JBJS | Invasive Pigmented Villonodular Synovitis of the Atlantoaxial Joint : A Case Report

The Journal of Bone & Joint Surgery, Volume 84, Issue 10

Case Reports | October 01, 2002

Invasive Pigmented Villonodular Synovitis of the Atlantoaxial Joint : A Case Report

Eric J. Graham, MD; Timothy R. Kuklo, MD; Michael Kyriakos, MD; David A. Rubin, MD; K. Daniel Riew, MD

The Journal of Bone & Joint Surgery. 2002; 84:1856-1860

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Extract

Pigmented villonodular synovitis is a slowly progressive lesion that originates from the synovial membrane of the tendons and joints ^1-6 . It most frequently occurs in the hip and knee joints as a monoarticular proliferative process but may arise in any joint ^1,2,7,8 . However, the cervical spine is an uncommon site of involvement, with the cases of only twelve patients previously reported in the English-language literature, to our knowledge ^9-15 . The lesion was in proximity to the first and second cervical levels in only one of these patients ¹⁵ ; the lesions in the remaining patients involved the subaxial cervical spine. We describe a patient who had a unique case of pigmented villonodular synovitis involving not only the facet joint at the first and second cervical level but also the first and second cervical vertebrae.

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atlanto-axial joint ; pigmented villonodular synovitis

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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