scholarly journals A RARE CASE OF SYNOVIAL CHONDROMATOSIS OF KNEE WITH MULTIPLE INTRA-ARTICULAR LOOSE BODIES MANAGED BY ARTHROSCOPIC ASSISTED LOOSE BODY REMOVAL AND SYNOVECTOMY

2017 ◽  
Vol 6 (35) ◽  
pp. 2932-2935
Author(s):  
Pugalenthi P V ◽  
Saravanamuthu T ◽  
Abdul Ajees S
Keyword(s):  
Rare Case ◽  
Synovial Chondromatosis ◽  
Loose Body ◽  
Loose Bodies

scholarly journals A Rare Case of Primary Synovial Chondromatosis of the Ankle

2016 ◽  
Vol 3 (1) ◽  
pp. 53-55 ◽  
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.

Synovial Chondromatosis of the Foot and Ankle

2008 ◽  
Vol 29 (3) ◽  
pp. 312-317 ◽  
Author(s):  
Daniel D. Galat ◽  
Duncan B. Ackerman ◽  
Daniel Spoon ◽  
Norman S. Turner ◽  
Thomas C. Shives
Keyword(s):  
Malignant Transformation ◽  
Surgical Excision ◽  
Synovial Chondromatosis ◽  
Loose Body ◽  
Normal Function ◽  
Low Grade ◽  
Foot And Ankle ◽  
Loose Bodies ◽  
Benign Condition ◽  
Institutional Review

Background: Synovial chondromatosis (SC) is a benign condition where the synovial lining of joints, bursae, or tendon sheaths undergoes metaplasia and ultimately forms cartilaginous loose bodies. Synovial chondromatosis of the foot and ankle is exceedingly rare, and outcomes following surgical excision are largely unknown. Materials and Methods: An Institutional Review Board-approved retrospective review of our institution's surgical database from 1970 to 2006 revealed 8 patients with SC of the foot and/or ankle confirmed by pathology. Results: Eight patients (4 female and 4 male) presented with pain, locking, or stiffness. Average age at presentation was 37 (range, 19 to 60) years. Average followup was 9.5 (range, 1 to 31) years. Six patients had involvement of the ankle, and two, the midfoot. Four patients underwent ankle synovectomy with loose body removal, and were pain-free at last followup. One patient underwent excision and midfoot arthrodesis for severe midfoot destruction. Three patients ultimately underwent below knee amputation, one for multiple recurrences and two for malignant transformation to low-grade chondrosarcoma. Conclusion: To our knowledge, this is the largest reported series of patients with SC of the foot and ankle. In half the patients, synovectomy with excision of loose bodies resulted in pain free return to normal function, without recurrence, at last followup. However, recurrence occurred in 3 (37.5%) of 8 patients with subsequent malignant transformation to low-grade chondrosarcoma occurring in 2 patients.

scholarly journals Intra- and extracapsular synovial chondromatosis of the temporomandibular joint: Rare case and review of the literature

2018 ◽  
Vol 6 ◽  
pp. 2050313X1877530 ◽  
Author(s):  
Henrik Holtmann ◽  
Thomas Böttinger ◽  
Norbert R Kübler ◽  
Daman D Singh ◽  
Christoph K Sproll ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Rare Case ◽  
Unusual Case ◽  
Synovial Chondromatosis ◽  
Benign Disease ◽  
Malignant Diseases ◽  
Review Of The Literature ◽  
Loose Bodies ◽  
Radiographic Findings ◽  
The Right

Synovial chondromatosis is a benign disease which most commonly appears in large joints and only rarely affects the temporomandibular joint. The diagnosis is quite difficult due to the fact that a large swelling in the preauricular area and the radiographic findings may be misdiagnosed as other benign or malignant diseases. We report an unusual case of intra- and extracapsular chondromatosis of 25 osteochondral loose bodies in the right temporomandibular joint.

scholarly journals A COMBINATION OF PIGMENTED VILLONODULAR SYNOVITIS AND SYNOVIAL CHONDROMATOSIS PRESENTING AS A LARGE LOOSE BODY IN KNEE

2012 ◽  
Vol 02 (03) ◽  
pp. 45-48
Author(s):  
Siddharth Shetty ◽  
Vikram Shetty ◽  
B. J.P. Shetty ◽  
Shubha P. Bhat
Keyword(s):  
Full Range ◽  
Synovial Chondromatosis ◽  
Loose Body ◽  
Pigmented Villonodular Synovitis ◽  
Uneventful Recovery ◽  
Villonodular Synovitis ◽  
Loose Bodies ◽  
Knee Movement ◽  
Pigmented Villonodular

AbstractIntra-articular calcific lesions of knee usually manifest as loose bodies with symptoms of recurring episodes of locking and restriction of movement. These loose bodies are a consequence of trauma or degeneration of structures in the joint and occasionally may be of inflammatory or neoplastic condition of the synovium.Here we present our case as a rare form of presentation where in our patient had a large loose body in the knee with chronic pain and swelling and restriction of the movements of knee. Arthrotomy, loose body excision and total synovectomy of the knee confirmed coexistence of a dual lesion of synovial chondromatosis of the Hoffa's fat pad with diffuse pigmented villonodular synovitis of the knee joint. The patient made an uneventful recovery and full range of knee movement was restored by end 3 months. These benign conditions have inherent risk of recurrence, and in our case, till the last follow up at 14 months after surgery, he has remained asymptomatic with no clinico radiological evidence of any recurrence.

