Since the mid 1950s, the technical strategy has included open arthrotomy with removal of loose bodies and synovectomy. The swelling may be palpable and characteristically move between examinations migrating mouse sign. Jun 24, 20 synovial chondromatosis is a type of noncancerous tumor that arises in the lining of a joint. Synovial chondromatosis is a rare condition in which foci of cartilage develop in the synovial membrane of joints, bursae, or tendon sheaths as a result of metaplasia of the subsynovial connective tissue. Primary synovial chondromatosis radiology reference article. These nodules may extrude from the synovium and become loose. Synovial chondromatosis may also affect bursae and extend into surrounding soft tissues. Synovial chondromatosis is a benign cartilaginous metaplasia of the synovium, which may affect any synovial joint. Jul 31, 2019 the role of hip arthroscopy in the condromatois of synovial disorders and loose bodies. Synovial chondromatosis sc of the temporomandibular joint tmj is a rare disease characterized by the presence of calcified loose bodies within the joint, and few systematically gathered data. Synovial chondromatosis associated with polyarteritis nodosa. Synovial chondromatosis presenting as painless soft tissue mass. Synovial osteochondromatosis can be diagnosed by an imaging test of the joint, such as an xray, cat scan, or mri scan.
Primary synovial chondromatosis, represent chondroid metaplasia in the subserous layer on inner surface of capsule of a joint with resultant formation of multiple intraarticular chondral bodies. Imaging of synovial chondromatosis with radiologicpathologic. Synovial chondroma definition of synovial chondroma by. Synovial chondromatosis also known as synovial osteochondromatosis is a benign soft tissue tumor that can develop around any joint, but in most cases, affects the knee joint. Common sites of synovial chondromatosis are the large joints such as the knee, elbow, hip, and shoulder. Operative treatment of primary synovial osteochondromatosis of. Pdf tenosynovial chondromatosis of the third finger. Synovial chondromatosis is a rare disorder of the synovium of the joint which causes joint pain and degeneration of the joint if left untreated. Mar 22, 2020 synovial chondromatosis of the temporomandibular joint. P rimary synovial chondromatosis psc is a rare, benign, proliferative disease of hyaline. Synovial chondromatosis is a rare benign condition arising from the synovial membrane of the joints, synovial sheaths or bursa.
Synovial chondromatosis sc is a rare benign cartilaginous neoplasm in which recurrent fibronectin 1 fn1 and activin receptor 2a acvr2a gene rearrangements have been recently reported. The recent findings of fn1acvr2a and acvr2afn1 inframe fusions in a case of chondrosarcoma arising secondary to synovial chondromatosis and in one of seven cases of synovial chondromatosis, indicate that these lesions represent neoplasms, and that they rarely transform into secondary chondrosarcoma 36. Orthopedics synovial chondromatosis of the shoulder is rare. A synovial chondromatosis is a rare benign neoplasm on the synovium. Synovial chondromatosis of the temporomandibular joint, presenting as parotid mass volume 120 issue 11 n hammodeh, n a nasser skip to main content we use cookies to distinguish you from other users and to provide you with a better experience on our websites. Synovial chondromatosis, chondrosarcoma, malignant transformation, osteochondromatosis, size. Modified complete synovectomy prevents recurrence in sinovial chondromatosis of the hip. It most commonly involves large joints, such as the knee, hip, and shoulder, but its presence in smaller joints has also been reported. Synovial chondromatosis is a rare condition of unclear etiology in which foci of cartilage develop in the synovial membrane of joints, bursae, or tendon sheaths as a result of metaplasia of the subsynovial connective tissue. Tenosynovial chondromatosis is an extraarticular version of articular synovial chondromatosis and a relatively rare condition that can affect the tendon sheath, bursa, or joint synovial tissue.
Primary synovial chondromatosis of the wrist priscilla dagostino, olivier barbier, christine galant, jacques malghem from cliniques universitaires stluc, brussels, belgium. Synovial chondromatosis sc is a benign nodular cartilaginous proliferation in synovial joints. Synovial osteochondromatosis leads to pain in the affected joint as well as limitation of the range of motion. Primary synovial chondromatosis typically affects the large joints in the third to fifth decade of life, although involvement of smaller joints and presentation in younger age group is also documented. An extraarticular form of synovial chondromatosis may arise from tendons or bursa. Synovial chondromatosis leads to pain in the affected joint as well as limitation of the range of motion and often locking. Synovial osteochondromatosis is a benign metaplastic proliferative disorder of the synovium characterised by the formation of multiple cartilaginous nodules in the synovium, many of which detach and become loose bodies.
