Arthroscopic Management and Treatment of Synovial Chondromatosis and Talus Osteochondral Defect in the Ankle Joint. A Case Study

2017 ◽  
Vol 19 (3) ◽  
pp. 291-294 ◽  
Author(s):  
Huseyin Gokhan Karahan ◽  
Keyword(s):  
Ankle Joint ◽  
Osteochondral Defect ◽  
Synovial Chondromatosis ◽  
Arthroscopic Management

Arthroscopic Management of Synovial Chondromatosis of the Ankle Joint

JBJS Reviews ◽  
2020 ◽  
Vol 8 (9) ◽  
pp. e20.00045-e20.00045
Author(s):  
Humaid Al Farii ◽  
Christopher Doyle-Kelly ◽  
Yousef Marwan ◽  
Monika Volesky ◽  
Robert Turcotte
Keyword(s):  
Ankle Joint ◽  
Synovial Chondromatosis ◽  
Arthroscopic Management

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.

scholarly journals Arthroscopic Management of Synovial Chondromatosis of the Temporomandibular Joint. Case Series and Systematic Review

2018 ◽  
Vol 17 (4) ◽  
pp. 401-409 ◽  
Author(s):  
Philip James Brabyn ◽  
Ana Capote ◽  
Mario Fernando Muñoz-Guerra ◽  
Ian Zylberberg ◽  
Francisco J. Rodríguez-Campo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Temporomandibular Joint ◽  
Case Series ◽  
Synovial Chondromatosis ◽  
Arthroscopic Management

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 Management of Primary Synovial Chondromatosis of the Hip

2013 ◽  
Vol 29 (3) ◽  
pp. 420-426 ◽  
Author(s):  
Raul Zini ◽  
Umile Giuseppe Longo ◽  
Massimo de Benedetto ◽  
Mattia Loppini ◽  
Andrea Carraro ◽  
...  
Keyword(s):  
Synovial Chondromatosis ◽  
Arthroscopic Management

scholarly journals Bone shape difference between control and osteochondral defect groups of the ankle joint

2016 ◽  
Vol 24 (12) ◽  
pp. 2108-2115 ◽  
Author(s):  
N. Tümer ◽  
L. Blankevoort ◽  
M. van de Giessen ◽  
M.P. Terra ◽  
P.A. de Jong ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Osteochondral Defect ◽  
Shape Difference ◽  
Defect Groups

Autologous Osteochondral Transplantation of the Talus Partially Restores Contact Mechanics of the Ankle Joint

2011 ◽  
Vol 39 (11) ◽  
pp. 2457-2465 ◽  
Author(s):  
Ashraf M. Fansa ◽  
Christopher D. Murawski ◽  
Carl W. Imhauser ◽  
Joseph T. Nguyen ◽  
John G. Kennedy
Keyword(s):  
Contact Mechanics ◽  
Ankle Joint ◽  
Osteochondral Defect ◽  
Peak Pressure ◽  
Osteochondral Graft ◽  
Osteochondral Transplantation ◽  
Talar Dome ◽  
Autologous Osteochondral Transplantation ◽  
Medial Region ◽  
Mean Pressure

Background: Autologous osteochondral transplantation procedures provide hyaline cartilage to the site of cartilage repair. It remains unknown whether these procedures restore native contact mechanics of the ankle joint. Purpose: This study was undertaken to characterize the regional and local contact mechanics after autologous osteochondral transplantation of the talus. Study Design: Controlled laboratory study. Methods: Ten fresh-frozen cadaveric lower limb specimens were used for this study. Specimens were loaded using a 6 degrees of freedom robotic arm with 4.5 N·m of inversion and a 300-N axial compressive load in a neutral plantar/dorsiflexion. An osteochondral defect was created at the centromedial aspect of the talar dome and an autologous osteochondral graft from the ipsilateral knee was subsequently transplanted to the defect site. Regional contact mechanics were analyzed across the talar dome as a function of the defect and repair conditions and compared with those in the intact ankle. Local contact mechanics at the peripheral rim of the defect and at the graft site were also analyzed and compared with the intact condition. A 3-dimensional laser scanning system was used to determine the graft height differences relative to the native talus. Results: The creation of an osteochondral defect caused a significant decrease in force, mean pressure, and peak pressure on the medial region of the talus ( P = .037). Implanting an osteochondral graft restored the force, mean pressure, and peak pressure on the medial region of the talus to intact levels ( P = .05). The anterior portion of the graft carried less force, while mean and peak pressures were decreased relative to intact ( P = .05). The mean difference in graft height relative to the surrounding host cartilage for the overall population was −0.2 ± 0.3 mm (range, −1.00 to 0.40 mm). Under these conditions, there was no correlation between height and pressure when the graft was sunken, flush, or proud. Conclusion/Clinical Relevance: Placement of the osteochondral graft in the most congruent position possible partially restored contact mechanics of the ankle joint. Persistent deficits in contact mechanics may be due to additional factors besides graft congruence, including structural differences in the donor cartilage when compared with the native tissue.

scholarly journals Influence of patellar implantation on the patellofemoral joint of an anatomic customised total knee replacement implant: A case study

2020 ◽  
Vol 234 (12) ◽  
pp. 1370-1383
Author(s):  
Linjie Wang ◽  
Chang Jiang Wang
Keyword(s):  
Ankle Joint ◽  
Patellofemoral Joint ◽  
Patient Specific ◽  
Muscle Forces ◽  
Subsequent Revision ◽  
Total Knee ◽  
Specific Muscle ◽  
Joint Loads ◽  
Kinetics Of

Few studies have been conducted to investigate kinematics and kinetics of the patellofemoral joint under physiological muscle forces and ankle joint loads. In this study, a preliminary design of a customised total knee implant was proposed and created. To compare the influences of different patella treatment scenarios, a dynamic knee simulation model was created with patient-specific muscle forces and ankle joint loads that are calculated from an OpenSim musculoskeletal model. The goal is to improve patellar implant-bone connection and restore patellofemoral joint mobility. Identical dynamic boundary conditions were applied on an unresurfaced patella and three different dome-shaped patellar implants. It was found that the unresurfaced patella and patellar implants resulted in different motions of patellar internal rotation and medial tilt. The size of the dome-shaped patellar implant affected the motion and loading of the patellofemoral joint. When the exposed patella bone was not fully covered by the patellar implant, the patella bone then contacted the femoral component during knee flexion. This would most likely lead to anterior knee pain and subsequent revision.

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