Knee joint is the most commonly involved joint presenting with pain swelling and restricted movements. A case report of primary synovial chondromatosis with bilateral. Synovial chondromatosis is a rare, benign, chronic, and progressive metaplasia associated with the formation of cartilage in the synovial membranes of joints. Traditional surgical intervention is open loose body excision and synovectomy. Synovial chondromatosis sc is a benign monoarticular condition that is uncommon in the temporomandibular joint tmj. Most of the times it presents in just one articulation and is rarely seen in diarthrodial joints. Primary synovial chondromatosis in the shoulder joint has been previously reported 1, 2, 4. Sonographic study of the shoulder focusing the tendon of the biceps long head tblh on the transverse. Synovial chondromatosis in the shoulder medcrave online.
Chondrosarcoma is a rare malignant bone tumor characterized by their ability to make cartilage 10, 11. Sedeek sm, choudry q, garg s 2015 synovial chondromatosis of the ankle joint. Chondromatoses the of the large joints a report of 8 cases. Synovial chondroma definition of synovial chondroma by. Cureus arthroscopic treatment of synovial chondromatosis. Histology showed a picture of synovial chondromatosis with focal areas of calcification and ossification. Primary synovial chondromatosis is a rare, benign, proliferative cartilaginous lesion that can arise from the tendon sheath, bursa or joint synovial tissue 1,2. A, area from a lesion of synovial chondromatosis of the knee joint.
We present a 43yearold man with a 10month history of stiffness and. Synovial chondromatosis of the wrist and handa case report. Synovial chondromatosis can arise in any joint in the body, but most commonly occurs in the knee. Tenosynovial chondromatosis is an extraarticular version of articular synovial chondromatosis, and it is most commonly observed in the fingers and feet. Primary synovial chondrosarcoma of the hip joint in a 45. B clearly shows erosion of the distal radius on the radiovolar part of the synovial chondromatosis. We report a case of synovial chondromatosis in a 54yearold man leading to pain and limited range of motion of his ankle. Synovial chondromatosis is a rare condition in which foci of cartilage develop in the synovial membrane as a result of benign metaplasia of the subsynovial connective tissue. We present here two cases suggestive of secondary synovial chondromatosis of the shoulder following the histological examination. Synovial chondromatosis of the elbow joint radiology. The knee is most commonly affected, however it can affect any joint. Synovial chondromatosis also known as synovial chondrometaplasia is a rare condition of unclear etiology in which foci of cartilage develop in the synovial membrane of joints, bursae, or tendon sheaths as a result of metaplasia of the subsynovial connective tissue. Synovial chondromatosis is a rare benign condition very rarely seen in adolescent age group.
Arthroscopic and endoscopic technique for subcoracoid. This case demonstrates primary synovial chondromatosis of the elbow. Synovial chondromatosis synovial chondromatosis has been divided into primary and secondary forms. Synovial chondromatosis of the shoulder 40 radiol bras. The authors are grateful to dr tudor wickrenaratchi of the. Also called tenosynovial or bursal chondromatosis epidemiology. In this condition, cartilaginous metaplasia takes place within the synovial membrane of the. Osteochondromatosis results when endochondral ossification of the mass occurs, often making it difficult to differentiate from osteochondral fragmentation. Synovial chondromatosis is the rare and benign metaplasia of the synovial membrane resulting in the formation of multiple intraarticular cartilaginous loose. Itseems that synovial chondromatosis maynotnecessarily leadto severe osteoarthritis. Nodules of hyaline cartilage merging with surrounding connective tissue in synovial chondromatosis. Although it is an uncommon cause of knee pain and swelling, synovial chondromatosis should be included in the differential diagnosis when evaluating adults. The nodules may enlarge and detach from the synovium. We report a case with the clinical findings, radiographic features, arthroscopic technique for treatment of this disease and the main histological appearance of the.
In most occurrences, there is only one joint affected, either the knee, the hip, or the elbow. Its main characteristic is the formation of cartilaginous nodules that may be pedunculated andor detach from the synovial membrane, becoming loose bodies within the joint space36. It usually occurs aged 30 to 50 years and is extremely rare in children. Synovial chondromatosis osteochondromatosis or synovial.