Synovial chondromatosis is an infrequent disease, who was first described according to ginaldi 1in by ambrosio pare. Synovial chondromatosis also called synovial osteochondromatosis is a rare, benign noncancerous condition that involves the synovium, which is the thin layer of tissue that lines the joints. Synovial chondromatosis is a rare benign condition involving the synovial lining of joints, synovial sheaths and bursae. Bakers cyst with synovial chondromatosis of knee a rare. Synovial chondromatosis is a rare condition in which foci of cartilage develop in the synovial membrane as a result of benign metaplasia of the subsyno. Synovial osteochondromatosis so is a benign disorder characterized by proliferation and metaplasia in the synovial membrane.
Synovial chondromatosis can arise in any joint in the body, but most commonly occurs in the knee. Discussion most authors suggest that the surgery for synovial chondromatosis should consist of removal of loose bodies and excision of the synovial membrane mussey and henderson 1949, murphy et al. Synovial osteochondromatosis in the knee joint is rarely a confusing diagnostic problem. The histological findings include synovial hyperplasia with foci of cartilaginous metaplasia1,4,10. Neglected synovial osteochondromatosis of the elbow. Primary synovial chondromatosis, the focus of this article, was originally considered to represent chondroid metaplasia in the synovium of a joint with resultant formation of multiple intraarticular chondral bodies. Synovial chondromatosis is a rare disorder in which multiple cartilaginous nodules appear in the synovium and subsynovial connective tissue.
A case report of synovial chondromatosis of the knee joint arising. Sep 20, 2016 synovial chondromatosis synovial chondromatosis has been divided into primary and secondary forms. A disorder of a joint featuring a change of the normal joint lining synovium tissues cellular structure to form cartilage tissue. Bcor gene fusion by targeted rna sequencing, we sought to evaluate the molecular abnormalities in a. Primary synovial chondromatosis radiology reference. Synovial chondromatosis is a rare condition of metaplastic cartilage development in the synovial membrane of joints. In the primary form, fibroblasts beneath the synovial membrane undergo metaplasia and deposit chondromucin.
Synovial chondromatosis osteochondromatosis or synovial chondrometaplasia also known as reichel syndrome, is a disorder characterized by loose cartilaginous bodies which may, or may not be calcified or ossified. Although described as a benign disease, it can be very destructive and can cause severe osteoarthritis and pain. Pdf synovial chondromatosis is an uncommon disease characterised by foci of cartilage in the synovial tissue of joints, due to metaplasia of. Jul 23, 2018 synovial chondromatosis is a rare condition in which foci of cartilage develop in the synovial membrane of joints, bursae, or tendon sheaths as a result of metaplasia of the subsynovial connective tissue. Radiographic diagnosis of synovial chondromatosis of the.
An autoimmune process that causes the vasculitis which underlies the effects of polyarteritis nodosa may also have caused the synovial chondromatosis. Synovial chondromatosis is an uncommon benign disorder of the synovial membrane ofjoints, tendon sheaths, or bursae characterized by the formation of multiple cartilaginous nodules or osseus loose. Hence, the term synovial chondromatosis is preferred. Synovial chondromatosis is an uncommon disorder characterized by the formation of multiple cartilaginous nodules in the synovium and most commonly affects large joints, such as hip and shoulder, but sometimes can occur in small joints. A site in the elbow was first reported in 1918 by henderson, but any joint may be. Synovial chondromatosis occurs twice as commonly in males as females and usually in their forties.
A molecular study of synovial chondromatosis agaram. Synovial chondromatosis and osteochondromatosis are conditions involving pieces of uncalcified and calcified hyaline cartilage, respectively. In this report, we described a case of synovial chondromatosis of the knee in a former soccer player that mimicked a second patella. Introduction synovial chondromatosis is a rare intraarticular benign condition arising from the synovial membrane of the joints, synovial sheaths or bursae around the joints. It usually occurs aged 30 to 50 years and is extremely rare in children. The case was diagnosed and treated in accordance with the literature figures 1, 2, 3 and 4. This report presents two rare cases of more severly synovial chondromatosis of knee joint and shoulder joint. Pdf a case report of synovial chondromatosis of the knee. Jul 23, 2018 the pain, swelling, and mechanical symptoms of synovial chondromatosis and its generation of loose bodies have historically been treated with surgery. Primary synovial chondromatosis represents an uncommon benign neoplastic process with hyaline cartilage nodules in the subsynovial tissue of a joint, ten. Hip resurfacing as treatment for synovial chondromatosis. Abstract primary synovial chondromatosis is a rare benign neoplastic process which affects. Synovial chondromatosis is a benign condition characterized by synovial proliferation and metaplasia, with development of cartilaginous or osteocartilaginous.
