• Title/Summary/Keyword: Synovial chondromatosis

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Synchronization of Synovial Chondromatosis and Mycobacterium intracellurae Infection in Olecranon Bursitis: A Case Report

  • Kim, Dong Hyun;Min, Seunggi;Lee, Hyun Joo;Kim, Hee-June;Lee, Hoseok;Yoon, Jong Pil
    • Clinics in Shoulder and Elbow
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    • v.22 no.1
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    • pp.46-49
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    • 2019
  • A 73-year-old woman presented with a recurrent cystic mass around her left olecranon. She had a history of 8 steroid injections due to elbow pain beginning 3 years ago and twice had undergone aspiration of olecranon bursitis that developed two months prior to presentation. She had been taking medications for hypertension and diabetes with no pertinent past history. On magnetic resonance imaging (MRI), there were multiple nodules in the olecranon bursa, which were isointense to muscle on T1-weighted images and hyperintense to muscle on T2-weighted images. Our initial diagnosis was synovial chondromatosis. On bursoscopy, masses of gray-white colored nodules were observed in the bursa. Finally, synovial chondromatosis and non-tuberculous mycobacterial infection were concurrently diagnosed. In conclusion, uncalcified synovial chondromatosis and rice bodies can have similar visual and MRI characteristics; therefore, we suggest that clinicians should be aware of the possibility of other infections in cases of this type.

Synovial Chondromatosis of the First Metatarsophalangeal Joint (A Case Report) (제1 중족족지 관절의 활액막 연골종증 (1예 보고))

  • Suh, Jin-Soo;Kim, Dong-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.1
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    • pp.107-110
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    • 2007
  • Synovial chondromatosis is an uncommon non-neoplastic condition of the joints, forming multiple cartilaginous nodules in the synovium. The lesion usually tends to involve large joints, and the occurrence in the small joint of foot is very rare. We would like to report a case of synovial chondromatosis which was confused with Freiberg infarction in the 1st metatarsophalangeal joint of the foot.

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Synovial Chondromatosis of the Glenohumeral Joint Presenting as Impingement Syndrome - Case Report - (충돌증후군 증상을 유발한 견관절의 활막 연골종증 - 증례 보고 -)

  • Lee, Dong-Hun;Noh, Young-Min;Chang, Jun-Dong
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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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.

Synovial Chondromatosis of the Shoulder Joint and Biceps Tendon Sheath -Two Case Report- (견관절 및 상완 이두박건 건초내에 발생한 활액막 연골종증의 치험례 -2례 보고-)

  • Kyung, Hee-Soo;Ihn, Joo-Chul;Jeon, In-Ho;Kim, Yong-Goo
    • Clinics in Shoulder and Elbow
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    • v.6 no.2
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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.

Cubital Tunnel Syndrome, Associated With Synovial Chondromatosis

  • Kim, Chang-Hwan;Kim, Seong-Ho;Kim, Min-Soo;Chang, Chul-Hoon
    • Journal of Korean Neurosurgical Society
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    • v.43 no.2
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    • pp.109-110
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    • 2008
  • A 62-year-old female patient suffered from numbness and resting pain in the right ring and little fingers for 3 years. We confirmed cubital tunnel syndrome with electrodiagnostic study and performed the operation. We found seven firm consistent nodules, compressing the overlying the ulnar nerve, proximal to the medial epicondyle in the operation field. Histological finding showed synovial chondromatosis. We report a rare case of a patient with cubital tunnel syndrome caused by synovial chondromatosis.

The synovial chondromatosis of the temporomandibular joints: review of the 4 cases (측두하악관절의 활액성 연골종증 4예)

