• 대한족부족관절학회지
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• 제13권1호
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• pp.14-18
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• 2009

Purpose: We evaluated the results of treatment and clinical symptoms of 11 cases of synovial chondromatosis in the ankle joint. Material and Method: From February 2001 to May 2008, 11 cases with synovial chondromatosis involving ankle joint underwent surgical treatment. There were 5 males and 6 females. The average age at surgery was 51 years. The average follow-up period was 42 months. Duration from onset of symptom to treatment was 117 months. Chief complaints of patients, 9 cases were pain and 1 case was mass like lesion, 1 case was found on x-ray. Preoperatively, all cases were evaluated on simple x-ray, 4 cases on CT, 4 cases on MRI and 1 case on ultrasonogram. 10 cases underwent synovectomy and loose body removal. 5 cases of 10 cases underwent open synovectomy and loose body removal and arthrosocpic surgery. 4 cases of 10 cases underwent only open synovectomy and loose body removal and 1 case of 10 cases underwent only arthroscopic surgery. 1 case underwent tibiotalar arthrodesis. Results: The location of loose bodies was 7 cases on posterior and 4 cases on anterior and 4 case on lateral and 3 cases on multiple site. Postoperatively, all patients showed marked clinical improvement and had subjective satisfaction except reoperation 2 cases and arthrodesis 1 case. AOFAS score of all patients was average 82.2. Conclusion: Clinical results of the synovial chondromatosis of ankle joint were satisfactory. More accurate preoperative evaluation is required to achieve prevention of postoperative recurrence and better outcome.

• 대한정형외과 초음파학회지
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• 제3권1호
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• pp.8-14
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• 2010

목적: 슬관절내에서 유리체가 만져지거나 방사선 소견상 보일 경우, 초음파의 임상적 유용성을 알아보고자 하였다. 대상 및 방법: 2007년 3월부터 2009년 7월까지 방사선 소견상 슬관절내에 유리체가 발견된 22명, 25예를 대상으로 하였으며, 남자가 8명, 여자가 14명, 우측이 11예, 좌측이 8예, 양측이 3예 였으며, 평균 연령은 56.3세(32~76세)였다. 유리체의 위치는 슬개상 주머니에서 13예, 슬개하 전방구획에서 1예, 슬관절 후방 구획에서 11예가 있었다. 슬개상 주머니에 있는 유리체의 경우 초음파를 종으로 슬개골 상부에 놓고 굴곡-신전 하면서 가동성을 관찰하였다. 슬개하 구획과 후방 구획에서는 초음파를 종과 횡으로 놓고 굴곡-신전을 하였을 때 유리체의 가동성을 관찰하였다. 결과: 슬개상 주머니의 유리체와 슬개하 유리체는 전 예에서 초음파 소견상 움직이는 것으로 진단 되어 제거술을 시행하였으며, 후방 구획에 있는 유리체는 전 예에서 움직이지 않는 것으로 진단되어 제거 대상에서 제외하였다. 결론: 슬관절 유리체의 가동성 유무로 수술적 제거의 필요성을 판단하는 데에 초음파는 임상적으로 도움을 줄 수 있었다.

• Clinics in Orthopedic Surgery
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• 제10권4호
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• pp.393-397
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• 2018

Background: The purpose of our study was to evaluate the usefulness of hip arthroscopy including extensive capsulectomy for synovial chondromatosis of the hip. Methods: From 2008 to 2016, 13 patients with synovial chondromatosis of the hip were treated with arthroscopic removal of loose bodies and synovectomy using three arthroscopic portals. An extensive capsulectomy was performed to allow the remaining loose bodies to be out of the extracapsular space, and the excised capsule was not repaired. All patients were assessed by clinical scores and the radiographs were reviewed to determine whether the remaining loose bodies disappeared at the last follow-up. Results: Eight men and two women were followed up for a minimum of 1 year (mean, 3.8 years; range, 1 to 6.8 years) after hip arthroscopy. Clinical outcomes such as modified Harris hip score, University of California Los Angeles score, and Western Ontario and McMaster Universities Osteoarthritis Index score improved at the last follow-up. Although seven hips had remaining loose bodies after arthroscopic surgery, the remaining loose bodies disappeared in five hips (71.4%) at the last follow-up. Conclusions: Arthroscopic surgery was useful to treat synovial chondromatosis of the hip. In spite of limited removal of loose bodies, arthroscopic procedures including extensive capsulectomy could be effective for the treatment of synovial chondromatosis of the hip.

