scholarly journals Diagnosis and Arthroscopic Treatment of Synovial Chondromatosis of Glenohumeral Joint: A Case Report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Fayaz Memon ◽  
Eknath D Pawar ◽  
Devanshu Gupta ◽  
Amit Kumar Yadav
Keyword(s):  
Case Report ◽  
Shoulder Joint ◽  
Glenohumeral Joint ◽  
Arthroscopic Surgery ◽  
Clinical Signs ◽  
Synovial Chondromatosis ◽  
Loose Bodies ◽  
Functional Activities ◽  
Early Return ◽  
The Right

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.

scholarly journals Ankle Synovial Chondromatosis: case report of 2 cases with 139 and 12 lose bodies treated arthroscopically

2017 ◽  
Vol 07 (03) ◽  
pp. 049-053 ◽  
Author(s):  
M. Shantharam Shetty ◽  
M. Ajith Kumar ◽  
Yogesh K. ◽  
Karan Doshi
Keyword(s):  
Case Report ◽  
Clinical Evidence ◽  
Synovial Chondromatosis ◽  
Arthroscopic Treatment ◽  
Easy Access ◽  
Loose Bodies ◽  
Early Return ◽  
Cartilaginous Lesion ◽  
Secondary Causes ◽  
Rule Out

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.

scholarly journals Challenging arthroscopic management of ankle synovial chondromatosis: A case report

2020 ◽  
pp. 221049172096111
Author(s):  
Tarek N Fetih ◽  
Ahmed A Mekhemar ◽  
Rashed M Hashad
Keyword(s):  
Case Report ◽  
Ankle Joint ◽  
Arthroscopic Surgery ◽  
Treatment Strategies ◽  
Synovial Chondromatosis ◽  
Limited Range ◽  
Successful Outcome ◽  
Loose Bodies ◽  
Arthroscopic Management ◽  
Limited Range Of Motion

Synovial chondromatosis (SC) is a rare benign disorder characterized by the presence of metaplastic cartilage nodules originating from the synovial lining of joints, bursa, and tendon sheaths. The treatment option is usually open surgery for excision of loose bodies and synovectomy, while on literature review only few cases with arthroscopic management are reported. We present a 28-year-old male patient who was evaluated for pain, swelling, and limited range of motion of the right ankle joint. Both physical examination and radiographic investigations were suggestive of primary SC of the ankle joint and arthroscopic surgery was performed. Removal of loose bodies and synovectomy were successfully performed. Histopathology confirmed the diagnosis. SC of the ankle is a rare disorder, and its treatment strategies depend on patient complaint, age, and the stage of the disease. Open or arthroscopic surgery can be performed. This case report suggests that arthroscopic management can provide successful outcome in such cases.

Brodie’s Abscess of the Proximal Humerus Metaphysis: A Case Report

2021 ◽  
Vol 11 (9) ◽  
Author(s):  
Nilesh Vishwakarma ◽  
Shaival Chauhan ◽  
Shrey S Binyala ◽  
Sanjeev K Singh
Keyword(s):  
Case Report ◽  
Shoulder Joint ◽  
Proximal Part ◽  
Focal Lesion ◽  
Posterior View ◽  
Brodie’S Abscess ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Pyogenic Osteomyelitis ◽  
Metaphyseal Region

Introduction:Primary subacute pyogenic osteomyelitis, or Brodie’s abscess was initially documented by Sir Benjamin Brodie in 1832. We present a case report with a 6-months follow-up period, demonstrating the successful diagnosis and surgical treatment of a focal lesion of the proximal metaphysis of the right humerus in a 21-years-old female. The pathology of hematologic osteomyelitis and its role in the development of a subacute abscess along with a review of literature and an in detail description of the pathogenesis of Brodie’s abscess is discussed and submitted. Case Report:A 21- years -old healthy female with a history of fall sustaining injury to the right shoulder one 1 year back followed by which she presented to the outpatient clinic with a swelling over her right shoulder. The patient was managed conservatively with analgesics and was relieved of pain over a course of one 1 week of medications, the patient now presents with pain and swelling in the right shoulder joint on and off since the episode of fall one 1 year back, which had increased over a period of past one 1 week. A week before the most recent presentation she started experiencing some discomfort and pain in her right shoulder. No recent trauma was reported. A mild swelling appeared over the proximal part of the humerus. There were no constitutional symptoms of fever or any illness reported. On examination, there was noted a painful restriction of ROM at the right shoulder joint with no rotator cuff injury. Laboratory investigations were suggestive of raised inflammatory markers. Radiograph of the right shoulder taken in the true antero-posterior view with the shoulder in the neutral rotation was suggestive of an oval lucency with surrounding sclerosis in the proximal metaphyseal region of the humerus. Magnetic resonance imaging MRI of the right shoulder joint showed features consistent with Brodie’s abscess in the proximal metaphyseal region of the humerus. Surgical debridement of the abscess w

scholarly journals Arthroscopic Management of Synovial Chondromatosis of the Knee Joint

