Achraf Ferjani¹, Seifeddine Mahjoubi¹, Kacem Samih², Yosri Abcha¹, Faten Farah³, Mourad Jenzri¹, Khaled Anis Kamoun¹

¹Pediatric Orthopedic Department, Kassab Orthopedic Institute, El Manar University, Tunsia
²Traumatology Department, Kassab Orthopedic Institute El Manar University, Tunsia
³Anatomapathology Department Kassab Orthopedic Institute, El Manar University, Tunsia

*Corresponding Author: Khaled Anis Kamoun, Pediatric Orthopedic Department, Kassab Orthopedic Institute, El Manar University, Tunsia.

Received: March 20, 2023; Published: May 03, 2023

Abstract

Chronic non-specific synovitis is a recurrent proliferative lesion which usually involves a single joint. The main symptoms are pain and swelling. A definitive diagnosis is based on histopathologic findings. This synovial sample is usually obtained by trocar biopsy in adults and more challenging in children and sometimes unachievable. Knee arthroscopy could be performed for biopsy and local treatment (synovectomy). We report a case of a 4 year old child with no medical history complaining from knee pain, stiffness without any relief after symptomatic treatment. The physical exam showed a mild right limping, a knee swelling without redness or fever. Child was first admitted in rheumatology department for investigation. X ray showed no bone lesion and all biological investigation was negative. MRI revealed a non specific synovial hypertrophy with articular rice bodies. After failure in trocar biopsy, knee arthroscopic showed a whitish budding synovial lesion with free joint debris. This lesion was excised and histological exams revealed a non-specific synovitis, with mononuclear cells and fibrinous axis involving synovial bangs. Bacteriological analysis was negative. Non steroid anti-inflammatory was given in post operative. At last follow up child recover from knee pain with no swelling and full range of motion Arthroscopy, even in children, remains an alternative for managing a non specific arthritis reducing open joint morbidity.

Keywords:Arthritis; Child, Knee; Synovitis; Arthroscopy

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Citation

Citation: Khaled Anis Kamoun., et al. “Non-Specific Synovitis of the Knee in Children: Arthroscopic Management”.Acta Scientific Orthopaedics 6.6 (2023): 09-11.

Copyright

Copyright: © 2023 Khaled Anis Kamoun., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.