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Fig. 4 | BMC Musculoskeletal Disorders

Fig. 4

From: Modified posterior approach of the knee in patients with diffuse pigmented Villonodular synovitis: case series of a single Institution’s experience

Fig. 4

44-year-old woman suffered from DPVNS of right knee. (b-d) PM approach. (a) MRI of proton density with fat saturation sequences axial view showed the PVNS tumor located at anterior and posterior-medial side. (b) Place the incision over the medial head of the gastrocnemius. Yellow arrow: Gastrocnemius muscle medial head. (c) After retracting the medial gastrocnemius medially, the posterior-medial capsule was exposed (see green arrow). (d) After opening the capsule, PVNS tumor were seen deep to the joint capsule. Blue arrow: PVNS tumor. (e) Postoperative image of the operative knee with PM approach.

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