A neglected case of giant synovial chondromatosis in knee joint.

Sancar Serbest,Ugur Tiftikçi,Mahi Balci,Fatih Karaaslan,Haci Bayram Tosun,Hüseyin Fatih Sevinç

doi:10.11604/pamj.2015.22.5.7481

Sancar Serbest, Ugur Tiftikçi + Show 4 more

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https://doi.org/10.11604/pamj.2015.22.5.7481

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Abstract

Synovial chondromatosis is a rare benign condition arising from the synovial membrane of the joints, synovial sheaths or bursae around the joints. Primary synovial chondromatosis typically affects the large joints in the third to fifth decade of life. The purpose of this case report is to document this rare synovial pathology, which required open synovectomy and debridement to eradicate it. In our case, the biggest sized SOC was 20x19x6 cm, although there were many joint mice. Our case had the biggest SOC ever extracted, which to the best of my knowledge has not been reported earlier.

Highlights

Synovial osteochondromatosis (SOC) is a monoarticular, synovial, proliferative disease. It is a rare disease which presents as multiple cartilaginous nodules in synovial joints, bursae or tendon sheaths [1-3]
SOC should be considered in differential diagnosis of cases including joint pathology
In this article we present a case of intraarticular SOC at knee joint that was successfully treated with knee arthrotomy

Summary

Introduction

Synovial osteochondromatosis (SOC) is a monoarticular, synovial, proliferative disease. It is a rare disease which presents as multiple cartilaginous nodules in synovial joints, bursae or tendon sheaths [1-3] It is generally a primary condition, it can be secondary to osteoarthritis. Observed clinical symptoms were pain (85-100% of cases), swelling (42-58% of cases) and limitation of joint movements (38-55%) at the involved area. Secondary osteoarthritis findings such as generalized joint effusions, locking, tenderness, and crepitation may occur [2, 4]. A seventy two years old male presented to our clinic with swelling, pain, and limitation of movement at knee joint. The patient's history revealed swellings and pain at knee joint for nearly last 20 years.

Discussion

Conclusion