Distinguishing multiple rice body formation in chronic subacromial-subdeltoid bursitis from synovial chondromatosis

Chen, Albert; Wong, Lun-Yick; Sheu, Chin-Yin; Chen, Be‐Fong

doi:10.1007/s002560100412

Cited by 69 publications

(37 citation statements)

References 8 publications

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“…[11] Some investigators have suggested micro infarctions after intra-articular synovial inflammation and ischemia, with subsequent synovial shedding and encasement by fibrin derived from synovial fluid as a possible cause. [4,12] Nonetheless, de novo formation and progressive enlargement by fibrin is also a possible mechanism [3], and an alteration in fluid viscosity and fibrinogen content of the synovial fluid has been implicated.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis of wrist joint with rice body formation: A case report

Ranganath

Nagakumar

Arun

2016

Int J of Biomed & Adv Res

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Tuberculosis of the wrist and hand is a rare infectious disease, Because of the rarity of these cases, early diagnosis is often difficult. We report a case of 55-year-old male agriculture worker came to our OPD due to a palpable tumor mass over his right wrist which had progressively enlarged since 2 years ago. He had mild pain and swelling on the volar aspect of the wrist and radial side of hand, he also complains of pain and inability to do movements in the right thumb. The patient had no history of systemic disease, or tuberculosis.Radiography showed a soft-tissue mass shadow, with destruction of wrist joint and osteoporosis, and magnetic resonance imaging was not done because of patient non-affordability with financial constraints. Laboratory test results were normal, except for an elevated erythrocyte sedimentation rate.The patient had an ambiguous Mantoux test result but no history of mycobacterial exposure. Investigations for rheumatic disease were negative. Surgical exploration of the lesion revealed rice bodies in the common flexor tendon synovial sheath, extending up to meta-carpo phalangeal joint of thumb. Removal of the rice bodies and thorough excision of the sheath was performed and Joshis external stabilization system (JESS) was applied. The patient regained a painless restricted range of motion in about 6 months. One-year follow-up revealed no underlying disorder.

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Section: Discussionmentioning

confidence: 99%

Tuberculosis of wrist joint with rice body formation: A case report

Ranganath

Nagakumar

Arun

2016

Int J of Biomed & Adv Res

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“…On MRI, rice bodies have been described as having iso-or hypointense signal intensities relative to skeletal muscle on T1-and T2-weighted images, and the rice bodies were less discernible from the surrounding bursa fluid on T1-weighted image and clearly discernible on T2-weighted image. [3][4][5] Synovial chondromatosis was a differential diagnosis in the above case. Synovial chondromatosis usually has an iso-intense or slightly hyperintense signal intensity on T1-weighted image, and hyperintense signal intensity on T2-weighted image relative to the signal intensity of skeletal muscles.…”

Section: Discussionmentioning

confidence: 99%

“…Cheung et al suggested synovial origin with micro-infarction of synovial cells after inflammation and ischaemia,¹ whereas Popert et al proposed a de novo formation of rice bodies in synovial fluid independently of synovial elements.² Formation of rice bodies has been reported in joints, 1,2 bursae 3-6 and tendon sheaths, 5 and are commonly observed in chronic rheumatoid arthritis, seronegative inflammatory arthritis and tuberculous joints. 3 Different-shaped rice bodies are described, varying from nodules and teardrops to angular and flake-shaped with variable sizes. 4 Rice body formation is a common complication of rheumatoid arthritis but can also occur without any underlying systemic disorder.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, differentiation of the unmineralised nodules in synovial chondromatosis from surrounding fluid on both sequences is difficult, whereas rice bodies can clearly be differentiated from surrounding fluid on T2-weighted image. 3,5,6 Treatment consists of removing the rice bodies and the bursa. 3 In summary: rice bodies can occur without underlying systemic disorder, have different shapes and sizes, and have specific signal characteristics on MRI that allow discrimination from synovial chondromatosis.…”

Section: Discussionmentioning

confidence: 99%

“…3,5,6 Treatment consists of removing the rice bodies and the bursa. 3 In summary: rice bodies can occur without underlying systemic disorder, have different shapes and sizes, and have specific signal characteristics on MRI that allow discrimination from synovial chondromatosis.…”

Section: Discussionmentioning

confidence: 99%

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Flake-shaped rice bodies

Kichari

Bezooijen

2012

S Afr J Rad

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Advanced imaging findings and computer‐assisted surgery of suspected synovial chondromatosis in the temporomandibular joint

Hohlweg-Majert

Metzger

Böhm

et al. 2008

Magnetic Resonance Imaging

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Synovial chondromatosis of the joint occurs mainly in teenagers and young adults. Only 3% of these neoplasms are located in the head and neck region. Synovial chondromatosis of the temporomandibular joint is therefore a very rare disorder. Therefore, developing a working, histological confirmation is required for differential diagnosis. In this case series, the outcome of histological investigation and imaging techniques are compared. Based on clinical symptoms, five cases of suspected synovial chondromatosis of the temporomandibular joint are presented. In each of the subjects, the diagnosis was confirmed by histology. Specific imaging features for each case are described. The tomography images were compared with the histological findings. All patients demonstrated preauricular swelling, dental midline deviation, and limited mouth opening. Computer‐assisted surgery was performed. Histology disclosed synovial chondromatosis of the temporomandibular joint in four cases. The other case was found to be a developmental disorder of the tympanic bone. The diagnosis of synovial chondromatosis of the temporomandibular joint can only be based on histology. Clinical symptoms are too general and the available imaging techniques only show nonspecific tumorous destruction, infiltration, and/or residual calcified bodies, they are only for advanced cases. A rare developmental disorder of the tympanic bone—persistence of foramen of Huschke—has to be differentiated. J. Magn. Reson. Imaging 2008;28:1251–1257. © 2008 Wiley‐Liss, Inc.

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Distinguishing multiple rice body formation in chronic subacromial-subdeltoid bursitis from synovial chondromatosis

Cited by 69 publications

References 8 publications

Tuberculosis of wrist joint with rice body formation: A case report

Tuberculosis of wrist joint with rice body formation: A case report

Flake-shaped rice bodies

Advanced imaging findings and computer‐assisted surgery of suspected synovial chondromatosis in the temporomandibular joint

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