Synovial involvement in XXXX .

@entity1 @entity75 @entity1184 @entity16 @entity14311 @entity2720 @entity5631
BACKGROUND: @entity75 of the extremities are very often of great interest for the orthopedist, involving not only bones with length discrepancy, but also joints with @entity5631 and @entity1184 . METHODS: We describe 4 @entity1 with cutaneous @entity14311 in the lower limb and a concomitant knee @entity2720 . Like in other @entity2720 , the @entity16 is rapidly invasive and leads to progressive damage in the joint if not adequately diagnosed and treated. We treated the 4 @entity1 at different ages, corresponding to different stages of intra-articular involvement. The preoperative management included MRI and diagnostic arthroscopy. All @entity1 underwent an open synovectomy. All our @entity1 were reviewed at a clinical and radiographic follow-up after 10 years. RESULTS: In all @entity1 , the range of motion was improved or at least not worsened after surgery, in spite of a larger extent of cutaneous lesions. X-ray and MRI confirmed clinical data showing no recurrence of the lesion inside the joint and no progression of the @entity16 . CONCLUSION: The clinical outcomes were very good or good in the @entity1 treated early, poorer in the @entity1 operated on at an adult age. The importance of an early and precise diagnosis and of an accurate preoperative planning must be underlined.
