НАШ ОПЫТ ЛЕЧЕНИЯ СИНОВИАЛЬНОГО ХОНДРОМАТОЗА ПЛЕЧЕВОГО СУСТАВА

Abstract

Incidence rate of primary synovial chondromatosis of the shoulder joint makes 15–28 %. It is a rare benign lesion of
 synovial membrane of the joint featured by multiple foci of cartilaginous metaplasia in tissues of the membrane. Dif-
 ferential diagnostics should be conducted with the diseases, accompanied by formation of intra-articular loose bodies
 (secondary chondromatosis) at osteochondritis dissecans, osteochondral fracture of the humeral head, and tuberculous
 rheumatism. But the critical role belongs to histopathology report and molecular genetic analysis. Synovial chondroma-
 tosis most frequently afflicts one of the major joints (knee, hip, elbow, or shoulder). The pathology develops mainly in
 young men. Published descriptions of the development of this shoulder joint lesion are very sparse. Diagnostics becomes
 possible only on the grounds of histological examination of cartilage flaps removed from the joint. Present treatment
 of synovial chondromatosis includes removal of intra-articular cartilage bodies, either with open surgery or by arthro-
 scopic approach. The authors of the article present the clinical example of diagnostics and surgical treatment of the
 patient with primary synovial chondromatosis. The disease, aged more than 4 years, was accompanied with limited
 movements in the shoulder joint. Postoperative check-up examination established restored volume of movements and
 no pain syndrome in the joint. The patient came back to everyday routine and amateur sport. Therefore, adequate
 volume of surgical intervention excludes the recurrence of the disease in early and remote postoperative period. The
 patient is able to work and participate in routine physical activity.