1
|
Correia Cardoso R, Malheiro F, Pereira B. Management of Primary Synovial Osteochondromatosis in the Ankle Joint With a Combined Posterior-Anterior Arthroscopic Procedure: A Case Report. Cureus 2024; 16:e60843. [PMID: 38910686 PMCID: PMC11191673 DOI: 10.7759/cureus.60843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/16/2024] [Indexed: 06/25/2024] Open
Abstract
Primary synovial osteochondromatosis (PSO), a seldom-seen synovial proliferative disease involving chondral metaplasia, presents a unique challenge when affecting the ankle joint. Controversy exists regarding whether a combined posterior-anterior approach with total synovectomy is necessary to avert recurrence or malignancy. An 18-year-old Caucasian male presented to the outpatient clinic with clinical and imaging findings indicative of a stage III PSO. The surgical intervention involved a combined posterior-anterior arthroscopic approach with the removal of multiple loose bodies and complete synovectomy, resulting in complete relief of symptoms without recurrence at the 12-month follow-up. Pathological examination confirmed the diagnosis. The management of PSO in the ankle joint using a combined posterior-anterior arthroscopic approach with complete synovectomy demonstrated effectiveness in this case. Regular follow-ups are essential for monitoring long-term outcomes and detecting potential recurrence or malignant transformation.
Collapse
Affiliation(s)
- Rui Correia Cardoso
- Orthopaedics and Traumatology Surgery, Centro Hospitalar Baixo Vouga, Aveiro, PRT
| | | | - Bruno Pereira
- Foot and Ankle, Clinica Espregueira Mendes, Porto, PRT
| |
Collapse
|
2
|
Khadka SK, Chaudhary A, Acharya S, Maharjan S, Shrestha R. Baker's cyst with extra- and intra-articular synovial chondromatosis of knee: A case report. Clin Case Rep 2023; 11:e7068. [PMID: 36911645 PMCID: PMC9995803 DOI: 10.1002/ccr3.7068] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 01/09/2023] [Accepted: 02/06/2023] [Indexed: 03/11/2023] Open
Abstract
Synovial chondromatosis is a rare benign condition characterized by chondral proliferation from synovium forming loose bodies which can occur extra-articularly and intra-articularly. Surgical removal remains the mainstay of treatment for synovial chondromatosis. Due to the risk of recurrence, every case must be followed up with an MRI.
Collapse
Affiliation(s)
- Sushant Kumar Khadka
- Kathmandu University School of Medical Sciences Dhulikhel Hospital Dhulikhel Nepal
| | - Aashutosh Chaudhary
- Kathmandu University School of Medical Sciences Dhulikhel Hospital Dhulikhel Nepal
| | - Suyash Acharya
- Kathmandu University School of Medical Sciences Dhulikhel Hospital Dhulikhel Nepal
| | - Sagar Maharjan
- Department of Orthopedics and Traumatology Dhulikhel Hospital Dhulikhel Nepal
| | - Rohit Shrestha
- Department of Orthopedics and Traumatology Dhulikhel Hospital Dhulikhel Nepal
| |
Collapse
|
3
|
Diop B, Daffe M, Sarr N, Faye I, Ndoye AY, Sané JC, Konaté I, Diemé CB. Primary synovial chondromatosis of the ankle: A case report. INTERNATIONAL JOURNAL OF SURGERY OPEN 2022. [DOI: 10.1016/j.ijso.2022.100478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
4
|
Riechelmann F, Hackl W, Schmitz K, Henninger B, Keiler A. Primäre synoviale Chondromatose. ARTHROSKOPIE 2022. [DOI: 10.1007/s00142-022-00536-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Zusammenfassung
Hintergrund
Die primäre synoviale Chondromatose (SC) ist eine seltene Erkrankung der Synovialmembran unklarer Ätiologie. Der aktuelle Wissensstand zu dieser Erkrankung soll in einer kurzen Übersicht dargestellt werden.
Methoden
Übersichtsarbeiten und rezente Fallberichte zur SC wurden systematisch ausgewertet und mit Daten eigener Fälle in Kontext gesetzt.
