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It was noted on arthroscopy that (1) the nodules moved medially with joint insufflation, (2) the nodules were less prominent than on magnetic resonance imaging, and (3) more than 95% of the recurrent tumor was hidden by neosynovium. We believe that the extrasynovial location is because of the more rapid proliferation of the neosynovium relative to the growth of the remaining tumor cells after the previous resection. In resecting pigmented villonodular synovitis with a high risk of recurrence, a layer of periarticular fat should be removed and the surgeon should be wary of change in position with insufflation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2011.06.023","type":"journal-article","created":{"date-parts":[[2011,9,2]],"date-time":"2011-09-02T12:22:11Z","timestamp":1314966131000},"page":"1449-1451","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Pigmented Villonodular Synovitis: Extrasynovial Recurrence"],"prefix":"10.1002","volume":"27","author":[{"given":"Christopher M.","family":"Jobe","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery School of Medicine Loma Linda University Loma Linda California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anwar","family":"Raza","sequence":"additional","affiliation":[{"name":"Department of Pathology School of Medicine Loma Linda University Loma Linda California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"Zuckerman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery School of Medicine Loma Linda University Loma Linda California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,9,5]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2010.07.005"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.03.012"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(03)00127-0"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0922-7"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1247756"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2007.08.008"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11547-010-0515-2"},{"key":"e_1_2_2_9_1","first-page":"199","article-title":"Animal experiment studies on the topic of regeneration of the synovial membrane following synovectomy of flexor tendons in the so\u2010called no man's land","volume":"18","author":"Martini A.K.","year":"1986","journal-title":"Handchir Mikrochir Plast Chir"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980631100586X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980631100586X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2011.06.023","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2011.06.023","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2011.06.023","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:28:43Z","timestamp":1773566923000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2011.06.023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,9,5]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2011,10]]}},"alternative-id":["10.1016\/j.arthro.2011.06.023"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2011.06.023","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,9,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pigmented Villonodular Synovitis: Extrasynovial Recurrence","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2011.06.023","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2011 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}