Synovial Chondromatosis of the Ankle Joint: 2 Cases Treated by Open Arthrotomy and Synovectomy

Two cases of giant intra-articular osteochondromas (knee and ankle joint) are reported; pathologically they are rare representations of synovial chondromatosis. A 17-year-old man presented with a tumorous mass which had been localized in his left ankle for many years, increasing in volume during the last months. The lesion was removed by posteromedial ankle arthrotomy. The second case was observed in a 39-year-old woman with a slow-growing mass in her right knee joint. The lesion was removed from the Hoffa fat pad by open anteromedial arthrotomy.

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Primary synovial chondromatosis: Ankle joint

Indian Journal of Rheumatology ◽

10.4103/injr.injr_156_20 ◽

2020 ◽

Vol 0 (0) ◽

pp. 0

Author(s):

Venkatraman Indiran ◽

Dillibabu Ethiraj ◽

ImmanuelJudah Pandiaraj

Keyword(s):

Ankle Joint ◽

Synovial Chondromatosis

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Primary synovial chondromatosis of the ankle joint presenting as monoarthritis

BMJ Case Reports ◽

10.1136/bcr-2013-202186 ◽

2013 ◽

Vol 2013 (dec10 1) ◽

pp. bcr2013202186-bcr2013202186 ◽

Cited By ~ 4

Author(s):

T. Santiago ◽

C. Mariano

Keyword(s):

Ankle Joint ◽

Synovial Chondromatosis

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Synovial chondromatosis of the ankle joint with irregular extraarticular calcification a case report.

Orthopedics & Traumatology ◽

10.5035/nishiseisai.37.838 ◽

1988 ◽

Vol 37 (2) ◽

pp. 838-840

Author(s):

Susumu Kamisato ◽

Goro Awaya ◽

Yutaka Okada ◽

Toru Futami ◽

Naoya Kashiwagi ◽

...

Keyword(s):

Case Report ◽

Ankle Joint ◽

Synovial Chondromatosis

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A Rare Case of Primary Synovial Chondromatosis of the Ankle

Journal of Foot and Ankle Surgery Asia Pacific ◽

10.5005/jp-journals-10040-1048 ◽

2016 ◽

Vol 3 (1) ◽

pp. 53-55 ◽

Cited By ~ 1

Author(s):

Viswanathan Chathoth ◽

Sriram Sankaranarayanan

Keyword(s):

Ankle Joint ◽

Male Patient ◽

Rare Case ◽

Synovial Chondromatosis ◽

Loose Body ◽

Asia Pacific ◽

X Rays ◽

Synovial Lining ◽

Loose Bodies ◽

History Of

ABSTRACT Synovial chondromatosis is a condition where the synovial lining of joints, tendons, or bursa undergoes metaplasia into cartilaginous loose bodies. Primary synovial chondromatosis of the ankle joint is very rare and less commonly reported in literature. We report a case of primary synovial chondromatosis of the ankle that we encountered in our clinic. A 33-year-old male patient presented with a history of multiple swellings around his right ankle joint, along with dull aching pain. Both the clinical examination and X-rays were suggestive of primary synovial chondromatosis of the ankle. We performed an open loose body removal and synovectomy of the ankle. Histopathology confirmed the diagnosis of primary synovial chondromatosis. We report this case owing to its rarity of presentation. How to cite this article Chathoth V, Sankaranarayanan S. A Rare Case of Primary Synovial Chondromatosis of the Ankle. J Foot Ankle Surg (Asia-Pacific) 2016;3(1):53-55.

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Arthroscopic management of synovial chondromatosis of the shoulder: A case report

Journal of Arthroscopic Surgery and Sports Medicine ◽

10.25259/jassm_27_2021 ◽

2021 ◽

Vol 0 ◽

pp. 1-4

Author(s):

Shwetank Gangwar ◽

Amarjeet Singh ◽

V. B. Bhasin

Keyword(s):

Case Report ◽

Synovial Chondromatosis ◽

Early Rehabilitation ◽

Loose Bodies ◽

Early Recovery ◽

Subacromial Decompression ◽

Diarthrodial Joints ◽

Delayed Recovery ◽

Open Arthrotomy ◽

Subscapularis Tenotomy

Synovial chondromatosis of the shoulder is a rare entity that is generally mono-articular and uncommon in diarthrodial joints. Treatment of synovial chondromatosis of the shoulder includes open arthrotomy retrieval of loose bodies and synovectomy. With advances in arthroscopy, the same could be achieved using arthroscopic techniques. This case report describes a case report of a 35-year-old male patient who presented with complaints of pain and restriction of movement for 6 months. The MRI of the patient was suggestive of multiple loose bodies in the shoulder joint, in the subdeltoid region, and subscapularis muscle with subacromial bursitis. Arthroscopically more than 100 loose bodies were retrieved with subacromial decompression. Shoulder synovial chondromatosis has been rarely reported in the literature. The malignant transformation although rare, but it is still a possibility. The recurrence rate varies from 3.2% to 22.3%. Open arthrotomy, synovectomy, and retrieval of loose bodies cause delayed recovery and more morbidity with high chances of subscapularis insufficiency due to the need of subscapularis tenotomy. Arthroscopic treatment although have limitations such as limited visualization, limited synovectomy, and difficult interventions around the axillary recess or biceps sheath, but provides with the advantage of lesser morbidity and early rehabilitation. Synovial chondromatosis can be successfully treated arthroscopically as it provides intra-articular and extra articular access with early rehabilitation, lesser morbidity, and early recovery.

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Synovial Chondromatosis of the Ankle Joint: Clinical, Radiological, and Intraoperative Findings

Case Reports in Orthopedics ◽

10.1155/2015/359024 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Sedeek Mohamed Sedeek ◽

Q. Choudry ◽

S. Garg

Keyword(s):

Young Patient ◽

Ankle Joint ◽

Synovial Chondromatosis ◽

Radiographic Examination ◽

Synovial Osteochondromatosis ◽

Benign Disorder

Synovial chondromatosis, also termed synovial osteochondromatosis, is a rare benign disorder characterized by the presence of cartilaginous nodules in the synovium of the joints, tendon sheaths, and bursae. It most commonly involves large joints, such as the knee, hip, and shoulder, but its presence in smaller joints has also been reported. Nevertheless, ankle involvement is unusual. The diagnosis is commonly made following a thorough history, clinical, physical, and radiographic examination. We report a case of a young patient with primary synovial chondromatosis of the ankle joint and present the clinical, radiographic, and intraoperative findings.

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