Synovial chondromatosis is a benign condition characterized by synovial proliferation and metaplasia, with development of cartilaginous or osteocartilaginous nodules within a joint, bursa or tendon sheath. It most commonly involves large joints, such as the knee, hip, and shoulder, but its presence in smaller joints has also been reported. We report on the novel use of radiotherapy that was used to treat a 42. Orthopedics synovial chondromatosis of the shoulder is rare. Malignant transformation of recurrent synovial chondromatosis. Synovial chondromatosis of the foot presenting with lisfranc dislocation article pdf available in skeletal radiology 3411. Cartilaginous bodies can be seen on the dorsum of the wrist a. Manual mobilizations of the ankle mortise joint occurred infrequently.
Foci on the surface may develop stalks and then detach, resulting in numerous loose bodies within the joint. A case report of synovial chondromatosis of the knee joint arising. Synovial osteochondromatosis is a rare disease that creates a benign change or proliferation in the synovium or jointlining tissue, which changes to form boneforming cartilage. Synovial chondromatosis sc is a cartilaginous metaplasia of the mesenchymal remnants of the synovial tissue of the joints. It occurs most commonly in the knee, but also has been reported in other joints like the hip jaw and ankle. These nodules can separate and become loose within the joint. Synovial chondromatosis of the elbow with asymptomatic ulnar nerve. Synovial chondromatosis is a type of noncancerous tumor that arises in the lining of a joint. Currently, the recommended treatment is arthroscopeassisted synovectomy and removal of the loose bodies. Chondrosarcoma arising from synovial chondromatosis is a rare presentation of the second most common primary malignant bone tumor.
Synovial chondromatosis is a rare disease in which multiple, metaplastic, cartilaginous masses form in the synovial membrane. The knee, followed by the hip, in male adults are the most commonly involved sites and patient population. Identify the radiologic manifestations of synovial chondromatosis. Bursal synovial chondromatosis secondary to underlying. The purpose of this article is to present 11 additional cases of sc of the tmj and discuss newer modes of imaging, diagnostic approaches, treatment options, and followup data. The estimated incidence of synovial chondrosarcoma arising from synovial chondromatosis is approximately 1% to 6%. Hip resurfacing as treatment for synovial chondromatosis. Dynamic sonographic examination of internal snapping hip syndrome.
Synovial chondromatosis is a benign condition in which there is a benigntransformation of the lining of a joint synovium to produce nodules of cartilage. Synovial chondromatosis is a rare condition of metaplastic cartilage development in the synovial membrane of joints, bursa, or tendon sheaths. Synovial chondromatosis is a rare condition in which cartilage is formed in the synovial membranes of joints. The relative scarcity of presentation in the wrist or hands contributes to the difficulties in accurately diagnosing and obtaining the necessary treatment for sc. This report presents two rare cases of more severly synovial chondromatosis of knee joint and shoulder joint. Primary synovial chondromatosis also known as reichel syndrome or reicheljoneshenderson syndrome, is a benign monoarticular disorder of unknown origin that is characterized by synovial metaplasia and proliferation resulting in multiple intraarticular cartilaginous loose bodies of relatively similar size, not all of which are ossified. Synovial chondromatosis is a rare condition in which foci of cartilage develop in the synovial membrane of joints, bursae, or tendon sheaths as a result of metaplasia of the subsynovial connective tissue. Metaplastic growth arising from marginal synovium was an atypical. Synovial chondromatosis is an uncommon benign condition characterized by nodules of hyaline cartilage. Synovial chondromatosis is a disease affecting the synovium, a thin flexible membrane around a joint. Case report open access a double patellalike condition. Genetic and rare diseases information center gard po box 8126, gaithersburg, md 208988126 tollfree.
