Tratamento artroscópico da condromatose sinovial do ombro: relato de caso

Paim, Arildo Eustáquio; Ferreira, Daniel; Paim, Alessandro; Almeida, Ricardo Mota De

doi:10.1590/s0102-36162008000300007

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…It is believed that recurrence implies that there is a greater chance of malignant transformation to chondrosarcoma, although this transformation of synovial osteochondromatosis is rare. 15 , 16 The possibility of malignant transformation needs to be considered when periosteal reaction and cortical erosion are observed. On analyzing histological slides, the differential diagnoses to be considered are periosteal chondroma, giant-cell tumor, calcifying aponeurotic fibroma, tumoral calcinosis, hydroxyapatite deposition, free bodies and inflammatory arthritis.…”

Section: Discussionmentioning

confidence: 99%

“…In the upper limbs, the location most affected by synovial osteochondromatosis is the elbow, followed in second place by the shoulder. Paim et al 16 reported the result from arthroscopic treatment of a case of synovial osteochondromatosis of the shoulder, in which 44 free bodies were removed. Over a 1-year follow-up, almost complete recovery of the range of motion, without pain, was shown.…”

Section: Discussionmentioning

confidence: 99%

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Arthroscopic treatment of synovial osteochondromatosis of the elbow. Case report and literature review

Terra

Moraes

Souza

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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Synovial osteochondromatosis is a benign proliferative disorder with metaplasia of the synovial membrane that affects the fibroblasts of the synovial joints, tendons and bursae. In literature, there are few descriptions of synovial osteochondromatosis of the elbow. The objective of this article was to report a case of synovial osteochondromatosis of the elbow in a patient aged 32, basketball athlete, in which surgical treatment was chosen because of the pain and functional limitation and stage of disease with multiple loose bodies. Patient 32, male, presented with pain and limitation of motion of the elbow. The range of passive motion was 100° of flexion and 30° extension. The range of active motion was 40–90°. Magnetic resonance observed many loose bodies mainly in the posterior compartment in the olecranon fossa plus some chondral lesions in the capitellum. The arthroscopic treatment was chosen with two anteriors portals (medial and lateral) and two posterior portals (standard posterior and posterolateral) for easing loose bodies and osteoplasty of the olecranon fossa. The visual analog scale pain was 9–3 and its arc of active motion was 110° to −20° of flexion and extension. On a scale of performance from Mayo Clinic patients was 65 points preoperatively to 90 postoperatively with 9 months follow-up and the patient was satisfied with the treatment outcome. Arthroscopic treatment of synovial osteochondromatosis of the elbow is an effective and safe therapeutic management with low morbidity and early return to activities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment of synovial osteochondromatosis of the elbow. Case report and literature review

Terra

Moraes

Souza

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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“…There are few descriptions of it in the hip (15) . In our area, reports have been limited to cases with knee and shoulder involvement 16 , 17 , 18 .…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Treatment of Synovial Osteochondromatosis of the Hip

Polesello

Ono

Honda

et al. 2009

Revista Brasileira de Ortopedia (English Edition)

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Objective: The objective of this study is to show the results achieved in the treatment of hip osteochondromatosis by arthroscopy. Methods: Six patients submitted to hip arthroscopy for synovial osteochondromatosis have been assessed for pre- and postoperative function and pain. The time of preoperative complaint ranged from nine to 48 months, in an average of 28.2 months and the follow-up ranged from eight to 25 months (mean: 17.1 months). Mean age was 45.1 years, with four female patients (66.6%) and the right side affected in five cases (83.3%). Results: Concerning the results according to Byrd-modified Harris' criteria, the mean score evolved from 54.1 to 90.4, and the mean score on the face expressions scale for pain assessment ranged from 1.7 to 5.1. Conclusion: arthroscopy is a good alternative for hip osteochondromatosis treatment, although longer follow-up times are required to strictly stating this. The results found so far are encouraging, constituting a littleinvasive procedure allowing good recovery.

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“…Existem poucas descrições no quadril (15) . Em nosso meio os relatos restringem-se a casos com acometimento do joelho e ombro (16)(17)(18) . A característica patológica comum é a extensão das lesões para além da cápsula articular.…”

Section: Discussionunclassified

Tratamento artroscópico da osteocondromatose sinovial no quadril

Polesello¹,

Ono²,

Honda³

et al. 2009

Rev. bras. ortop.

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RESUMOObjetivo: O objetivo deste trabalho é mostrar os resultados obtidos no tratamento da osteocondromatose no quadril pela via artroscópica. Métodos: Foram avaliados seis pacientes submetidos à artroscopia do quadril por osteocondromatose sinovial, quanto à função e dor nos períodos pré e pós-operatórios. O tempo de queixa pré-operatória variou de nove a 48 meses, mé-dia de 28,2 meses e o seguimento variou de oito a 25 meses, média de 17,1 meses. A idade média foi de 45,1 anos, quatro pacientes (66,6%) eram do sexo feminino e o lado direito foi acometido em cinco casos (83,3%). Resultados: Quanto aos resultados pelos critérios de Harris modificados por Byrd, a pontuação evoluiu de média de 54,1 para 90,4 pontos e a escala de expressões faciais para quantificação da dor variou de média de 1,7 ponto para 5,1 pontos. Conclusão: A artroscopia é boa alternativa para o tratamento da osteocondromatose no quadril, apesar de ser necessário maior tempo de seguimento para afirmar isso categoricamente. Os resultados observados até então são animadores. Trata-se de procedimento pouco invasivo e que permite boa recuperação. Descritores

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Tratamento artroscópico da condromatose sinovial do ombro: relato de caso

Cited by 4 publications

References 13 publications

Arthroscopic treatment of synovial osteochondromatosis of the elbow. Case report and literature review

Arthroscopic treatment of synovial osteochondromatosis of the elbow. Case report and literature review

Arthroscopic Treatment of Synovial Osteochondromatosis of the Hip

Tratamento artroscópico da osteocondromatose sinovial no quadril

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