Ergebnisse
Auf Grund neuer genomischer Daten wird die SC als benigne Neoplasie eingestuft. In 60 % der Fälle liegen Mutationen im Fibronektin-1-Gen (FN1) und/oder im Gen für den Activin-A-Typ-II-Rezeptor (ACVR2A) vor. Diagnoseweisend ist die Magnetresonanztomographie (MRT) und die meist arthroskopische Biopsie der Synovia. An einem Fallbeispiel soll gezeigt werden, dass die Knorpelaggregate der SC radiologisch nicht immer schattengebend sein müssen. Differenzialdiagnostisch kommen Monarthritiden anderer Ursachen, andere Gelenk- und Muskelerkrankungen mit Mineralisierung sowie weitere von der Synovialmembran ausgehende Erkrankungen in Betracht. Die Entartungsrate liegt bei 2–4 %. Therapeutisch hat sich in den letzten Jahren das arthroskopische Vorgehen durchgesetzt, das an die Ausdehnung der Erkrankung adaptiert wird.
Schlussfolgerung
Genomische Untersuchungen sowie Fallserien und Fallberichte aus jüngerer Zeit werfen ein neues Licht auf die SC. Therapeutisch wird in jüngeren Arbeiten überwiegend arthroskopisch vorgegangen.
Collapse
|
5
|
Arthroscopic Management of Anterior Ankle Synovial Osteochondromatosis. Arthrosc Tech 2022; 11:e183-e188. [PMID: 35155111 PMCID: PMC8822134 DOI: 10.1016/j.eats.2021.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Accepted: 10/14/2021] [Indexed: 02/03/2023] Open
Abstract
Surgical treatment has been recommended as the first choice of therapy in second and third stages of the disease. Complete synovectomy and removal of all loose bodies is advisable for prevention of recurrence of the disease. Recently, arthroscopic treatment of synovial chondromatosis is gaining popularity because of its favorable outcomes and very low complication and recurrence rates. Arthroscopic approach also allows management of concomitant pathology. The purpose of this Technical Note is to describe the technique of arthroscopic synovectomy and removal of loose bodies as treatment of synovial chondromatosis localized in the anterior compartment of the ankle joint.
Collapse
|
6
|
McEneaney PA, Rundell JD, Nordquist T, Pacaccio D. Synovial chondromatosis of the ankle joint: 2 cases treated by open arthrotomy and synovectomy. Foot (Edinb) 2021; 49:101804. [PMID: 34016505 DOI: 10.1016/j.foot.2021.101804] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Revised: 02/27/2021] [Accepted: 04/11/2021] [Indexed: 02/05/2023]
Abstract
Synovial chondromatosis is a rare condition consisting of metaplasia of the synovial tissue that usually presents in large joints such as the knee and hip. The reported occurrence of synovial chondromatosis in the foot and ankle joints is rare in the literature. In this case report, the successful surgical management of two patients presenting with this condition using open ankle arthrotomy & synovectomy is described. These two cases are presented to provide added depth to the current literature, as well as presenting a review of published literature to further guide clinicians in the management of this rare condition. LEVEL OF EVIDENCE: 4 (case study).
Collapse
|
7
|
Coulshed N, Sivakumar B, Mittal R, Wines A, Symes M. More than just an ankle sprain: a case of synovial chondromatosis of the ankle. ANZ J Surg 2021; 92:1263-1265. [PMID: 34628707 DOI: 10.1111/ans.17272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 09/16/2021] [Accepted: 09/26/2021] [Indexed: 11/24/2022]
Affiliation(s)
- Nicholas Coulshed
- Department of Orthopaedic Surgery, Royal North Shore Hospital, Sydney, New South Wales, Australia
| | - Brahman Sivakumar
- Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, Sydney, New South Wales, Australia
| | - Rajat Mittal
- Department of Medicine, South West Sydney Clinical School, UNSW, Sydney, New South Wales, Australia
| | - Andrew Wines
- Department of Orthopaedic Surgery, Royal North Shore Hospital, Sydney, New South Wales, Australia
| | - Michael Symes
- Department of Orthopaedic Surgery, Royal North Shore Hospital, Sydney, New South Wales, Australia
| |
Collapse
|
8
|
García Espinosa J, Moya Sánchez E, Martínez Martínez A. Secondary extra-articular synovial osteochondromatosis with involvement of the leg, ankle and foot. An exceptional case. ACTA ACUST UNITED AC 2021; 17:482-484. [PMID: 34625152 DOI: 10.1016/j.reumae.2020.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 07/02/2020] [Indexed: 10/21/2022]
Abstract
Extraarticular synovial osteochondromatosis is a very rare benign disease whose aetiology may be primary or secondary to pre-existing pathology or after trauma. The diagnosis can be made with plain radiography and CT, and MRI is necessary to evaluate the non-mineralized soft tissue component and assess extension. It must be confirmed with a pathological study by biopsy or resection. There is up to a 5% chance of malignant transformation. The treatment of choice for the extensive extra-articular form is surgery by open resection. The case presented illustrates an atypical form of secondary extraarticular OCS with multiple involvement of the leg, ankle and foot.
