naa a22 4500 510818366 CHVBK 20180411083519.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12306-013-0258-z doi (NATIONALLICENCE)springer-10.1007/s12306-013-0258-z Pigmented villonodular synovitis of the shoulder associated with massive rotator cuff tear treated by arthroscopic synovectomy and debridement [Elektronische Daten] [S. Gumina, S. Carbone, V. Campagna, A. Castagna, C. Rocca, G. Giannicola] Purpose: Pigmented villonodular synovitis (PVNS) is a rare condition. Our purpose is to describe the largest series of patients with shoulder PVNS, massive irreparable rotator cuff tear, and glenohumeral osteoarthritis treated with arthroscopic debridement and synovectomy. Methods: We treated 9 patients with PVNS of the shoulder, irreparable rotator cuff tear, and slight glenohumeral arthropathy (group I). Patients underwent arthroscopic synovectomy and debridement. Results [constant score (CS) and subjective shoulder value (SSV)] were compared to those obtained from a control group (group II) of 20 consecutive patients undergoing arthroscopic debridement for irreparable cuff tear associated with hemorrhagic synovitis with no or slight glenohumeral arthropathy. Histologic examination was obtained in all cases to obtain the correct diagnosis. Results: The preoperative shoulder function in group I was reduced with respect to group II. Upon follow-up, CS and SSV were lower in group I. Preoperatively, the differences relating to the CS value and to each item of the score were always statistically significant; instead, at follow-up, significant differences emerged in the CS, ADL, and ROM. At follow-up, significant differences emerged between CS of group I and of group II without glenohumeral arthropathy. Differences using the SSV were always statistically significant. Conclusions: The poor functional outcome of patients affected by PVNS can be attributed to the coexistence of the irreparable cuff tear and to the glenohumeral arthropathy. All patients with PVNS had shoulder osteoarthritis; it cannot be simply attributed to natural history of massive irreparable cuff tears, but to the pigmented villonodular synovitis. Istituto Ortopedico Rizzoli, 2013 Pigmented villonodular synovitis nationallicence Hemorrhagic synovitis nationallicence Massive cuff tears nationallicence Glenohumeral arthropathy nationallicence Arthroscopic debridement nationallicence Gumina S. Department of Orthopaedic and Traumatology, University of Rome Sapienza, Rome, Italy aut Carbone S. Department of Orthopaedic and Traumatology, University of Rome Sapienza, Rome, Italy aut Campagna V. Department of Orthopaedic and Traumatology, Policlinico Militare Celio, Rome, Italy aut Castagna A. Department of Orthopaedic and Traumatology, Istututo Clinico Humanitas, Milan, Italy aut Rocca C. Department of Medical-Surgical Science and Biotechnologies, University of Rome "Sapienza”, Rome, Italy aut Giannicola G. Department of Orthopaedic and Traumatology, University of Rome Sapienza, Rome, Italy aut MUSCULOSKELETAL SURGERY Springer Milan 97(2013-06-01), 79-84 2035-5106 97<79 2013 97 12306 https://doi.org/10.1007/s12306-013-0258-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12306-013-0258-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gumina S. Department of Orthopaedic and Traumatology, University of Rome Sapienza, Rome, Italy aut NATIONALLICENCE 700 1- Carbone S. Department of Orthopaedic and Traumatology, University of Rome Sapienza, Rome, Italy aut NATIONALLICENCE 700 1- Campagna V. Department of Orthopaedic and Traumatology, Policlinico Militare Celio, Rome, Italy aut NATIONALLICENCE 700 1- Castagna A. Department of Orthopaedic and Traumatology, Istututo Clinico Humanitas, Milan, Italy aut NATIONALLICENCE 700 1- Rocca C. Department of Medical-Surgical Science and Biotechnologies, University of Rome "Sapienza”, Rome, Italy aut NATIONALLICENCE 700 1- Giannicola G. Department of Orthopaedic and Traumatology, University of Rome Sapienza, Rome, Italy aut NATIONALLICENCE 773 0- MUSCULOSKELETAL SURGERY Springer Milan 97(2013-06-01), 79-84 2035-5106 97<79 2013 97 12306 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer