Intrakapsularni i paraartikularni hondromi kolena - prikazi slučaja

Zlatko Temelkovski,Alan Andonovski,Milan Samardziski,Andrea Nancheva,Jasminka Nanceva

doi:10.24125/sanamed.v1i1.170

Abstract

Introduction: Intracapsular and Para-articular chondroma is a rare variant of the extraskeletal chondromas. It arises from the capsule and/or the para-articular connective tissue of the large joints (mostly the knee) and is a result of cartilaginous metaplasia. In the course of time these tumors ossify and this is where their second name comes from: Para-articular osteochondromas. Case reports: We report six new cases of para-articular chondroma of the knee. On physical examination there was slow-growing solid mass in the knee and moderate pain. The radiological findings and CT scan show soft-tissue mass with variable amount of ossification, and on histological examination the presence of mature hyaline and connective cartilage was confirmed in all of the cases. Conclusion: The diagnosis of these benign tumors is made with correlation of clinical, radiological and histological features. Treatment of choice is surgical excision.

Highlights

Intracapsular and Para-articular chondroma is a rare variant of the extraskeletal chondromas
It arises from the capsule and/or the para-articular connective tissue of the large joints and is a result of cartilaginous metaplasia
Para-articular and intracapsular chondromas are rare benign tumors mostly seen in the vicinity of the large joints

Summary

INTRODUCTION

Ze depending on the size of the joint [4, 5, 6, 7]. We have found only 30 cases of para-articular chondromas in the reviewed literature [3, 5, 6]. 24 years old, reports with painful mass on the medial side of the right knee, with no record of trauma. Age 41 complains on a solid mass on the lateral aspect of the left knee that has been slowly growing for the past two years. It caused limitation of joint movement and required surgical removal. The lateral radiograph of the knee showed subpatellar, partly ossified mass and the transverse section on CT-Scan showed posttraumatic hematoma in the knee joint, as well as soft tissue tumor with ossification beneath the patella, situated in the para-articular connective tissue (Figure 3.A and B). Moving tissue in his joint, pseudo blockage in her knee joint (Figure 7, 8)

DISCUSSION AND CONCLUSION

Conflict of interest