Rare Case Of Synovial Chondromatosis Research Articles

A rare case of synovial chondromatosis of the foot

Background: Synovial chondromatosis is a benign rare condition affecting synovial tissue. It has a preference for males with a ratio of 2:1. Also, synovial chondromatosis has a prevalence of 1 in 100,000. Initially, it starts asymptomatically then develops pain, and swelling with or without a restricted range of motion as the disease progresses. In addition, the imaging options are an x-ray and then an MRI. To confirm the diagnosis, a biopsy with histopathologic evaluation is needed. Finally, conservative management options are NSAIDs and intraarticular steroids. Surgery is considered after the failure of conservative management. Case Presentation: A case of synovial chondromatosis of the left foot in a 37-year-old female with no prior medical or surgical history was presented. The patient came with no signs or symptoms and was admitted as a case of elective mass excision. Histopathologic evaluation of the mass confirmed the diagnosis of synovial chondromatosis. Initially, perioperative spinal anesthesia was performed. After the patient had been sedated, a vertical incision directly over the dorsolateral aspect of the foot, over the lesion, was made. Subsequently, a lateral incision and a midline horizontal incision at a 90-degree angle to the initial surgical incision were made. Finally, the mass was excised completely with no remnants. Conclusion: Synovial chondromatosis is a frequently sub-diagnosed disease and has not been fully understood, so proper clinical evaluation ought to be done earlier for better outcomes.

A rare case of synovial chondromatosis of distal radio-ulnar joint.

IntroductionSynovial chondromatosis (SC) is a benign metaplastic proliferation of cartilaginous nodules within the synovial membrane that commonly manifests as “loose masses” in the joint space. Synovial chondromatosis affects 1.8 per 1 million individuals. The most common articulations affected are the knees, followed by the hip, elbows, and shoulder. The wrist, on the other hand, is rarely affected. Synovial chondromatosis occurs mostly in the third or fifth decade of life.Presentation of caseA 30-year-old Saudi, non-married female patient presented to the outpatient orthopaedic clinic complaining of right wrist pain for 5 years. The pain started gradually with on and off pain episodes. Her magnetic resonance imagining was ordered which showed large radio ulnar joint effusion associated with synovitis with multiple low- intensity foci corresponding to subtle calcifications which are all consistent with synovial chondromatosis which was successfully treated with surgery. Eventually, the patient reported that her quality of life was hugely improved especially in terms of pain, stiffness, and range of motion.ConclusionSynovial chondromatosis in radio-ulnar joint is a very rare entity. Surgical exploration of the joint, removal of loose bodies alone or combined with synovectomy, is the recommended treatment.

Synovial chondromatosis as an etiology of ankle impingement: a case report

Anterior ankle impingement is a common cause of chronic pain in this site and has synovial chondromatosis, albeit rare, as one of its possible etiologies. Both arthroscopic approach and open arthrotomy are reported as therapeutic option, but the few published data showed that the first is believed to bring more advantages. In a recent study, one of the limitations found by the authors was the rareness of this condition in the ankle, and thus the small number of publications on the topic. We present the rare case of synovial chondromatosis of the ankle in a middle-aged man, which was clinically manifested as anterior impingement syndrome and treated arthroscopically, showing an atypical arboriform vascularization pattern. Level of Evidence V; Diagnostic Studies; Expert Opinion.

A rare case of synovial chondromatosis of the temporomandibular joint secondary to discoid lupus erythematosus

A rare case of synovial chondromatosis of the temporomandibular joint secondary to discoid lupus erythematosus

A rare case of synovial chondromatosis of the inferior TMJ compartment. Diagnosis and treatment aspect.

Synovial Chondromatosis (SC) is a rare, benign non neoplastic arthopathy characterized by the metaplastic development of cartilaginous nodules within the synovial membrane. In only 3% of all cases does it affect the temporomandibular joint (TMJ) and cases that arise from the lower compartment are rarely found in literature. The aim of this paper is to report a new case of SC of the inferior TMJ compartment with the description of the clinical, therapeutic and histopathological findings. This article presents a 68-year-old woman with preauricular swelling on the right side, pain, crepitus and limited joint motion. This patient was evaluated by preoperative clinical manifestation, CT scan and MR images. Both showed multiple, calcified loose bodies in the inferior compartment. Based on these images as well as the patient's signs and symptoms, a surgical intervention was performed. A good functional recovery with no signs of recurrence at 36 months of follow up was obtained. Among cases of synovial chondromatosis in literature, only twelve originating in the lower compartment have been reported, this one included. In all the cases treated for SC in the lower compartment, both in literature and in our case report, surgical treatment led to healing.