• 대한관절경학회지
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• 제6권1호
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• pp.43-48
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• 2002

목적 : 슬관절에 발생한 8명(9례)의 환자에서 관절경을 이용한 수술적 치료에 대한 결과를 분석 보고하고자 한다. 대상 및 방법 : 1989년 6월부터 1999년 9월까지 활액막 연골종증으로 진단되어 관절경적 활액막 전절제술 및 유리체 제거술을 시행받은 8명 9례를 대상으로 하였다. 남자 6명, 여자 2명이었고, 평균 연령은 44.1세였다. 평균 추시기간은 5.9년이었다. 진찰소견에서 동통 및 종창이 주증상 이었으며, 2례에서 장김 현상, 3례에서 평균 28도의 굴곡 구축을 보였다. 결과 : 병리소견 및 관절경 소견상 Milgram 1기 1례, 2기 6례 및 3기 2례였고 부위별로 전반적인 활액막 비후를 보인 경우가 6례, 국소적인 활액막 비후를 보인 경우가 1례 였으며, 국소적 1례의 경우 후내방 및 후외방 구획의 병변을 보였다. 술후 전례에서 임상적 증상의 소실과 함께 정상적 운동범위를 보였다. 술후 재발은 1례로 1차 수술 소견상 Milgram 2기였으며 술후 11개월에 이차적 관절경 수술을 시행받았다. 결론 : 비교적 희귀한 질환인 활액막 연골종증 9례에서 관절경을 이용한 유리체 제거술 및 활액막 전절제술로 합병증 없이 임상적으로 만족스러운 결과를 얻을 수 있었다. 재발 방지를 위해 활액막 전절제술이 필요할것으로 사료된다.

• 대한관절경학회지
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• 제11권1호
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• pp.59-62
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• 2007

Freiberg 병은 비교적 드문 골연골증으로 주로 사춘기 여자의 제2 중족골 두에서 발생한다. 그 치료는 다양하여 관절내 유리체 제거술, 골두 절골술 또는 골두 절제술 등의 수술이 시도되고 있다. 관절경을 이용한 치료는 회복 기간을 단축시키는 동시에 술후 발생하는 강직을 감소시키는 장점이 있다. 저자들은 초기의 Freiberg 병에 대해 중족지 관절경을 이용하여 유리체 제거술 및 변연절제술을 시행하고 그 결과를 보고하고자 한다.

• 대한족부족관절학회지
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• 제8권2호
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• pp.142-148
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• 2004

Purpose: We compared the results of three surgical procedures of the old neglected Freiberg's disease that was managed with metatarsal head reshaping, metatarsal head resection, and dorsal closing wedge osteotomy. Materials and Methods: From march 1996 to July 2002, five cases in six patients whose metatarsal head collapse already progressed underwent operative treatment. We compared the operative results in the view point of the radiographic follow-up and lesser toe metatrasophalangeal joint scale of AOFAS. Results: There were no further joint destruction and loose body formation. Also, lesser toe metatrasophalangeal joint scale of AOFAS improved from average score, 38.5 (range $22{\sim}49$) of preoperative one to average score, 86.6 (range, $72{\sim}100$). Especially, the 2 cases that underwent dorsal closing wedge osteotomy showed most favorable result and the 2 cases with metatarsal resection showed next favorable result. The 2 cases with intra-articular loose body removal and metatarsal reshaping showed the least effective result among three operative methods. Conclusion: Our Operative experiences of old neglected Freiberg's disease were all satisfactory irrespective of operative options and dorsal closing wedge osteotomy was thought to be most effective method.

• 대한족부족관절학회지
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• 제13권2호
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• pp.223-226
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• 2009

Freiberg disease is a osteochondrosis of the lesser metatarsal heads. Various surgical treatment have been recommanded including joint debridement and metatarsal head reshaping, metatarsal dorsal wedge osteotomy, metatarsal head excision and joint arthroplasty. Autogenous osteochondral graft for the treatment of Freiberg disease is an effective restorative procedure that provides early range of motion exercise, weight bearing, and reduces other morbidity. We report a case of late stage Freiberg disease treated with arthrotomy, removal of loose body and autogenous osteochondral graft.

• Clinics in Shoulder and Elbow
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• 제9권2호
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• pp.202-206
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• 2006

Synovial chondromatosis is an uncommon condition and involvement of the glenohumeral joint is rare comparing its involvement of knee and hip. We report a case of synovial chondromatosis with its radiography, MRI and microscopic findings and treatment by arthroscopic synovectomy & loose body removal which have been developed in right shoulder of a 46 year-old-female and presented as impingement syndrome.

• Clinics in Shoulder and Elbow
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• 제6권2호
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• pp.178-183
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• 2003

Synovial chondromatosis is a, relativly rare disease, moreover the shoulder joint is very rarely affected. The authors report two cases of synovial chondromatosis of the glenohuneral Joint and biceps tendon sheath that were managed by arthrclscopic loose body removal and partial synovectomy. Excellent subjective and objective results were obtained.

• 대한스포츠의학회지
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• 제36권4호
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• pp.221-226
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• 2018

Synovial chondromatosis is an uncommon disorder characterized by cartilaginous proliferation within the synovial membrane of the articular joint. Smaller joints are rarely affected and it may be progressed to osteochondromatosis after ossification or calcification of metaplastic cartilage. It is commonly presented in the third to fourth decade of life, but rarely presented in adolescence. We report a unique case of synovial osteochondromatosis of the subtalar joint in 14-year-old baseball player. Arthroscopic removal of loose body and complete excision of the osteochondral mass with concomitant synovectomy resulted in satisfactory outcome without recurrence at final follow-up.