scholarly journals Arthroscopic Retrieval of over 100 Loose Bodies in Shoulder Synovial Chondromatosis: A Case Report and Review of Literature

2016 ◽  
Vol 8 (4) ◽  
pp. 511-515 ◽  
Author(s):  
Pradyumna Raval ◽  
Ashish Vijayan ◽  
Arpit Jariwala
Author(s):  
V. S. Gowtham ◽  
. Mervinrosario ◽  
Vaishak Bhat

Synovial Chondromatosis is a rare and it is a benign condition characterized by multiple cartilaginous nodules in synovial facet spaces. Synovial Chondromatosis affects most commonly the knee joint. This is a case report of a 30-year-old male patient presented with pain and swelling over the left knee joint. On evaluation MRI shows loose bodies, for which he underwent, arthroscopic exploration. Viscous fluid and loose bodies were identified and showed synovial hyperemia. Synovial debridement was done and loose bodies were removed and sent to histopathological examination. The result signify that arthroscopy is efficient method both in diagnostic as well as therapeutic management of synovial chondromatosis.


2017 ◽  
Vol 07 (03) ◽  
pp. 049-053 ◽  
Author(s):  
M. Shantharam Shetty ◽  
M. Ajith Kumar ◽  
Yogesh K. ◽  
Karan Doshi

AbstractSynovial chondromatosis is an uncommon, benign neoplastic nodular cartilaginous lesion of the synovium that can lead to lose bodies and arthritic degeneration if left untreated. We report the case of 2 patients with primary Synovial chondromatosis of the ankle with 139 and 12 loose bodies, respectively, who were treated arthroscopically. Both patients had successful outcomes without recurrence or malignancy, after excision of the lesions. We have reported the highest number of loose bodies (i.e. 139) in the ankle extracted arthroscopically. To conclude, Synovial chondromatosis, although benign, needs detailed investigations to rule out secondary causes and timely intervention to prevent further consequences. Arthroscopic treatment provides easy access and allows early return to activities. Level of clinical evidence: 4- Case Report.


2013 ◽  
Vol 155 (6) ◽  
pp. 1153-1156 ◽  
Author(s):  
Keiichi Muramatsu ◽  
Takahiro Hashimoto ◽  
Yasuhiro Tominaga ◽  
Shinichiro Seto ◽  
Toshihiko Taguchi

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Nan Zhou ◽  
Ke Fang ◽  
Djandan Tadum Arthur V ◽  
Runbin Yi ◽  
Feng Xiang ◽  
...  

Abstract Backgroud Synovial chondromatosis is a rare synovial-derived metaplasia disease that comes from the formation of cartilage nodules within the synovial connective tissue of the joint. Knee tuberculosis is a disease caused mostly by the pulmonary tuberculosis and a few by tuberculosis of the digestive tract and lymphatic. tube. Case presentation Herein we report a 3-year-old child admitted by intermittent swelling of left knee joint with lameness for half a year, the patient received surgical treatment. The loose bodies filled in the joint cavity was taken out and the degenerative synovium was excised. Biopsy confirmed as synovial chondromatosis combined with synovial tuberculosis of knee joint. After 6 months follow-ups, knee swelling and claudication get totally recovered and the gait of patient recover back to normal. Conclusion Careful investigation of children with knee pain is recommended to avoid misdiagnosis, Synovial chondromatosis combine with tuberculosis should be considered a differential diagnosis in a child with knee pain.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Neetin P. Mahajan ◽  
Prasanna Kumar G S ◽  
Ankit Marfatia ◽  
Akash V. Mane ◽  
Akhil Gop ◽  
...  

