatość maziówki jest nieczęstym łagodnym zaburzeniem, w którego przebiegu dochodzi do proliferacji licznych guzków chrzęstnych w błonie maziowej stawów, kaletek i pochewek ścięgnistych. Barwnikowe kosmkowo-guzkowe zapalenie błony maziowej stawów, zwane także postacią rozlaną guza olbrzymiokomórkowego pochewek ścięgnistych, to miejscowo destrukcyjna choroba charakteryzująca się przerostem fibrohistiocytarnym z obecnością licznych kosmkowych i guzkowych wypustek błony maziowej stawów. Naczyniak maziówkowy jest łagodną zmianą o wciąż niewyjaśnionej patogenezie. Zwykle występuje w stawie kolanowym, choć może także pojawić się w innych stawach, np. łokciowym, nadgarstka i skokowym. Tłuszczak drzewiasty, czyli kosmkowa, tłuszczowata zmiana rozrostowa błony maziowej, jest rzadkim zaburzeniem wewnątrzstawowym, charakteryzującym się nienowotworową proliferacją tłuszczową błony maziowej. Nazwa tej choroby odzwierciedla drzewopodobną lub liściopodobną morfologię zmiany.

Keywords

EN

arthritis; lipoma arborescens; pigmented villonodular synovitis; synovial hemangioma; synovial osteochondromatosis

Discipline

• MEDICINE: MEDICINE

• Journal: Journal of Ultrasonography
• Year: 2018
• Volume: 18
• Issue: 74
• Pages: 212–223

Contributors

author

Adam Greenspan

• Department of Radiology, University of California School of Medicine, Sacramento, California, USA,

