Bilateral symmetrical synovial chondromatosis of shoulder: a case report

Acharya, Balakrishnan M; Devkota, Pramod; Shrestha, Suman Kumar; Pradhan, Nabeesman S.; Ahmad, Shiraz

doi:10.1016/j.rboe.2017.05.009

Cited by 5 publications

(2 citation statements)

References 9 publications

(10 reference statements)

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“… 23 24) Arthroscopic treatment of SOC has recently been reported to result in low morbidity and postoperative pain and an early return to function. 23 25 26) Furthermore, the arthroscopic technique allows for the complete visualization of the GH joint and its associated recesses, including the axillary pouch and the sheath of the LHBT; therefore, the detection and removal of loose bodies can be performed easily using multiple portals. The removal of loose bodies is essential and effective to relieve the symptoms of SOC.…”

Section: Discussionmentioning

confidence: 99%

Synovial Osteochondromatosis: Clinical Characteristics Unique to the Shoulder

et al. 2023

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Background Synovial osteochondromatosis (SOC) of the shoulder is a rare condition with unclear characteristics. This study evaluated the clinical features and postoperative functional outcomes of SOC of the shoulder that are distinct from SOC of other joints. Methods The characteristics of 28 shoulders with SOC that underwent arthroscopy were retrospectively assessed. Ten shoulders (35.7%) had rotator cuff tears (RCTs) and underwent concomitant arthroscopic rotator cuff repair. The mean follow-up period was 83.6 months (range, 24–154 months). Demographic characteristics and loose bodies localized under arthroscopy were compared between cases with and without concomitant RCTs. Radiography, ultrasonography, or magnetic resonance imaging were performed preoperatively and postoperatively. Visual analog scale (VAS) scores for pain and satisfaction were evaluated for all cases, and functional scores were assessed in shoulders with concomitant RCTs. Results The average age was 36.2 ± 15.6 years among patients without RCTs and 58.3 ± 7.2 years among patients with RCTs. Seven shoulders (7%) had osteoarthritis. Arthroscopy revealed loose bodies in multiple spaces, including the glenohumeral joint, subacromial (SA) space, and biceps tendon sheath. Overall, loose bodies were found in multiple spaces in 12 shoulders (42.9%). Loose bodies were found in the SA space only in 4 shoulders (22.2%) without RCTs and in 7 shoulders (70.0%) with RCTs. VAS for pain decreased significantly from 3.9 ± 2.3 to 1.1 ± 1.3 ( p < 0.001). The functional scores increased significantly after arthroscopic management for patients with concurrent RCTs (all p < 0.05). Recurrence of SOC occurred in 3 of the 22 shoulders (13.6%) who underwent postoperative imaging, but no patient had a recurrent RCT. Conclusions Pain relief and patient satisfaction were achieved via arthroscopic management. Unlike in other joints, loose bodies can occur simultaneously in several spaces in the shoulder, including the glenohumeral joint, SA space, and biceps tendon sheath. Early diagnosis of SOC of the SA space can help prevent osteoarthritis and RCT progression.

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Section: Discussionmentioning

confidence: 99%

Synovial Osteochondromatosis: Clinical Characteristics Unique to the Shoulder

et al. 2023

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“…25 In symptomatic patients, surgical excision of loose bodies is the preferred method of treatment, which includes open or arthroscopic loose body removal and synovectomy. 26,27 Early open or arthroscopic debridement, synovectomy, and loose body removal before articular cartilage damage showed good results, 28,29 but open debridement and loose body removal require hip dislocation, which may increase the risk of femoral head avascular necrosis in the future. The arthroscopic procedure is associated with a high rate of recurrence and incomplete debridement.…”

Section: Discussionmentioning

confidence: 99%

Synovial Chondromatosis of the Hip Joint: A Case Report

Shrestha¹,

Shrestha²,

Nepal³

et al. 2023

Annapurna J H Sci

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A rare case of giant synovial osteochondromatosis of the thigh

et al. 2019

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Rationale: Giant synovial osteochondromatosis of the thigh is a highly unusual disease without standard diagnosis and curative managements so far. Our focus is to report a very rare case of giant synovial osteochondromatosis successfully operated by surgical treatment. The management of these unique cases has certain educational significance in clinical practice. Patient concerns: A 63-year-old previously healthy man presented to our institution with a 4-year history of continuous progressive hip pain and local numbness of right side in January 2018. One month ago, the patient felt that the above symptoms were aggravated, and the right hip and proximal thigh were significantly swollen. Diagnosis: Computed tomography and magnetic resonance imaging of the hip revealed the irregular mass in his right thigh. Post-operative pathology confirmed the diagnosis of synovial osteochondromatosis of the thigh. Interventions: Considering the large volume of the mass and possibility of malignancy, the patient underwent surgical exploration and complete tumor resection. Outcomes: The patient's neurological deficits and symptoms improved significantly after the surgery, and the postoperative period was uneventful at the 1-year follow-up visit. There were no complications associated with the operation during the follow-up period. Lessons: Taken together, the lesion's clinical features, imaging results, and pathological characteristics are unique. Synovial osteochondromatosis of the thigh, although rare, should be part of the differential diagnosis when the patient presents with local pain, numbness, swelling or other symptoms. We recommend surgical treatment for the occupying lesion when the tumor has caused symptoms or neurological deficits.

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Bilateral symmetrical synovial chondromatosis of shoulder: a case report

Cited by 5 publications

References 9 publications

Synovial Osteochondromatosis: Clinical Characteristics Unique to the Shoulder

Synovial Osteochondromatosis: Clinical Characteristics Unique to the Shoulder

Synovial Chondromatosis of the Hip Joint: A Case Report

A rare case of giant synovial osteochondromatosis of the thigh

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