Presentation
Primary synovial chondromatosis of the joints can present as capsular constriction with peri-articular osteopenia. This rare presentation is highlighted in three cases (two hips and one shoulder). [ncbi.nlm.nih.gov]
Musculoskeletal
- Osteopenia
RESULTS: At hip radiography, juxta-articular calcified and/ or ossified bodies were seen in 12 of the 15 patients (80%), bone erosion in eight (53%), osteophytes in seven (47%), juxta-articular osteopenia in five (33%) and joint space narrowing in five [ncbi.nlm.nih.gov]
- Bone Pain
However, there is mild swelling and tenderness around the second metacarpal bone. Pain was aggravated during wrist and finger flexion. An electrodiagnostic study revealed CTS. [ncbi.nlm.nih.gov]
Neurologic
- Neglect
We report a rare neglected case covering a 32-year period of a locally aggressive synovial osteochondromatosis of the elbow in a 47-year-old man. [ncbi.nlm.nih.gov]
We report a rare neglected case covering a 32-year period of a locally giant SOC of the elbow in a 47-year-old man. [wjso.biomedcentral.com]
This condition especially extraarticular synovial chondromatosis is clinically very significant considering its tendency of local recurrence. 6 Hence extraarticular chondromatosis should not be neglected and should be treated aggressively with aim of [ispub.com]
- Myelopathy
A case report of vertebral synovial osteochondromatosis with compressive myelopathy. To describe the clinical, radiologic, and histopathologic features of vertebral facet synovial osteochondromatosis with compressive myelopathy. [ncbi.nlm.nih.gov]
Although it remains rare, it should be included in the differential diagnosis for upper extremity radiculopathy and myelopathy. Surgical resection is a viable treatment option for symptomatic patients with this pathology. [surgicalneurologyint.com]
- Tingling
After 2 weeks, the tingling sensation decreased slightly. However mild swelling and tenderness around the second metacarpal bone did not improve. Ultrasonography showed multiple echogenic foci. [ncbi.nlm.nih.gov]
Workup
Concerns for possible RA led to a workup. [mdedge.com]
Laboratory workup revealed a normal white blood cell count: 7000/mm (normal; 4500-10,000/mm), a normal C-reactive protein: 1.0 mg/L (normal; 0-4 mg/L), and mildly elevated erythrocyte sedimentation rate count: 22 mm/h (normal; < 20 mm/h). [sjosm.org]
X-Ray
- Joint Space Narrowing
RESULTS: At hip radiography, juxta-articular calcified and/ or ossified bodies were seen in 12 of the 15 patients (80%), bone erosion in eight (53%), osteophytes in seven (47%), juxta-articular osteopenia in five (33%) and joint space narrowing in five [ncbi.nlm.nih.gov]
For this reason, a mass may not be appreciated within the actual joint space itself. Additional radiographic findings include joint effusion and degenerative changes such as joint space narrowing, subchondral sclerosis, and osteophyte formation. [en.wikipedia.org]
Plain radiographs of the knee joints revealed joint effusions with multiple rounded intra-articular loose bodies, erosions on the medial aspect of the tibial plateau, tricompartmental joint space narrowing, osteophytes, subchondral cyst formation, heterotopic [archivesofrheumatology.org]
Treatment
We describe the surgical treatment and postoperative treatment of patients with synovial osteochondromatosis with moderate signs of secondary osteoarthritis. [ncbi.nlm.nih.gov]
treatment of the process in the knee. [arthritisresearch.us]
Prognosis
The prognosis is good, but recurrences may occur if the removal is incomplete. [ncbi.nlm.nih.gov]
Etiology
Synovial osteochondromatosis is a benign disease of unknown etiology that involves the articular and periarticular structures. The disorder primarily affects men, and trauma is the most common predisposing factor. [ncbi.nlm.nih.gov]
Epidemiology
Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty [mdedge.com]
[…] synonyms: Synovial Chondromatosis ICD-10 M67.88 Other specified disorders of synovium and tendon, other site Synovial Chondromatosis Etiology / Epidemiology / Natural History Benign, tumerous, multifocal, chondromatous, or chondro-osseous metaplastic [eorif.com]
Ko E, Mortimer E, Fraire AE (2004) Extraarticular synovial chondromatosis: review of epidemiology, imaging studies, microscopy and pathogenesis, with a report of an additional case in a child. Int J SurgPathol 12: 273-280. [omicsonline.org]
Pathology may simulate chondrosarcoma making the MRI characteristic features vital to the correct diagnosis and management of these patients., ,, Epidemiology and Pathogenesis Primary synovial chondromatosis preferentially affects one joint with predilection [radsource.us]
Pathophysiology
The pathophysiology of this condition is multifactorial, and majority of cases of CTS are idiopathic. We report cases of CTS caused by synovial osteochondromatosis (SOC), which has rarely been reported. [ncbi.nlm.nih.gov]
Streamline the decision-making process with integrated protocols, classic signs, and ACR guidelines, as well as a design that structures every chapter consistently to include pathophysiology, imaging techniques, imaging findings, differential diagnosis [books.google.de]
Prevention
Our advice is to remove all the loose bodies carefully to prevent damage to the prosthesis. During follow-up, special attention should be paid to prevent recurrence of SO. [ncbi.nlm.nih.gov]
Surgical removal of loose bodies and synovectomy may relieve symptoms and prevent hip joint degeneration, the sequelae of which can be especially devastating in the younger patient population commonly affected by the condition. [arthritisresearch.us]