Introduction: Synovial chondromatosis is a rare, benign disorder of the synovium, which leads to loose body formation due to metaplastic transformation. It presents as multiple cartilaginous bodies in the synovial joints, bursae and in tendon sheaths. The diagnosis often delayed in hip involvement due to insidious onset of symptoms. Surgical management is essential to manage synovial chondromatosis, which includes hip dislocation and debridement, arthroscopic removal or using arthrotomy. Case Report: A 20-year-old male patient presented with complaints of pain in the left hip since 1 year and difficulty in walking for 6 months. On examination, the patient had mild tenderness over the left hip with the restriction of joint movements. He had flexion deformity of 30°, adduction and external rotation deformity of 10 and 15°, respectively. X-ray of the pelvis with both hips anteroposterior and left hip lateral view revealed calcified nodular mass over superior, inferior part of the femoral head, and anterior part of the neck with decreased joint space. As the patient was disabled with pain, stiffness especially restricted flexion and abduction and difficulty in daily routine activities, we planned for surgical excision of the loose bodies. Using lateral approach to the hip, intra-articular loose bodies were removed through arthrotomy without hip dislocation. At present 2-year follow-up, the patient is having full hip range of motion with no difficulty in squatting, sitting cross-legged, and radiological examination showed no evidence of recurrence. The patient is fully satisfied with the chosen treatment and participating in running and other sports. Conclusion: Although hip synovial chondromatosis are rare, early surgical intervention with complete removal of loose bodies, joint distraction for 6 weeks to allow healing, and early initiation of hip physiotherapy helps in getting better outcome even in patients with early stages of hip arthritis. The early surgical interv


Author(s):  
Marieke Torrekens ◽  
Jantine PosthumaDeBoer ◽  
Maarten Van Nuffel

Abstract Objective Synovial chondromatosis is a rare benign proliferative disorder of synovium characterized by the formation of cartilaginous bodies in a joint. The condition typically affects one single large joint. The development of synovial chondromatosis in the joints of hand and wrist is extremely rare. Case description In this report, we present a case of synovial chondromatosis arising from the midcarpal joint and the arthroscopic treatment thereof. Literature review Owing to its rarity, literature on synovial chondromatosis occurring in the hand and wrist is extremely limited. To our knowledge, no report has been published describing the arthroscopic treatment of an isolated synovial chondromatosis of the midcarpal joint. Clinical relevance As synovial chondromatosis of the hand and wrist is extremely rare, and clinical and radiological findings can be nonspecific, the diagnosis might be overlooked initially. The condition does, however, require surgical treatment and thorough follow-up. Thus, awareness of this possible diagnosis among treating physicians is important.


2018 ◽  
Vol 4 (1m) ◽  
pp. 862-863
Author(s):  
Dr. Dhirendra Kumar Dhiraj ◽  
Dr. Satish Kumar ◽  
Dr. Ravindra Singh ◽  
Dr. Shivendra Singh

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Fayaz Memon ◽  
Eknath D Pawar ◽  
Devanshu Gupta ◽  
Amit Kumar Yadav

Introduction: Synovial chondromatosis is a rare benign entity with the presence of cartilaginous or osseous loose bodies in the synovium. It commonly involves the larger joints such as the knee, hip, ankle and rarely the shoulder joint manifesting with pain, swelling, and restriction of movements. The treatment of choice is surgical intervention in symptomatic patients using either the open or the arthroscopic approach. Case Report: Here, we report a rare case of synovial chondromatosis affecting the right shoulder joint in a 23-year-old male with a 5-year disease duration who presented with progressive pain and restriction in movements which were impacting his routine activities. The loose bodies were removed using the arthroscopic approach combined with a partial synovectomy, and intra-articular methylprednisolone post procedure. The patient showed an excellent recovery in joint mobility within 4 weeks post-operatively, and there were no clinical signs of recurrence during a 6-month follow-up period. Conclusion: We believe that arthroscopic surgery is effective in the treatment of patients with synovial chondromatosis with advantages such as good visualization, lesser morbidity, and early return of functional activities. Keywords: Synovial chondromatosis, loose bodies, arthroscopy.


2021 ◽  
Vol 49 (3) ◽  
pp. 030006052110005
Author(s):  
Wenyan Zhao ◽  
Yan Ruan ◽  
Wentao Zhang ◽  
Fan Yang

Synovial chondromatosis (SC) is a benign condition characterized by the formation of metaplastic cartilage in the synovial membrane of the joint, resulting in numerous attached and unattached osteocartilaginous bodies. SC mostly affects the large synovial joints, especially the knee, hip, elbow, and ankle, whereas involvement of the temporomandibular joint (TMJ) is rare. Approximately 240 cases of SC of the TMJ have been reported in the English-language literature to date. The number of loose bodies varies among patients but usually ranges from the dozens to around 100. We herein report a case of SC of the TMJ accompanied by approximately 400 loose bodies in a healthy 53-year-old woman. Such a high number of loose bodies within a small space is extremely rare. We also include a brief discussion about the differential diagnoses and current diagnostic approaches to SC of the TMJ. Notably, delayed diagnosis or misdiagnosis is common because of the nonspecific nature of the presenting complaints.


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