author

Andrew J. Grainger

• Leeds Teaching Hospitals and Leeds University, Leeds, UK

References

• 1. Greenspan A, Gershwin ME: Imaging in Arthritis: A Clinical Approach. Wolters Kluwer, Philadelphia 2018: 377–419.
• 2. Hermann G, Abdelwahab IF, Klein M, Kenan S, Lewis M: Synovial chondromatosis. Skeletal Radiol 1995; 24: 298–300.
• 3. Crotty JM, Monu JU, Pope TL Jr: Synovial osteochondromatosis. Radiol Clin North Am 1996; 34: 327–342.
• 4. Jacobson JA, Girish G, Jiang Y, Sabb BJ: Radiographic evaluation of arthritis: degenerative joint disease and variations. Radiology 2008; 248: 737–747.
• 5. Blacksin MF, Ghelman B, Freiberger RH, Salvati E: Synovial chondromatosis of the hip. Evaluation with air computed arthrotomography. Clin Imaging 1990; 14: 315–318.
• 6. Murphey MD, Vidal JA, Fanburg-Smith JC, Gajewski DA: Imaging of synovial chondromatosis with radiologic-pathologic correlation. Radiographics 2007; 27: 1465–1488.
• 7. Sheldon PJ, Forrester DM, Learch TJ: Imaging of intraarticular masses. Radiographics 2005; 25: 105–119.
• 8. Hopyan S, Nadesan P, Yu C, Wunder J, Alman BA: Dysregulation of hedgehog signaling predisposes to synovial chondromatosis. J Pathol 2005; 206: 143–150.
• 9. Evans S, Boffano M, Chaudhry S, Jeys L, Grimer R: Synovial chondrosarcoma arising in synovial chondromatosis. Sarcoma 2014. DOI: 10.1155/2014/647939.
• 10. Ontell F, Greenspan A: Chondrosarcoma complicating synovial chondromatosis: findings with magnetic resonance imaging. Can Assoc Radiol J 1994; 45: 318–323.
• 11. De St. Aubain Sommerhausen N, Dal Cin P: Giant cell tumour of tendon sheath. In: Fletcher CDM, Unni KK, Mertens F (eds.): World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. IARC Press, Lyon 2002: 110– 111.
• 12. De St. Aubain Sommerhausen N, Dal Cin P: Diffuse-type giant cell tumour. In: Fletcher CDM, Unni KK, Mertens F (eds.): World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. IARC Press, Lyon 2002: 112–114.
• 13. Fletcher CDM, Bridge J, Hogendoorn P, Mertens F (eds.): WHO Classification of Tumors of Soft Tissue and Bone. IARC Press, Lyon 2013.
• 14. Greenspan A, Borys D: Radiology and Pathology Correlation of Bone Tumors. A Quick Reference and Review. Wolters Kluwer, Philadelphia 2016: 353–380.
• 15. Bravo SM, Winalski CS, Weissman BN: Pigmented villonodular synovitis. Radiol Clin North Am 1996; 34: 311–326.
• 16. Cotten A, Flipo RM, Chastanet P, Desvigne-Noulet MC, Duquesnoy B, Delcambre B: Pigmented villonodular synovitis of the hip: review of radiographic features in 58 patients. Skeletal Radiol 1995; 24: 1–6.
• 17. Lin J, Jacobson JA, Jamadar DA, Ellis JH: Pigmented villonodular synovitis and related lesions: the spectrum of imaging findings. AJR Am J Roentgenol 1999; 172: 191–197.
• 18. Eustace SE, Harrison M, Srinivasen U, Stack J: Magnetic resonance imaging in pigmented villonodular synovitis. Can Assoc Radiol J 1994; 45: 283–286.
• 19. Besette PR, Cooley PA, Johnson RP, Czarnecki DJ: Gadolinium-enhanced MRI of pigmented villonodular synovitis of the knee. J Comput Assist Tomogr 1992; 16: 992–994.
• 20. Jaffe HL, Lichtenstein L, Sutro CJ: Pigmented villonodular synovitis, bursitis and tenosynovitis. Arch Pathol Lab Med 1941; 31: 731–765.
• 21. Stout AP, Lattes R: Atlas of Tumor Pathology. Tumors of the Soft Tissues (2nd Series Fascicle 1). Armed Forces Institute Pathology, Washington DC 1967: 38–52.
• 22. Dorwart RH, Genant HK, Johnston WH, Morris JM: Pigmented villonodular synovitis of synovial joints: clinical, pathologic, and radiologic features. AJR Am J Roentgenol 1984; 143: 877–885.
• 23. Llauger J, Palmer J, Rosón N, Cremades R, Bagué S: Pigmented villonodular synovitis and giant cell tumors of the tendon sheath: radiologic and pathologic features. AJR Am J Roentgenol 1999; 172: 1087–1091.
• 24. Rubin BP: Tenosynovial giant cell tumor and pigmented villonodular synovitis: a proposal for unification of these clinically distinct but histologically and genetically identical lesions. Skeletal Radiol 2007; 36: 267–268.
• 25. Mendenhall WM, Mendenhall CM, Reith JD, Scarborough MT, Gibbs CP, Mendenhall NP: Pigmented villonodular synovitis. Curr Opin Oncology 2011; 23: 361–366.
• 26. Chen DY, Lan JL, Chou SJ: Treatment of pigmented villonodular synovitis with yttrium-90: changes in immunologic features. Tc-99m uptake measurements, and MR imaging of one case. Clin Rheumatol 1992; 11: 280–285.
• 27. Brodsky AE: Synovial hemangioma of the knee joint. Bull Hosp Joint Dis 1956; 17: 58–69.
• 28. Cotten A, Flipo RM, Herbaux B, Gougeon F, Lecomte-Houcke M, Chastanet P: Synovial haemangioma of the knee: a frequently misdiagnosed lesion. Skeletal Radiol 1995; 24: 257–261.
• 29. Devaney K, Vinh TN, Sweet DE: Synovial hemangioma: report of 20 cases with differential diagnostic considerations. Hum Pathol 1993; 24: 737–745.
• 30. Greenspan A, Azouz EM, Matthews J 2nd, Décarie JC: Synovial hemangioma: imaging features in eight histologically proven cases, review of the literature, and differential diagnosis. Skeletal Radiol 1995; 24: 583–590.
• 31. Armstrong SJ, Watt I: Lipoma arborescens of the knee. Br J Radiol 1989; 62: 178–180.
• 32. Grieten M, Buckwalter KA, Cardinal E, Rougraff B: Case report 873. Lipoma arborescens (villous lipomatous proliferation of the synovial membrane). Skeletal Radiol 1994; 23: 652–655.
• 33. Hallel T, Lew S, Bansal M: Villous lipomatous proliferation of the synovial membrane (lipoma arborescens). J Bone Joint Surg Am 1988; 70: 264–270.
• 34. Al-Ismail K, Torreggiani WC, Al-Sheikh F, Keogh C, Munk PL: Bilateral lipoma arborescens associated with early osteoarthritis. Eur Radiol 2002; 12: 2799–2802.
• 35. Bejia I, Younes M, Moussa A, Said M, Touzi M, Bergaoui N: Lipoma arborescens affecting multiple joints. Skeletal Radiol 2005; 34: 536–538.
• 36. Kloen P, Keel SB, Chandler HP, Geiger RH, Zarins B, Rosenberg AE: Lipoma arborescens of the knee. J Bone Joint Surg Br 1998; 80: 298–301.
• 37. Ryu KN, Jaovisidha S, Schweitzer M, Motta AO, Resnick D: MR imaging of lipoma aborescens of the knee joint. AJR Am J Roentgenol 1996; 167: 1229–1232.
• 38. Laorr A, Peterfy CG, Tirman PF, Rabassa AE: Lipoma arborescens of the shoulder: magnetic resonance imaging findings. Can Assoc Radiol J 1995; 46: 311–313.
• 39. White EA, Omid R, Matcuk GR, Domzalski JT, Fedenko AN, Gottsegen CJ et al.: Lipoma arborescens of the biceps tendon sheath. Skeletal Radiol 2013; 42: 1461–1464.
• 40. Parsonage S, Mehr A, Davies AM: Lipoma arborescens: a definitive MR imaging diagnosis. Osteol Közlem 2001; 9: 80–82.

• Document Type: article