Collapse
Affiliation(s)
- Jade García Espinosa
- Sección de Radiología Musculoesquelética, Servicio de Radiodiagnóstico, Hospital Universitario Virgen de las Nieves, Granada, Spain.
| | - Elena Moya Sánchez
- Servicio de Radiodiagnóstico, Hospital Universitario Clínico San Cecilio, Granada. Spain
| | - Alberto Martínez Martínez
- Sección de Radiología Musculoesquelética, Servicio de Radiodiagnóstico, Hospital Universitario Virgen de las Nieves, Granada, Spain
| |
Collapse
|
9
|
Bojanić I, Plečko M, Mataić A, Dimnjaković D. Anterior and Posterior Arthroscopic Treatment of Primary Synovial Chondromatosis of the Ankle. Foot Ankle Int 2021; 42:440-447. [PMID: 33203258 DOI: 10.1177/1071100720970961] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
BACKGROUND Primary synovial chondromatosis (PSC) is a progressive disorder of unknown etiology resulting in formation of multiple loose bodies. If left untreated, it may lead to degenerative changes or malignant transformation to chondrosarcoma. METHODS Seventeen patients who underwent combined posterior and anterior ankle arthroscopy within the same operative session and had histologically confirmed PSC were included in this retrospective study. American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot score was used to evaluate ankle function preoperatively and at a final follow-up. A 3-question survey was used to evaluate patient's satisfaction at the final follow-up. RESULTS In 14 patients, loose bodies were found in both compartments of the ankle, in 2 only in the anterior compartment, and in 1 only in the posterior compartment. All patients had evident signs of synovial inflammation in both compartments. The AOFAS Ankle-Hindfoot score increased from the preoperative median score of 65 (range, 29-90) to 95 (range, 65-100) at the final follow-up. Fourteen patients reported they were extremely satisfied with the outcome, 1 was moderately satisfied, and 2 were dissatisfied. No cases of recurrence of synovitis or loose body formation were noted, nor any signs of malignant transformation during the follow-up period. CONCLUSION We believe the risk of recurrence of PSC, which is in close relation to malignant transformation, can be minimized by performing a complete synovectomy of the ankle. Our experience and review of literature makes us believe that ankle PSC should be regarded as a whole joint disorder. Performing a combined posterior and anterior arthroscopic procedure within the same operative session should always be considered in patients with ankle PSC. LEVEL OF EVIDENCE Level IV, retrospective case series.
Collapse
Affiliation(s)
- Ivan Bojanić
- Department of Orthopedic Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.,Department of Orthopedic Surgery, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Mihovil Plečko
- Department of Orthopedic Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
| | - Ana Mataić
- Clinical Department of Pathology and Cytology, University Hospital Centre Zagreb, Zagreb, Croatia
| | - Damjan Dimnjaković
- Department of Orthopedic Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
| |
Collapse
|
10
|
Mohey N, Hassan TA. Feasibility of MRI in diagnosis and characterization of intra-articular synovial masses and mass-like lesions. THE EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR MEDICINE 2020. [DOI: 10.1186/s43055-020-0138-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Classifications of intra-articular masses are infectious granulomatous diseases, non-infectious synovial proliferative processes (synovial chondromatosis, lipoma arborescens, rheumatoid arthritis, pigmented villonodular synovitis [PVNS]), vascular malformations, deposition disorders, neoplastic, and miscellaneous conditions. The aim of this study is to correlate the results of MRI with arthroscopy in characterization of different varieties of intra-articular synovial masses and mass-like lesions. This observational prospective study was conducted between February 2018 and August 2019. We screened 1000 routine musculoskeletal MRI examination during this period, 32 of which showed intra-articular synovial masses/mass-like lesions. The selected 32 patients (20 males and 12 females) have a mean age of 49.20 ± 2.0 years; all presented with joint swelling, pain, or difficulty of movement according to the joint affected. All patients underwent arthroscopy for histopathological correlation.
