Red Paper
Impact Factor (RJIF): 5.21, P-ISSN: 2708-0056, E-ISSN: 2708-0064
Home   |   Login   |   Signup
Journal of Case Reports and Scientific Images
Printed Journal   |   Refereed Journal   |   Peer Reviewed Journal
Peer Reviewed Journal

2025, Vol. 7, Issue 2, Part B

Impact of targeted strengthening and gait training on recurrence prevention after synovectomy for diffuse Pigmented Villonodular Synovitis (PVNS): A single-subject case report


Author(s): Aakansha, Birupakshya Mahakul, Nandini Patel and Akhyova Sahoo

Abstract:
Background: Pigmented villonodular synovitis (PVNS) is a rare, benign but locally aggressive synovial disorder with a high risk of recurrence. Postoperative management plays a pivotal role in restoring joint function, minimizing complications, and preventing relapse. This case study evaluates the postoperative rehabilitation and outcomes following arthroscopic synovectomy for knee PVNS in a young adult.
Methods: A 34-year-old male diagnosed with diffuse PVNS of the right knee underwent arthroscopic synovectomy. Postoperative management included a structured rehabilitation program emphasizing pain control, progressive range of motion (ROM) training, quadriceps strengthening, proprioceptive re-education, and functional retraining. Pain (VAS), knee function (Lysholm and IKDC scores), ROM, and muscle strength were assessed at 2 weeks, 6 weeks, 3 months, and 6 months postoperatively.
Results: The patient demonstrated significant improvement: VAS score decreased from 7/10 to 1/10, knee flexion improved from 90° to 130°, and quadriceps strength progressed from Grade 2 to Grade 5 by 6 months. Functional outcomes showed remarkable recovery, with the Lysholm score improving from 52 to 90 and IKDC from 48 to 88. No signs of recurrence were noted during 6-month follow-up.
Conclusion: Structured and evidence-based postoperative rehabilitation following arthroscopic synovectomy for PVNS can achieve substantial pain relief, functional recovery, and return to daily activities while reducing recurrence risk. This study emphasizes the importance of a multidisciplinary approach and long-term surveillance in optimizing patient outcomes.




DOI: 10.22271/27080056.2025.v7.i2b.149

Pages: 93-99 | Views: 190 | Downloads: 109

Download Full Article: Click Here

Journal of Case Reports and Scientific Images
How to cite this article:
Aakansha, Birupakshya Mahakul, Nandini Patel, Akhyova Sahoo. Impact of targeted strengthening and gait training on recurrence prevention after synovectomy for diffuse Pigmented Villonodular Synovitis (PVNS): A single-subject case report. J Case Rep Sci Images 2025;7(2):93-99. DOI: 10.22271/27080056.2025.v7.i2b.149
Check Plagiarism
Red Paper Logo
Try Red Paper Now!


Related Journal Subscription
Related Links
Publication Links
Journal of Case Reports and Scientific Images

Journal of Case Reports and Scientific Images


This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access.


The articles in Journal of Case Reports and Scientific Images are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.


CitedBy CrossRef CrossCheck iThenticate ICMJE OpenAccess CCCopyright



Copyright © 2025 Journal of Case Reports and Scientific Images All Rights Reserved. Subject to change without notice from or liability to Journal of Case Reports and Scientific Images.


Contact Information


Any correspondence, queries or additional requests for information on the manuscript submission process should be sent to the Journal of Case Reports and Scientific Images editorial office as follows:

Address: 1st Floor, Block C, Metropolitan Park, 8 Hillside Road, Parktown, Johannesburg, 2196, South Africa

Email: allcasereports@gmail.com

Call for book chapter