Synovial chondrosarcoma arising in synovial chondromatosis. To the best of our knowledge, we report the first known case of an extensive presentation of this intraarticular and extraarticular disease of the knee joint. Transition to synovial chondrosarcoma rareassociated with multiple recurrences recommended reading. Foci on the surface may develop stalks and then detach, resulting in numerous loose bodies within the joint.
Oku musculoskeletal tumors aaos 2nd edition 2007, ch 28 pg 265266. Open and arthroscopic surgical management of primary synovial chondromatosis of the. Synovial chondromatosis is a rare condition in which foci of cartilage develop in the synovial membrane as a result of benign metaplasia of the subsynovial connective tissue. Dec 11, 2018 synovial osteochondromatosis generally affects only a single joint. The disease is characteristically monoarticular, most commonly involving the knee. We present here two cases suggestive of secondary synovial chondromatosis of the shoulder following the histological examination. Genetic and rare diseases information center gard po box 8126, gaithersburg, md 208988126 tollfree.
These nodules can separate and become loose within the joint. Imaging of synovial chondromatosis with radiologicpathologic correlation. Synovial chondromatosis is the rare and benign metaplasia of the synovial membrane resulting in the formation of multiple intraarticular cartilaginous loose. The patient with the knee synovial chondromatosis presented as a. So is less common than osteochondromatosis, is caused by a disturbance in endochondral ossification, and has an unfavourable course. The patient was referred to an oral and maxillofacial surgeon for biopsy and treatment. Clinical and radiologic findings of synovial chondromatosis. Osteochondromatosis results when endochondral ossification of the mass occurs, often making it difficult to differentiate from osteochondral fragmentation. Chondrosarcoma secondary to synovial chondromatosis. These foci can form free bodies and lead to mechanical arthrosis. The relative value of computed tomography ct in the. Primary synovial chondromatosis sc is a rare proliferative disorder that causes pain, swelling, and restriction of movement to the joints it affects. Since the disorder is typically confined to a joint, such as an arm, shoulder, or knee, symptoms will be localized to the affected area and will be similar to osteoarthritis.
Tenosynovial chondromatosis is a multinodular cartilaginous proliferation that arises from tenosynovial membranes due to synovial metaplasia terminology. Synovial chondromatosis presenting as an epidural mass. Synovial osteochondromatosis an overview sciencedirect topics. Less than 10 cases of synovial chondromatosis involving the spine have been reported. Synovial chondromatosis synovial chondrometaplasia. Rosati, md, craig stevens, md \sb\a unique case of synovial chondroma tosis of the temporomandibular joint is described that infiltrated the capsule, eroded the petrous portion of temporal bone, and presented as an intracranial mass with facial nerve paralysis, vertigo, and sensorineural. The both cases associated multiple intraarticular or periarticular loose bodies located under the totle cavity of the knee joint or around the shouder joint. Apr 26, 2015 synovial chondromatosis sc is a chronic process, defined as a reactive cartilaginous proliferation, characterized by formation of cartilaginous nodules, usually loose in the joint space of the synovial membrane.
For language access assistance, contact the ncats public information officer. An identical process can also involve the synovium. Synovial chondromatosis is a disease affecting the synovium, a thin flexible membrane around a joint. The pain, swelling, and mechanical symptoms of synovial chondromatosis and its generation of loose bodies have historically been treated with surgery. It can occur in a number of different joints in the human body, but most commonly occurs at the hip.
Primary synovial chondromatosis also known as reichel syndrome or reicheljoneshenderson syndrome, is a benign monoarticular disorder of unknown origin that is characterized by synovial metaplasia and proliferation resulting in multiple intraarticular cartilaginous loose bodies of relatively similar size, not all of which are ossified. The patient enter to the operating room on june 3 of. Synovial chondromatosis leads to pain in the affected joint as well as limitation of the range of motion and often locking the cause of synovial chondromatosis is not known. Diagnosis depends on the clinical circumstances of the case and a radiologic interpretation which can exclude soft tissue tumors with calcifications and other malignant tumors characterized by the presence of multiple osteocartilaginous bodies. Triggered by a case of malignant transformation in sc synovial chondrosarcoma showing a novel kmt2a.
