Ashish Rustagi¹, Akshay MK²* and Bhupender Khatri²

¹Associate Professor, Department of Orthopaedic, Central Institute of Orthopaedic, VMMC and Safdarjang Hospital, New Delhi, India
²Senior Resident, Department of Orthopaedic, Central Institute of Orthopaedic, VMMC and Safdarjung Hospital, New Delhi, India

*Corresponding Author: Akshay MK, Senior Resident, Department of Orthopaedic, Central Institute of Orthopaedic, VMMC and Safdarjung Hospital, New Delhi, India.

Received: April 14, 2023; Published: May 24, 2023

Abstract

Intra-articular Synovial sarcoma is rare and is morphologically distinct as compared to extra articular involvement. The periarticular synovial sarcomas can secondarily spread to the joint capsules. The occurrence of synovial sarcoma originating from an intraarticular location is considered to be rare.Discussion: This case report describes a patient of 34 year female diagnosed with Monophasic Intranodular synovial sarcoma of the left knee. She presented with complains of Pain, swelling, slight discomfort and inability to fully flex left knee which gradually increased over around 2 years. After Staging and biopsy the tumor was managed by wide location excision and arthrodesis using intramedullary nail with augmentation plate and followed up for 4 years for any local or systemic recurrence and also discusses the treatment options based on a review of the prior literature. Conclusion: We conclude that Intra-articular synovial sarcoma are rare and require multidisciplinary approach and interdepartmental correlation for effective management and dedicated orthopedic specialist. Orthopedic surgeons must keep a high suspicion for dealing with lesions of unknown etiology and should have a low threshold for seeking an opinion of musculoskeletal oncologist to assist in concluding appropriate differential diagnosis before intervention. These precautions can prevent complications and improve patient survival rates.

Keywords:Periarticular Synovial Sarcoma; Intra-Articular Synovial Sarcoma; Limb Reconstruction After Resection; Monophasic and Biphasic Synovial Sarcoma; Malignant Neoplasm Management; Synovial Sarcoma Four Year Follow-Up

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Citation

Citation: Akshay MK., et al. “Intraarticular Synovial Sarcoma of Knee Treated with wide Local Excision and Arthrodesis- A Case Report and Follow Up of 4 Years”.Acta Scientific Orthopaedics 6.6 (2023): 73-77.

Copyright

Copyright: © 2023 Akshay MK., 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.