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Villonodular synovitis (pigmented), shoulder Save


ICD-10 code: M12.21

Chapter: Diseases of the musculoskeletal system and connective tissue

Villonodular Synovitis (Pigmented) in the Shoulder

Villonodular synovitis (pigmented) is a rare condition that affects the synovial lining of the joints. When it occurs in the shoulder, it can cause pain, stiffness, and limited range of motion. This condition is caused by the proliferation of abnormal synovial cells that form nodules or masses within the joint.

The exact cause of villonodular synovitis (pigmented) is unknown, but it is believed to be related to inflammation or trauma. It can occur in any joint, but it is most commonly found in the knee and hip. When it affects the shoulder, it is usually seen in patients between the ages of 20 and 50.

Diagnosis of villonodular synovitis (pigmented) in the shoulder is made through a combination of physical examination, imaging studies, and biopsy. The physical examination may reveal swelling and tenderness in the affected joint, as well as limited range of motion. Imaging studies, such as X-rays, MRI, and CT scans, can help to identify the location and extent of the abnormal tissue growth. A biopsy may be necessary to confirm the diagnosis and rule out other conditions.

Treatment for villonodular synovitis (pigmented) in the shoulder typically involves a combination of surgical and non-surgical approaches. Non-surgical treatments may include rest, physical therapy, and medications to reduce pain and inflammation. Surgical treatments may include arthroscopy to remove the abnormal tissue growth or open surgery to remove the affected joint lining. In some cases, a combination of both approaches may be necessary to achieve the best results.

  1. Rest: Rest is essential for the affected joint to heal and recover.
  2. Physical therapy: Physical therapy can help to improve range of motion and strength in the affected joint.
  3. Medications: Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) can help to reduce pain and inflammation.
  4. Arthroscopy: Arthroscopy is a minimally invasive surgical procedure that uses a camera and small instruments to remove the abnormal tissue growth.
  5. Open surgery: Open surgery may be necessary for more extensive cases of villonodular synovitis (pigmented) in the shoulder.

If you are experiencing symptoms of villonodular synovitis (pigmented) in the shoulder, it is important to seek medical attention. Early diagnosis and treatment can help to prevent further damage to the joint and improve your overall quality of life.