Results
The final diagnosis was synovial chondromatosis in 14 patients (43.8%), PVNS in ten patients (31.3%), and lipoma arborescens in five patients (15.6%). Synovial chondrosarcoma, synovial hematoma, and synovial ganglion cyst each in one patient (3.1%). The concordance of MRI to arthroscopy was 96.6% accuracy, 91.7% sensitivity, 99% specificity, 52.3% PPV, and 99.9% NPV.
Conclusion
Good correlation was observed between MRI and arthroscopy in diagnosis of intra-articular synovial masses/mass-like lesions.
Collapse
|
11
|
Al Farii H, Doyle-Kelly C, Marwan Y, Volesky M, Turcotte R. Arthroscopic Management of Synovial Chondromatosis of the Ankle Joint: A Systematic Review of the Literature. JBJS Rev 2020; 8:e2000045. [PMID: 33151646 DOI: 10.2106/jbjs.rvw.20.00045] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
BACKGROUND Synovial chondromatosis (SC) of the ankle is a rare disorder in which metaplastic proliferation of synovia, tendon sheaths, and/or bursae leads to the formation of loose cartilaginous bodies within the joint space. While SC itself is a benign condition, its sequelae can be chronic and debilitating if left untreated, or if there is postoperative recurrence. Arthritic degeneration and malignant transformation to chondrosarcoma are among the more serious complications in the natural history of the disease; the latter occurs in approximately 5% of cases. We performed a systematic review of the literature on the arthroscopic management of ankle SC in order to better understand recurrence patterns and suggest an alternative approach to open arthrotomy. METHODS Using predetermined inclusion and exclusion criteria, the PubMed and Embase databases were searched for relevant articles related to arthroscopic surgical management of patients with confirmed SC of the ankle. Article selection and data abstraction were performed in 3 steps by 3 independent reviewers. RESULTS The initial search retrieved 116 articles, of which 15 were included. Those studies included 22 patients (14 to 63 years of age; 77% male) who were followed for a mean of 27 months (range, 8 weeks to 12 years) postoperatively. The cases represented a mix of primary and secondary SC etiologies, and almost entirely stage-III disease. Arthroscopic synovectomy with excision of loose bodies was a consistent feature of treatment, and bursectomy, debridement of osteochondral lesions or involved tendons, and osteophyte resection were performed as indicated. All but 1 case employed an anterior approach including anteromedial and anterolateral portals, and in several cases a 4-portal technique was used, which was subsequently proposed as a necessary approach for the definitive treatment of ankle SC. On the basis of the available data, complication and recurrence rates following arthroscopic management were very low. CONCLUSIONS A growing pool of evidence is emerging to suggest favorable outcomes for arthroscopic treatment of SC of the ankle joint. However, more data on patient and surgical variables, as well as comparative studies with longer follow-up, are needed in order to draw definitive conclusions. LEVEL OF EVIDENCE Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Collapse
Affiliation(s)
- Humaid Al Farii
- 1Division of Orthopaedic Surgery, McGill University, Montreal, Quebec, Canada
| | | | | | | | | |
Collapse
|
12
|
Fetih TN, Mekhemar AA, Hashad RM. Challenging arthroscopic management of ankle synovial chondromatosis: A case report. JOURNAL OF ORTHOPAEDICS, TRAUMA AND REHABILITATION 2020. [DOI: 10.1177/2210491720961115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Synovial chondromatosis (SC) is a rare benign disorder characterized by the presence of metaplastic cartilage nodules originating from the synovial lining of joints, bursa, and tendon sheaths. The treatment option is usually open surgery for excision of loose bodies and synovectomy, while on literature review only few cases with arthroscopic management are reported. We present a 28-year-old male patient who was evaluated for pain, swelling, and limited range of motion of the right ankle joint. Both physical examination and radiographic investigations were suggestive of primary SC of the ankle joint and arthroscopic surgery was performed. Removal of loose bodies and synovectomy were successfully performed. Histopathology confirmed the diagnosis. SC of the ankle is a rare disorder, and its treatment strategies depend on patient complaint, age, and the stage of the disease. Open or arthroscopic surgery can be performed. This case report suggests that arthroscopic management can provide successful outcome in such cases.
