Hips with Synovial Chondromatosis May Display the Features of Femoroacetabular Impingement

Abolghasemian, Mansour; Gharanizadeh, Kaveh; Kuzyk, Paul; Masdari, Zahra; Fakharian, Mohammad; Safir, Oleg

doi:10.2106/jbjs.l.01550

Cited by 21 publications

(39 citation statements)

References 15 publications

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“…The use of the aforementioned techniques and tools facilitates the efficacious removal of loose bodies from the hip while the arthroscopic approach enables the treatment of coexisting hip impingement and/or intra-articular chondrolabral pathology in a less invasive manner. 7 The use of the urologic stone …”

Section: Discussionmentioning

confidence: 99%

Hip Arthroscopy for Synovial Chondromatosis: Tips and Tricks

Rath

Amar

Doron

et al. 2014

Arthroscopy Techniques

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Hip arthroscopy is an important diagnostic and therapeutic tool in the management of synovial chondromatosis. Removal of osteochondral fragments (OCFs) from the central and peripheral compartments is crucial for the relief of mechanical symptoms and subsequent joint destruction. Direct access to the central compartment is often limited because of the ball-and-socket morphology and limitation of traction. We present our surgical technique for removing OCFs and a new method for the removal of a large loose body using a nitinol stone retrieval basket. The technique facilitates removal of difficult-to-access fragments from the central compartment. Moreover, this technique allows removal of far-medial OCFs from the peripheral compartment.

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Section: Discussionmentioning

confidence: 99%

Hip Arthroscopy for Synovial Chondromatosis: Tips and Tricks

Rath

Amar

Doron

et al. 2014

Arthroscopy Techniques

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“…As symptoms are unspecific and imaging may be misleading and not significant in early stages (see paragraph below), we could find a mean period of 24 up to 61 months until operation [4][5][6][7][8][12][13][14].…”

Section: Clinical Symptoms and Differential Diagnosismentioning

confidence: 93%

“…Motion limitation (51% to 100 %), limp (9.9% to 90%) and locking episodes (19% to 63%) are further manifestations of PSC [4][5][6][7][8]12,13,15].…”

Section: Clinical Symptoms and Differential Diagnosismentioning

confidence: 99%

“…According to clinical appearance, it was divided into a primary and secondary form [2]. While Secondary synovial chondromatosis is caused by osteoarthrits, trauma or neuropathic arthropathy, Primary synovial chondromatosis (PSC), also known as Reichel's disease, is a very rare, but serious disease of unknown origin with a transformation of the synovium Due to non specific clinical symptoms and regularly false-negative imaging in early stages [3], the period to confirm definitive diagnosis often exceeds more than 2 years [4][5][6][7][8]. Loose bodies inside the joint may cause severe damage to the cartilage and induce early osteoarthritis.…”

Section: Introductionmentioning

confidence: 99%

“…Loose bodies inside the joint may cause severe damage to the cartilage and induce early osteoarthritis. As most patients suffering from PSC are in the 4th and 5th decade [4][5][6][7][8], immediate diagnosis and treatment is crucial.…”

Section: Introductionmentioning

confidence: 99%

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Primary synovial chondromatosis of the hip – is arthroscopy sufficient? A review of the literature and a case report

Duif

Pellengahr

et al. 2014

THC

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The purpose of this article was to evaluate the different techniques of operative treatment of primary synovial chondromatosis (PSC) of the hip. We performed a systematic review of literature of PSC and also present one case report about arthroscopic treatment of PSC. Our study compares both established operative procedures, open versus arthroscopic surgery, and shows each advantages and complications. One hundred and forty-seven publications were found in a PubMed literature review searching the terms: "synovial chondromatosis", "synovial osteochondromatosis", "synovial metaplasia" and "hip". All included studies were divided into open surgery or arthroscopic surgery concerning the therapeutic strategy and the corresponding results. We could find a total number of 3 reviews about PSC of the hip relating to operative procedures. One patient presented to our outpatient clinic with PSC. After other pathologies causing hip pain were excluded, the patient underwent hip arthroscopy with excision of the loose bodies and partial synovectomy. Diagnosis of PSC was confirmed by histopathology. The patient was examined before and one year after surgery with the Visual Analogue Scale (VAS) and the Hip Outcome Score (HOS ADL). Resecting PSC by hip arthroscopy is a minor surgical, but demanding procedure with minimal risks, even useful in the treatment of elderly patients with moderate osteoarthritis.

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Synovial Pathology of the Hip

Boyer¹,

Legré-Boyer

2016

Hip Joint Restoration

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Hips with Synovial Chondromatosis May Display the Features of Femoroacetabular Impingement

Cited by 21 publications

References 15 publications

Hip Arthroscopy for Synovial Chondromatosis: Tips and Tricks

Hip Arthroscopy for Synovial Chondromatosis: Tips and Tricks

Primary synovial chondromatosis of the hip – is arthroscopy sufficient? A review of the literature and a case report

Synovial Pathology of the Hip

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