A rare shoulder disease of primary synovial chondromatosis

Primary synovial chondromatosis is a rare, benign condition which affects the synovial membranes. It commonly involves knee, elbow and hip in young adults but is rare in shoulder. We reviewed a rare case of synovial chondromatosis of the shoulder. A young female came to our hospital with pain and swelling at right shoulder joint. Radiograph, ultrasound and MRI with contrast were obtained. It helped to make a diagnosis of synovial chondromatosis. The shoulder was operated and multiple oval loose bodies measuring up to 8 mm were removed. Partial synovectomy was done.

Synovial chondromatosis of the temporomandibular joint with calcium pyrophosphate dihydrate crystal deposition disease (pseudogout)

This report describes a very rare case of synovial chondromatosis with deposition of calcium pyrophosphate dihydrate (CPPD) crystals (pseudogout) in the temporomandibular joint (TMJ) of a 46-year-old male patient. Synovial chondromatosis is a non-neoplastic disease characterized by metaplasia of the connective tissue leading to chondrogenesis in the synovial membrane. Pseudogout is an inflammatory disease of the joints caused by the deposition of CPPD, producing similar symptoms to those observed in gout but not hyperuricaemia. Both diseases commonly affect the knee, hip and elbow joints, but rarely affect the TMJ.

Tratamento artroscópico da condromatose sinovial do ombro: relato de caso

Os autores descrevem caso raro de condromatose sinovial do ombro e seu tratamento cirurgico. A artroscopia possibilitou a visualizacao de todos os compartimentos da articulacao glenoumeral, permitindo a remocao dos corpos livres e realizacao da sinovectomia.

Synovial Chondromatosis of the Temporomandibular Joint With Intracranial Extension -Case Report-

A 52-year-old man presented with an extremely rare case of synovial chondromatosis in the temporomandibular joint (TMJ) with extension into the middle cranial fossa manifesting as swelling and exacerbation of pain. He had a long history of right TMJ disorders. Computed tomography and magnetic resonance imaging showed a mass in the right TMJ with extension into the intracranial part through the destroyed temporal skull base. The preoperative diagnosis was chondrosarcoma or osteosarcoma. The patient underwent surgery via combined trans-zygomatic temporal skull base and pre-auricular approaches and the mass was totally removed. Histological examination found an enormous number of closely packed loose bodies of various sizes, consisting of hyaline chondrocytes. The histological diagnosis was synovial chondromatosis. This rare lesion is difficult to discriminate from chondrosarcoma, so total removal is essential for correct diagnosis and cure.

Synovial chondromatosis of the temporomandibular joint: CT and MRI findings

We report a rare case of synovial chondromatosis of the temporomandibular joint (TMJ) in a 31-year-old man. CT examination showed a mixed soft tissue mass with small calcifications near the right TMJ joint space. MR images revealed a heterogeneous mass on the different sequences and, after contrast administration, originating in the right TMJ. Cytology showed chondroid cellularity. The lesion was surgically removed and final histological study demonstrated the diagnosis of a synovial chondromatosis. We highlight the importance of the complementary findings from CT and MR, especially the important specific feature described for TMJ synovial chondromatosis related to the mixed density within the mass, in order to perform an accurate preoperative diagnosis whenever there is an absence of ossified loose bodies.

Synovial chondromatosis of the temporomandibular joint with intracranial extension

We present a rare case of synovial chondromatosis of the left temporomandibular joint with intracranial extension and review the relevant literature. This is the sixth published report of such a skull base tumour. We discuss imaging characteristics and the differential diagnosis with regards to a curative surgical resection.

Synovial chondromatosis of the ankle

A rare case of synovial chondromatosis of the ankle joint is presented. The clinical, radiographic and operative findings are described. Removal of the intra-articular loose bodies and cartilaginous nodules attached to the synovium, resulted in relief of pain and restoration of joint function. The significance of the synovial origin of this cartilaginous metaplastic process is discussed.