Collapse
Affiliation(s)
- Tarek N Fetih
- Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, Assiut University, Assiut, Egypt
| | | | - Rashed M Hashad
- Orthopaedic Department, Sultan Qaboos Hospital, Salalah, Oman
| |
Collapse
|
13
|
García Espinosa J, Moya Sánchez E, Martínez Martínez A. Secondary Extra-Articular Synovial Osteochondromatosis with Involvement of the Leg, Ankle and Foot. An Exceptional Case. REUMATOLOGIA CLINICA 2020; 17:S1699-258X(20)30163-7. [PMID: 32798176 DOI: 10.1016/j.reuma.2020.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 06/22/2020] [Accepted: 07/02/2020] [Indexed: 10/23/2022]
Abstract
Extraarticular synovial osteochondromatosis is a very rare benign disease whose aetiology may be primary or secondary to pre-existing pathology or after trauma. The diagnosis can be made with plain radiography and CT, and MRI is necessary to evaluate the non-mineralized soft tissue component and assess extension. It must be confirmed with a pathological study by biopsy or resection. There is up to a 5% chance of malignant transformation. The treatment of choice for the extensive extra-articular form is surgery by open resection. The case presented illustrates an atypical form of secondary extraarticular OCS with multiple involvement of the leg, ankle and foot.
Collapse
Affiliation(s)
- Jade García Espinosa
- Sección de Radiología Musculoesquelética, Servicio de Radiodiagnóstico, Hospital Universitario Virgen de las Nieves, Granada, España.
| | - Elena Moya Sánchez
- Servicio de Radiodiagnóstico, Hospital Universitario Clínico San Cecilio, Granada, España
| | - Alberto Martínez Martínez
- Sección de Radiología Musculoesquelética, Servicio de Radiodiagnóstico, Hospital Universitario Virgen de las Nieves, Granada, España
| |
Collapse
|
14
|
Hashimoto K, Nishimura S, Yamagishi K, Tsukamoto I, Nakagawa K, Inoue S, Asada S, Kakinoki R, Akagi M. Extra-articular synovial osteochondroma of the Hoffa's fat pad involving the patellar tendon: A case report and literature review. Mol Clin Oncol 2020; 12:355-357. [PMID: 32190319 PMCID: PMC7057915 DOI: 10.3892/mco.2020.1998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2018] [Accepted: 02/04/2020] [Indexed: 11/08/2022] Open
Abstract
Synovial osteochondroma (SO) is a relatively uncommon tumor affecting the synovial joints that is characterized by the development of hyaline cartilage from the synovial membrane. The basic pathophysiology of SO is thought to be the metaplastic change of the synovium to hyaline cartilage. Large extra- or para-articular lesions in the Hoffa's fat pad are relatively uncommon. A 56-year-old woman complained of knee pain associated with a large lesion on the anterior of the right knee. She also had restricted range of motion in the knee. Examination revealed an elastic hard 8x9-cm lesion involving the patellar tendon. Computed tomography and magnetic resonance imaging demonstrated a mosaic-intensity mass lesion in the inferior side of the Hoffa's fat pad as well as the patellar tendon. The patient underwent needle biopsy. Histological analysis revealed a solitary SO. There were no atypical features suggestive of malignancy and the mass was resected marginally. The patient had no recurrence or knee functional disorder 3 years postoperatively. There are no reports of SO involving the patellar tendon with restriction of range of motion. Removal of the mass lesion for management for SO, as in the present case, is unusual. To the best of our knowledge, this is the first case of extra-articular SO in the Hoffa's fat pad involving the patellar tendon causing a restriction of range of motion of the knee. Marginal surgical resection improved knee function.
Collapse
Affiliation(s)
- Kazuhiko Hashimoto
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Shunji Nishimura
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Koutaro Yamagishi
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Ichiro Tsukamoto
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Koichi Nakagawa
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Shinji Inoue
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Shigeki Asada
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Ryosuke Kakinoki
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Masao Akagi
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| |
Collapse
|
15
|
Monestier L, Riva G, Stissi P, Latiff M, Surace MF. Synovial chondromatosis of the foot: Two case reports and literature review. World J Orthop 2019; 10:404-415. [PMID: 31840021 PMCID: PMC6908443 DOI: 10.5312/wjo.v10.i11.404] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Revised: 05/17/2019] [Accepted: 09/16/2019] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Primary synovial chondromatosis (PSC) is a rare arthropathy of the synovial joints characterized by the formation of cartilaginous nodules, which may detach and become loose bodies within the joint and may undergo secondary proliferation. PSC of the foot and ankle is exceedingly rare, with only a few cases reported in the literature. The diagnosis may be difficult and delayed until operative treatment, when it is confirmed by histological assessment. PSC may degenerate into chondrosarcoma. Operative treatment is the gold standard aiming to minimize pain, improve function, prevent or limit progression of arthritis. Surgical treatment consists in debridement by arthrotomic or arthroscopic management, but there is no consensus in the literature about timing of surgery and surgical technique. Thus, the aim of this study is to report the outcomes of the surgical treatment of two cases, together with a literature review.