Synovial chondromatosis is an uncommon, benign, process that occurs in large joints, such as the knee 50%, hip, elbow, or shoulder. Synovial chondromatosis radiology reference article. P rimary synovial chondromatosis psc is a rare, benign, proliferative disease of hyaline cartilaginous bodies within the synovium of joints. Synovial chondromatosis of the temporomandibular joint presenting as an intracranial mass louis a. This is a report a case of synovial chondromatosis of the cervical spine that presented as extremity pain and numbness. It is very rare in the hand and wrist and because of its low prevalence and nonspecific symptoms, synovial chondromatosis can present diagnostic difficulties for the hand surgeon and may lead to a delay in treatment. Discussion synovial chondromatosis of extragnathic joints is rare and involvement of the tmj even rarer.
It typically presents in young to middleaged adults. Synovial osteochondromatosis is a rare, benign condition of unknown etiology in which the synovium undergoes metaplasia, leading to cartilaginous nodules that ultimately break free, mineralize, and even ossify. The disease frequently runs a protracted course, often requiring multiple surgical procedures to obtain some control. Case repository synovial chondromatosis of the elbow with asymptomatic ulnar nerve compression jonathan m. Synovial chondromatosis of the elbow joint in a 27yearold man. Synovial chondromatosis of the temporomandibular joint space. Synovial chondromatosis is a type of noncancerous tumor that arises in the lining of a joint. Synovial chondromatosis is a rare condition that is probably caused by synovial connective tissue metaplasia. Imaging of synovial chondromatosis with radiologic.
Aug 15, 2019 synovial chondromatosis is an infrequent disease, who was first described according to ginaldi 1in by ambrosio pare. A few weeks later his pain was decreased but never finished. After the trauma, his pain is increased slowly year by year and flexion limitation was added. Synovial chondromatosis of the elbow with asymptomatic. Synovial chondromatosis of the temporomandibular joint. Synovial osteochondromatosis an overview sciencedirect. The knee is most commonly affected, however it can affect any joint.
Treatment of synovial osteochondromatosis typically involves surgical removal of the joint lining. Computed tomography feature of synovial osteochondromatosis. Synovial chondromatosis of the elbow e431 j hand surg am. However, online communities for synovial chondromatosis patients have yielded a stark contrast, with equal representation from both genders and members diagnosed as young as late teenageearly 20s. Synovial chondromatosis of the elbow with asymptomatic ulnar nerve. Primary synovial chondromatosis in the shoulder joint has been previously reported 1, 2, 4.
Synovial chondromatosis most commonly occurs in adults ages 20 to 50. Synovial chondromatosis of the elbow joint in a 27yearold. Secondary synovial chondromatosis of the shoulder joint is a very rare condition 5. A rare case of a swollen knee due to disseminated synovial. Few reports exist detailing the natural history of sc, although malignant transformation to synovial chondrosarcoma chs is. It mainly affects large joints such as knee, hip, shoulder, and elbow, commonly in male patients. A case report of primary synovial chondromatosis with bilateral. While synovial chondromatosis is noncancerous and doesnt spread into other parts of the body, it should be treated, otherwise, if left alone, the condition can worsen, leading to osteoarthritis degenerative joint. These cartilaginous bodies enlarge and finally detach from the synovial membrane.
Knee joint is the most commonly involved joint presenting with pain swelling and restricted movements. A disorder of a joint featuring a change of the normal joint lining synovium tissues cellular structure to form bonecartilage tissue. We present the case of a gentleman with pan who presents with avascular necrosis of both hips and of one talus and synovial chondromatosis of the left knee. It usually affects large joints, such as the knee, hip, elbow, wrist, ankle, and shoulder, occurring twice as often in men as in women, with a mean age of onset in the. Synovial chondromatosis of the elbow with asymptomatic ulnar. Malignant transformation of synovial chondromatosis. Synovial chondromatosis free download as powerpoint presentation. A case report of synovial osteochondromatosis of the knee. Tenosynovial chondromatosis of the third finger article pdf available in archives of orthopaedic and trauma surgery 12034.
Synovial chondromatosis is a condition associated with older adults between 30 to 50 years old and men are more likely to develop the condition than women. Primary synovial osteochondromatosis of the hand and wrist. Revision arthroscopic surgery for synovial chondromatosis of the hip. In our setting, almost half full text is only aviable in pdf. Synovial chondromatosis synovial chondromatosis has been divided into primary and secondary forms. The most common joints involved are the knee, hip, or elbow. We postulate that there could be a link between the polyarteritis nodosa and the synovial chondromatosis.
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