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.

Anterior and Posterior Arthroscopic Treatment of Primary Synovial Chondromatosis of the Ankle

2020 ◽  
pp. 107110072097096
Author(s):  
Ivan Bojanić ◽  
Mihovil Plečko ◽  
Ana Mataić ◽  
Damjan Dimnjaković
Keyword(s):  
Malignant Transformation ◽  
Case Series ◽  
Synovial Chondromatosis ◽  
Unknown Etiology ◽  
Loose Bodies ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Patient’S Satisfaction ◽  
Operative Session

Background: Primary synovial chondromatosis (PSC) is a progressive disorder of unknown etiology resulting in formation of multiple loose bodies. If left untreated, it may lead to degenerative changes or malignant transformation to chondrosarcoma. Methods: Seventeen patients who underwent combined posterior and anterior ankle arthroscopy within the same operative session and had histologically confirmed PSC were included in this retrospective study. American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot score was used to evaluate ankle function preoperatively and at a final follow-up. A 3-question survey was used to evaluate patient’s satisfaction at the final follow-up. Results: In 14 patients, loose bodies were found in both compartments of the ankle, in 2 only in the anterior compartment, and in 1 only in the posterior compartment. All patients had evident signs of synovial inflammation in both compartments. The AOFAS Ankle-Hindfoot score increased from the preoperative median score of 65 (range, 29-90) to 95 (range, 65-100) at the final follow-up. Fourteen patients reported they were extremely satisfied with the outcome, 1 was moderately satisfied, and 2 were dissatisfied. No cases of recurrence of synovitis or loose body formation were noted, nor any signs of malignant transformation during the follow-up period. Conclusion: We believe the risk of recurrence of PSC, which is in close relation to malignant transformation, can be minimized by performing a complete synovectomy of the ankle. Our experience and review of literature makes us believe that ankle PSC should be regarded as a whole joint disorder. Performing a combined posterior and anterior arthroscopic procedure within the same operative session should always be considered in patients with ankle PSC. Level of Evidence: Level IV, retrospective case series.

scholarly journals Pathological diagnosis of peritoneal loose body: a case report

2013 ◽  
Vol 3 (6) ◽  
pp. 512-514 ◽  
Author(s):  
M Rajbhandari ◽  
A Karmacharya ◽  
S Shrestha
Keyword(s):  
Case Report ◽  
Incidental Findings ◽  
Loose Body ◽  
Pathological Diagnosis ◽  
Pelvic Cavity ◽  
Loose Bodies ◽  
Dependent Part ◽  
Pelvic Masses

Peritoneal loose bodies are usually incidental findings at laparotomy. Their sizes range from that of a pea to giant loose bodies. We report a case of giant loose peritoneal body measuring 5x 4 cm found incidentally in a 67 year old man. Mobile pelvic masses are extremely rare findings. They are usually located in the pelvic cavity due to the fact that they gravitate to the most dependent part of the pelvic cavity. Usually these peritoneal loose bodies are left untreated until complications arise. DOI: http://dx.doi.org/10.3126/jpn.v3i6.9005   Journal of Pathology of Nepal (2013) Vol. 3, 512-514

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 Locked Wrist: A Case Report and Literature Review on Pisotriquetral Loose Bodies

2020 ◽  
Vol 9 (06) ◽  
pp. 518-522
Author(s):  
R. Gil Thompson ◽  
George C. Poulis ◽  
Gary M. Lourie
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Imaging Techniques ◽  
Case Reports ◽  
Loose Body ◽  
Radiographic Imaging ◽  
Loose Bodies ◽  
Advanced Imaging ◽  
Radiographic Findings ◽  
Magnetic Resonance Imaging Mri

Abstract Background Pisotriquetral (PT) loose bodies have been described in the literature only a few times as case reports. While PT pathology remains the differential for ulnar-sided wrist pain, it can often be difficult to diagnose, as symptoms can be variable and radiographic imaging may be negative for any findings. Case Description A 24-year-old major league baseball player presented with pain and locking of his wrist during follow through of his bat swing. Plain radiographic imaging, as well as computed tomography (CT) imaging, was negative for any pathology. Dynamic magnetic resonance imaging (MRI) demonstrated a loose body which entered the PT joint when the wrist was moved into a flexed position. This caused entrapment of the loose body and locking of the wrist. Literature Review A total of 17 reported patients in the literature have been diagnosed with a PT loose body. The clinical examination findings, radiographic findings, and surgical findings are reviewed. Case Relevance PT loose bodies can present a challenging clinical picture to diagnose. The purpose of this case report is to review the appropriate clinical workup, including common examination findings and advanced imaging techniques, to help the clinician with the diagnosis.

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.

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