Intra-articular Nodular Fasciitis: An Unexpected Diagnosis for a Joint Lesion: A Case Report

• Main Authors: MF Michelle Chan, KO Ong, SS Leon Foo, S Selvarajan
• Format: Article
• Language: English
• Published: Malaysian Orthopaedic Association 2014-07-01
• Series: Malaysian Orthopaedic Journal
• Subjects: Intra-articular; nodular fasciitis; joint; knee; MRI
• Online Access: http://www.morthoj.org/2014/v8n2/intra-articular-nodular-fasciitis.pdf

Pathological lesions in and around a joint can arise from underlying dermis, subcutis, deep muscle, bone or synovium. Clinical presentation can include joint pain, joint swelling, palpable masses and mechanical restriction. Whilst giant cell tumour of tendon sheath, pigmented villonodular synovitis, synovial chondromatosis, lipoma arborescens, juxta articular myxomas and inflammatory arthritis are the better-known conditions of the joint. Intra-articular nodular fasciitis, on the other hand, is less well recognized both clinically and radiologically. It is rarely seen in routine practice and is only described in case reports in the literature. Due to the non-specific clinical and radiological findings as well as the unfamiliarity with the entity, the diagnosis of intra-articular nodular fasciitis is usually clinched only after histological examination. We present a case of intra-articular nodular fasciitis arising in the knee joint which was not suspected clinically or radiologically.