Synovial hemangioma in the knee joint mimicking pigmented villonodular synovitis: a case report

Synovial hemangiomas are benign rare tumors of vascular origin. They are frequently seen in children and young adults, they present wıth arthritis that affects a single joint. In this work, a 12 year old girl was admitted complaining of repeated right knee pain and swelling, the condition diagnosed as synovial hemangioma after a second surgical intervention according to histopathologic examination has been reported. A year ago she was treated surgıcally as having villonodular synovitis. One year followup of the second operation showed no recurrance of the mass observed clinically.In such cases either pre-operation or after with the histopathologic examinations some diagnosis problems will be seen. For an accurate treatment sinovial hemanjiyoma must be considered in clinic and histopathologic examinations

The “Motionless Gastrocnemius”: A Reliable Sign for Safe Graft Harvesting

Difficulties in graft harvesting of the hamstring have been the topic of many studies. These difficulties are related to the aponeurotic or fibrous attachments of the hamstrings with the medial head of the gastrocnemius muscle, soleus muscle, and leg fascia. Freeing the graft from these attachments is important because insufficient release prior to stripper insertion can lead to premature transection or amputation. We describe a reliable intraoperative physical examination sign to help understand the sufficient amount by which a tendon graft needs to be released prior to stripper insertion. The presence of the motionless gastrocnemius (“motionless gastroc”) phenomenon is used in our clinic as a sign that the grafts have been sufficiently freed and that a tendon stripper can be used without fear of transection or graft amputation