2021 ◽  
pp. 651-656
Author(s):  
V. S. Gowtham ◽  
. Mervinrosario ◽  
Vaishak Bhat
Keyword(s):  
Case Report ◽  
Knee Joint ◽  
Viscous Fluid ◽  
Efficient Method ◽  
Histopathological Examination ◽  
Synovial Chondromatosis ◽  
Left Knee ◽  
Loose Bodies ◽  
Benign Condition ◽  
Arthroscopic Management

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.

Arthroscopic Surgery for Removal of 112 Loose Bodies of Synovial Chondromatosis of the Temporomandibular Joint

2013 ◽  
Vol 24 (6) ◽  
pp. 2166-2169 ◽  
Author(s):  
YaoMin Zhu ◽  
CangShang Zheng ◽  
YongQiang Deng ◽  
Ying Zhang ◽  
XinXin Hu
Keyword(s):  
Temporomandibular Joint ◽  
Arthroscopic Surgery ◽  
Synovial Chondromatosis ◽  
Loose Bodies

scholarly journals Rare Presentation of Caries Exudata with Dumbbell-Shaped Abscess in an Adult – A Case Report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
M Kishore Kumar ◽  
Sameer Panchal ◽  
N Sabarinathan ◽  
Akil Prabhakar
Keyword(s):  
Shoulder Joint ◽  
Glenohumeral Joint ◽  
Control Program ◽  
Joint Space ◽  
Rare Presentation ◽  
Normal Limits ◽  
Male Individual ◽  
National Tuberculosis ◽  
Systemic Examination ◽  
The Right

Introduction: Tuberculosis (TB) of the shoulder joint is a sparse entity. Here, we are presenting a case of glenohumeral joint TB (caries exudata variant) with 1-year follow-up. Case Presentation: Our patient, a 65-year-old male individual, came to the outpatient department with complaints of swelling and pain in the right shoulder of 6 months duration. Patient's systemic examination and vitals were within normal limits, and local examination of the shoulder joint revealed massive dumbbell-shaped swelling, tenderness along the joint line, and grossly restricted range of movements. Radiograph of the shoulder joint showed osteolytic lesions in the humeral head and glenoid with a reduction in glenohumeral joint space. We treated the case with the aspiration of the abscess followed by three sessions of injection streptomycin into the cavity at monthly intervals. The patient also received anti-tubercular drugs as per the Revised National Tuberculosis Control Program guidelines for 1 year. After 12 months, the patient was disease-free and had a functional range of motion. Conclusion: In adults, the classical dry type of shoulder TB (caries sicca) has been described, while the fulminating variety rarely has been reported. The latter type of shoulder TB is much more common in children. We report a fulminant variety of shoulder joint TB in an old-aged patient who presented with massive dumbbell-shaped cold abscess and destruction of glenohumeral joint. Keywords: caries sicca, caries exudate, glenohumeral joint, injection streptomycin.

scholarly journals Stenosis of the right major bronchus from blunt trauma

2006 ◽  
Vol 63 (5) ◽  
pp. 501-503
Author(s):  
Vojkan Stanic ◽  
Tatjana Vulovic ◽  
Savo Durkovic ◽  
Vlado Cvijanovic ◽  
Aleksandar Ristanovic ◽  
...  
Keyword(s):  
Case Report ◽  
Blunt Trauma ◽  
Respiratory Insufficiency ◽  
Traffic Accident ◽  
Clinical Signs ◽  
Tracheobronchial Tree ◽  
Blunt Injury ◽  
Radiographic Image ◽  
Right Thoracotomy ◽  
The Right

Background. A severe blunt injury to the chest might cause rupture of the tracheobronchial tree. A certain time following the management of the injury, stenosis of the bronchi may develop at the site of the rupture. Case report. We reported a patient injured in a traffic accident. The injury was followed by the signs of pneumothorax, bleeding, and respiratory insufficiency. After the management of the injury using thoracal drainage, the condition of the injured was stabilized. Two weeks later, however, difficulties in breathing and fatigue occurred. Circular stenosis of the right major bronchus was clinically, radiographically and bronchoscopically confirmed. Right thoracotomy and circular resection of the major bronchus with termino-terminal anastomosis were performed. Conclusion. In severe blunt injuries to the chest, it is very important to suspect the injury of the tracheobronchial tree in order to correctly understand the clinical signs of an injury and to interprete a radiographic image of it, so as to decide upon the optimal treatment on time.

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