“…In the secondary SC, the loose bodies are within the joint and have the potential for slow growth by synovial metaplasia following proliferation of surrounding connective tissue (Milgram 1977, Villacin et al 1979, Saotome et al 1999. Exceptional cases with a transformation from SC to chondrosarcoma have been described (Kaiser et al 1980, Perry et al 1988, Bertoni et al 1991, Kenan et al 1993, Hermann et al 1997, Wuisman et al 1997, Wittkop et al 2002, Ko et al 2004.…”