Synovial chondromatosis is a benign condition that can result in severe disability and dysfunction of an. Synovial chondromatosis sc is a benign proliferative metaplasia of joint synovium into cartilaginous tissue. Synovial chondromatosis of the temporomandibular joint. Oku musculoskeletal tumors aaos 2nd edition 2007, ch 28 pg 265266. Chondromatoses the of the large joints a report of 8 cases authors. Afip archives 1465 from the archives of the afip imaging of synovial chondromatosis with radiologicpathologic correlation1 learning objectives for test 6 after reading this article and taking the test, the reader will be able to. Synovial chondromatosis is a benign cartilaginous metaplasia of the synovium, which may affect any synovial joint. Pdf tenosynovial chondromatosis of the third finger. Extraarticular tenosynovial chondromatosis of the left. Synovial chondromatosis nimbkar sa, sane sy, patel b, pathak. If you have problems viewing pdf files, download the latest version of adobe reader. Synovial chondromatosis of the elbow with asymptomatic.
Radiotherapy in the management of recurrent synovial. Tenosynovial chondromatosis of the third finger article pdf available in archives of orthopaedic and trauma surgery 12034. Synovial chondromatosis of the elbow e431 j hand surg am. Synovial chondromatosis radiology reference article. Combining lymphoma molecular profiles, microenvironment signatures may improve prognosis. P rimary synovial chondromatosis psc is a rare, benign, proliferative disease of hyaline. Tenosynovial chondromatosis is an extraarticular version of articular synovial chondromatosis, and it. Primary synovial chondromatosis radiology reference. Transition to synovial chondrosarcoma rareassociated with multiple recurrences recommended reading. Synovial chondromatosis also called synovial osteochondromatosis is a rare, benign condition that involves the synovium, which is the thin.
Primary synovial chondromatosis is an uncommon condition, and involvement of the glenohumeral joint is rare. Radiographs, which were obtained after physical therapy was initiated, and subsequent magnetic resonance imaging showed the presence of numerous radioopaque loose bodies that followed bone signal characteristics dispersed throughout the glenohumeral joint, leading to a diagnosis of synovial chondromatosis. The both cases associated multiple intraarticular or periarticular loose bodies located under the totle cavity of the knee joint or around the shouder joint. Tenosynovial chondromatosis is a multinodular cartilaginous proliferation that arises from tenosynovial membranes due to synovial metaplasia terminology. Dhooge p, alkhelaifi k, almusa e tabben m, wilson mg, kaux jg 2018 chronic lateral ankle instability increases the likelihood for surgery in athletes with os trigonum syndrome.
They present in varied sizes and several loose bodies may combine to form larger bodies. Secondary synovial chondromatosis of the shoulder joint is a very rare condition 5. The age of presentation is between 30 and 50years old. Case report recurrent synovial chondromatosis of the wrist. Synovial chondromatosis in the metacarpophalangeal joint. Imaging of synovial chondromatosis with radiologic.
Extraarticular tenosynovial chondromatosis of the left ring finger in a. Synovial chondromatosis is a disease in which hyaline cartilage can occur in the joint in pedunculated form, within the synovial membrane, or free within the joint. Osteochondroma and synovial chondromatosis are frequently reported benign bony and cartilaginous lesions. The patient with the knee synovial chondromatosis presented as a. Synovial chondromatosis an overview sciencedirect topics. Synovial chondromatosis also called synovial osteochondromatosis is a rare, benign noncancerous condition that involves the synovium, which is the thin layer of tissue that lines the joints. Primary synovial chondromatosis, represent chondroid metaplasia in the subserous layer on inner surface of capsule of a joint with resultant formation of multiple intraarticular chondral bodies. Alidrissi n, bassir r, kharmaz m, lamrani m, elbardouni a, mahfoud m, berrada m, elyaacoubi m. Primary synovial chondromatosis represents an uncommon benign neoplastic process with hyaline cartilage nodules in the subsynovial tissue of a joint, tendon sheath, or bursa. Synovial chondromatosis sc is a noncommon benign articular pathology characterized by synovial chondroid metaplasia and proliferation.
For language access assistance, contact the ncats public information officer. An identical process can also involve the synovium. A case report of bilateral synovial chondromatosis of the ankle. Primary synovial chondromatosis is a rare, benign, proliferative.
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