  • Lee, Dong-Hyun;Shin, Jung-Sub;Kwak, Ju-Hee;Kim, Jin-Woo;Kim, Sun-Jong;Kim, Myung-Rae
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.2
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    • pp.134-140
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    • 2010
  • Synovial condromatosis of the temporomandibular joint (TMJ) is characterized by the presence of loose bodies (joint mices). It can be confused with temporomandibular disorder clinically, and be with chondrosarcoma histologically. The purpose of this clinical report was to review the clinical, radiological, arthroscopic findings, histological feature and the results of surgical treatment of TMJ synovial chondromatosis. Four patients presented with pain of TMJ and limited mouth opening. The dynamic magnetic resonance imaging (MRI) disclosed a characteristic morphologic changes and displacement of the meniscus with limited translation of the condyle head. Bone scans showed progressive resorptive changes with hot-uptake of the radioisotope. The synovial loose bodies in the joint spaces were removed and sent to pathology for diagnosis as the synovial chondromatosis. The follow-up examination with computed tomography (CT) and MRI revealed no evidence of recurrence and good in function until postoperative 18 months. Diagnostically, the distension of the lateral capsule and fluid findings in the joint on the MRI are very suggestive tool for this synovial chondromatosis, but they are not always detected on the preoperative MRI. Arthroscopic approaches are very useful to inspect the joint spaces and to remove the loose bodies without interruption of the whole synovial membranes.

Synovial Chondromatosis of the Temporomandibular Joint :A Case Report (악관절에 발생한 연골종증 증례)

  • Koh, Se-Wook
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.3
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    • pp.237-242
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    • 2009
  • the primary diagnosis of synovial chondromatosis of temporomandibular joint is extremely rare. often many months, or even years pass before the diagnosis is confirmed. synovial chondromatosis is an uncommon disease of cartilage transformation of synovial membrane with formation of loose bodies within the joint space. a 28-year-old women had experienced pain of the left TMJ area at mastication. Radiographs of the left TMJ revealed calcified loose bodies in superior temporomandibular joint space. treatment consisted of removal of calcified loose bodies and synovail membrane. after surgery, pain of Lt temporomandibular area at mastication disappeared. until present after surgery there have been no recuurence of symptoms.

Arthroscopic Treatment of Synovial Chondromatosis of the Shoulder Joint with Mini-open Procedure for the Lesions of Biceps Tendon Sheath

  • Oh, Joo-Han;Jo, Ki-Hyun;Choi, Jung-Ah;Jung, Jin-Haeng;Yoon, Jong-Pil;Gong, Hyun-Sik
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.03a
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    • pp.170-170
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    • 2008
  • Synovial chondromatosis is an uncommon condition, and the involvement of the shoulder joint is rare. A 15 year old female patient presented to author's institution for right shoulder pain. We checked the plain radiographs and MRI. And they showed that a diagnosis of synovial chondromatosis in the shoulder, and they also demonstrated that the disease involved the bicipital tendon sheath as well as glenohumeral joint. We removed all loose bodies with total synovectomy by arthroscopic procedure, and a mini-open procedure for the lesions of biceps tendon sheath. Arthroscopic treatment affords excellent visualization of the shoulder joint with less morbidity. However, with current arthroscopic techniques, it is difficult to manage the synovial chondromatosis of biceps tendon in bicipital groove. The authors suggest that the complete elimination of synovial chondromatosis involving shoulder requires a mini-open procedure for the lesions of biceps tendon sheath in addition to the arthroscopic resection of the affected synovium and loose body removal in the glenohumeral joint.

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Remaining Loose Bodies after Arthroscopic Surgery Including Extensive Capsulectomy for Synovial Chondromatosis of the Hip

  • Lee, Young-Kyun;Moon, Kyung Ho;Kim, Jin-Woo;Hwang, Ji Sup;Ha, Yong-Chan;Koo, Kyung-Hoi
    • Clinics in Orthopedic Surgery
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    • v.10 no.4
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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.

Synoivial Chondromatosis of the Ankle Joint and Flexor Hallucis Longus Tendon Sheath (족관절 및 장족무지 굴건막에 동시에 발생한 활액막 연골종증)

  • Kim, Seong-Tae;Lee, Sung-Rak;Lee, Bong-Jin;Kim, Sung-Soo;Moon, Myung-Sang;Kim, Ki-Chun;Yoon, Min-Geun
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.2
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    • pp.173-176
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    • 2010
  • Synovial chondromatosis is a benign lesion forming multiple round cartilagenous nodules or osseous loose bodies in joint cavity. Predilection sites are known as knee, hip and elbow joints. However, the involvement of ankle joint was rarely reported in the literature. Moreover, extraarticular chondromatosis in synovial sheath or bursa of extremities is extremely rare. We present a case of synovial chondromatosis of the left ankle joint and flexor hallucis longus tendon sheath.