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Fibroma of tendon sheath around large joints: clinical characteristics and literature review

Overview of attention for article published in BMC Musculoskeletal Disorders, August 2017
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Title
Fibroma of tendon sheath around large joints: clinical characteristics and literature review
Published in
BMC Musculoskeletal Disorders, August 2017
DOI 10.1186/s12891-017-1736-5
Pubmed ID
Authors

Kayo Suzuki, Taketoshi Yasuda, Shun Suzawa, Kenta Watanabe, Masahiko Kanamori, Tomoatsu Kimura

Abstract

Fibroma of tendon sheath (FTS) is a benign tumor arising from the synovium of the tendon sheath that occurs mostly around small joints such as the fingers, hands, and wrist. However, FTS rarely arises around a large joint (knee, shoulder, elbow, and ankle) with intra-articular or extra-articular involvement. The clinical characteristics of FTS arising around a large joint are unclear. An additional 3 cases of FTS arising around a large joint are presented. Furthermore, the published cases and the present cases are reviewed with respect to their clinical characteristics and imaging and histopathology findings. The 43 reported cases including the present 3 patients were summarized, and the patients' profiles, symptoms, sites and locations in the joint involved by FTS, magnetic resonance imaging (MRI) findings, surgical procedures, clinical courses, and cytogenetic analyses were reviewed. The average age of 26 cases was 40.9 years (range 13-69 years), and about 60% of the patients were male. About 10% of the patients had a past history of trauma to the knee joint. Of the present 3 cases, one case was extra-articular around the elbow joint, one case was extra-articular around the knee joint, and one case was intra-articular involving the knee joint. The common symptoms were pain (62.5%), swelling or palpable mass (54.2%), and limited range of motion of the involved joint (50%). The most commonly involved joint was the knee, with 32 cases (74.4%), followed by the elbow in 5 cases (11.6%), ankle in 4 (9.3%), and shoulder in 2 (4.7%). The tumor typically exhibited iso to low signal intensity on T1-weighted MRI. T2-weighted images showed various patterns, but mostly low signal intensity relative to muscle. The surgical margin was marginal resection in all cases. There were no recurrences after surgery. On chromosomal analysis, only the present Case 3 showed an abnormality. A total of 43 FTS cases that occurred around large joints were summarized. The most common site was around the knee joint. In FTS cases around large joints, it is necessary to distinguish between various fibroblastic and/or fibrohistiocytic tumors.

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Geographical breakdown

Country Count As %
Unknown 54 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 7 13%
Student > Doctoral Student 6 11%
Other 4 7%
Student > Master 4 7%
Student > Ph. D. Student 4 7%
Other 8 15%
Unknown 21 39%
Readers by discipline Count As %
Medicine and Dentistry 20 37%
Nursing and Health Professions 7 13%
Unspecified 1 2%
Biochemistry, Genetics and Molecular Biology 1 2%
Psychology 1 2%
Other 1 2%
Unknown 23 43%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 March 2019.
All research outputs
#15,480,316
of 23,003,906 outputs
Outputs from BMC Musculoskeletal Disorders
#2,486
of 4,091 outputs
Outputs of similar age
#197,998
of 315,730 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#50
of 69 outputs
Altmetric has tracked 23,003,906 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
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