Abstract

We report a case of pigmented villonodular synovitis (PVS) occurring in the hip joint.Case: A 54-year-old female had increasing right hip pain and swelling for over eight years. We found a slightly decreasing Range of Motion (ROM). Roentgenograph showed narrowed joint space and multiple cystic changes on the acetabulum, femoral head and neck. The lesion appeared with low intensity with T1 and T2 MRI, and showed very low intensity with T2* MRI. We diagnosed PVS by biopsy and performed only synovectomy without damaging the blood vessels around the right hip joint. She has had no reccurrence and has maintained good function of the right hip joint for seven months.

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