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A case of intra-articular fasciitis in the elbow joint
INTRODUCTION: Nodular fasciitis is a benign myofibroblastic proliferation arising from the fascia. Until now, there have been only two reported cases of intra-articular nodular fasciitis in the elbow joint. PRESENTATION OF CASE: We report a case of a 19-year-old woman with a 3-month history of pain...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545406/ https://www.ncbi.nlm.nih.gov/pubmed/31163331 http://dx.doi.org/10.1016/j.ijscr.2019.05.024 |
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author | Nakamura, Osamu Kaji, Yoshio Yamagami, Yoshiki Yamamoto, Tetsuji |
author_facet | Nakamura, Osamu Kaji, Yoshio Yamagami, Yoshiki Yamamoto, Tetsuji |
author_sort | Nakamura, Osamu |
collection | PubMed |
description | INTRODUCTION: Nodular fasciitis is a benign myofibroblastic proliferation arising from the fascia. Until now, there have been only two reported cases of intra-articular nodular fasciitis in the elbow joint. PRESENTATION OF CASE: We report a case of a 19-year-old woman with a 3-month history of pain in the left elbow. Contrast-enhanced T1-weighted magnetic resonance imaging (MRI) showed an intra-articular lobulated mass on the anterior portion of the elbow joint, with accompanying effusion. The patient subsequently underwent arthroscopic excision of the mass. Histologically, intra-articular nodular fasciitis was the final diagnosis. At the most recent follow-up, 20 months after surgery, the patient had no subjective symptoms, including pain. The final MRI findings showed no tumor recurrence. DISCUSSION: As nodular fasciitis is not generally known to arise within a joint, the occurrence at such anatomical locations may lead to a misdiagnosis. Intra-articular nodular fasciitis is rarely encountered, and therefore, is not usually considered during the clinical investigation of joint symptoms. CONCLUSION: Preoperative diagnosis was difficult in this case because of nonspecific preoperative clinical findings. Although histological examination is necessary to establish a diagnosis, we recommend that intra-articular nodular fasciitis should be included in the differential diagnosis of intra-articular mass lesions. |
format | Online Article Text |
id | pubmed-6545406 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-65454062019-06-06 A case of intra-articular fasciitis in the elbow joint Nakamura, Osamu Kaji, Yoshio Yamagami, Yoshiki Yamamoto, Tetsuji Int J Surg Case Rep Article INTRODUCTION: Nodular fasciitis is a benign myofibroblastic proliferation arising from the fascia. Until now, there have been only two reported cases of intra-articular nodular fasciitis in the elbow joint. PRESENTATION OF CASE: We report a case of a 19-year-old woman with a 3-month history of pain in the left elbow. Contrast-enhanced T1-weighted magnetic resonance imaging (MRI) showed an intra-articular lobulated mass on the anterior portion of the elbow joint, with accompanying effusion. The patient subsequently underwent arthroscopic excision of the mass. Histologically, intra-articular nodular fasciitis was the final diagnosis. At the most recent follow-up, 20 months after surgery, the patient had no subjective symptoms, including pain. The final MRI findings showed no tumor recurrence. DISCUSSION: As nodular fasciitis is not generally known to arise within a joint, the occurrence at such anatomical locations may lead to a misdiagnosis. Intra-articular nodular fasciitis is rarely encountered, and therefore, is not usually considered during the clinical investigation of joint symptoms. CONCLUSION: Preoperative diagnosis was difficult in this case because of nonspecific preoperative clinical findings. Although histological examination is necessary to establish a diagnosis, we recommend that intra-articular nodular fasciitis should be included in the differential diagnosis of intra-articular mass lesions. Elsevier 2019-05-28 /pmc/articles/PMC6545406/ /pubmed/31163331 http://dx.doi.org/10.1016/j.ijscr.2019.05.024 Text en © 2019 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Nakamura, Osamu Kaji, Yoshio Yamagami, Yoshiki Yamamoto, Tetsuji A case of intra-articular fasciitis in the elbow joint |
title | A case of intra-articular fasciitis in the elbow joint |
title_full | A case of intra-articular fasciitis in the elbow joint |
title_fullStr | A case of intra-articular fasciitis in the elbow joint |
title_full_unstemmed | A case of intra-articular fasciitis in the elbow joint |
title_short | A case of intra-articular fasciitis in the elbow joint |
title_sort | case of intra-articular fasciitis in the elbow joint |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545406/ https://www.ncbi.nlm.nih.gov/pubmed/31163331 http://dx.doi.org/10.1016/j.ijscr.2019.05.024 |
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