siderotic synovitis

Siderotic synovitis is a condition that can occur with chronic haemarthroses.

Pathology

It is characterized by rusty synovial pigmentation and hyperplasia but with an absence of foam cells and multinucleated giant cells which are seen in PVNS.

Predisposing conditions

Radiographic features

MRI

May be seen as a focal or diffuse proliferation of the synovium. Signal characteristics can mimic pigmented villonodular synovitis (PVNS) and include

  • T1: low signal 
  • T2: low signal
  • gradient echo (GE): shows blooming

Differential diagnosis

On MRI consider:

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