CASE SUMMARY We report two cases of patients affected by PSC of the foot in stage III, according to the Milgram classification: the former PSC localized in the ankle that underwent open surgery consisted of loose bodies removal; the latter in the subtalar joint, and the choice of treatment was the arthrotomy and debridement from loose bodies, in addition to the subtalar arthrodesis. Both patients returned to complete daily and working life after surgery.
CONCLUSION Synovial chondromatosis is a rare benign pathology, even rarer in the ankle joint and especially in the foot. Surgery should be minimal in patients with ankle PSC, choosing the correct timing, waiting if possible until stage III. More aggressive and early surgery should be performed in patients with PSC of the foot, particularly the subtalar joint, due to the high risk of arthritic evolution.
Collapse
Affiliation(s)
- Luca Monestier
- Orthopedic and Trauma Unit, ASST Settle Laghi, Varese 21100, Italy
| | - Giacomo Riva
- Orthopedic and Trauma Unit, ASST Settle Laghi, Varese 21100, Italy
| | - Placido Stissi
- Residency Program in Orthopedics and Trauma, University of Insubria, Varese 21100, Italy
| | - Mahfuz Latiff
- Residency Program in Orthopedics and Trauma, University of Insubria, Varese 21100, Italy
| | - Michele Francesco Surace
- Orthopedic and Trauma Unit, ASST Settle Laghi, Varese 21100, Italy
- Interdisciplinary Research Centre for Pathology and Surgery of the Musculoskeletal System, Department of Biotechnology and Life Sciences, University of Insubria, Varese 21100, Italy
| |
Collapse
|
16
|
Peixoto D, Gomes M, Torres A, Miranda A. Tratamento artroscópico de condromatose sinovial do tornozelo. Rev Bras Ortop 2018. [DOI: 10.1016/j.rbo.2017.05.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
|
17
|
Peixoto D, Gomes M, Torres A, Miranda A. Arthroscopic treatment of synovial chondromatosis of the ankle. Rev Bras Ortop 2018; 53:622-625. [PMID: 30258827 PMCID: PMC6152802 DOI: 10.1016/j.rboe.2018.07.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2017] [Accepted: 05/02/2017] [Indexed: 11/05/2022] Open
Abstract
Synovial chondromatosis is a rare proliferative disease, characterized by the occurrence of metaplasia in the synovium of the joints. These lesions become pedunculated; with the evolution of the disease they become detached, leading to intra-articular loose-bodies. It occurs more frequently in males between the third and fifth decades of life, usually affecting large joints such as the knee and hip. Smaller joints, such as the ankle, are less frequently affected. Patients report articular pain, blockage, and limited range of motion caused by the loose fragments. As the disease progresses, the joint undergoes degenerative changes. This report describes a case of synovial chondromatosis of the ankle, treated by arthroscopy. The patient, a 59 year-old male, complained of pain and swelling of the left ankle. Physical evaluation showed limited tibiotarsal mobility (plantar flexion of 20° and dorsiflexion of 5°). After physical and imaging evaluation, the patient underwent ankle arthroscopy due to impingement of the joint, with limitation of mobility. Arthroscopic treatment allowed easy access to the joint, removal of loose bodies, and partial synovectomy, with low morbidity and early rehabilitation. The final prognosis was excellent.
Collapse
Affiliation(s)
- Daniel Peixoto
- Hospital Distrital da Figueira da Foz, Figueira da Foz, Portugal
| | - Marta Gomes
- Centro Hospitalar Entre Douro e Vouga, Hospital de São Sebastião, Santa Maria da Feira, Portugal
| | - António Torres
- Centro Hospitalar Entre Douro e Vouga, Hospital de São Sebastião, Santa Maria da Feira, Portugal
| | - António Miranda
- Centro Hospitalar Entre Douro e Vouga, Hospital de São Sebastião, Santa Maria da Feira, Portugal
| |
Collapse
|
18
|
Kunzler DR, Shazadeh Safavi P, Warren BJ, Janney CF, Panchbhavi V. Arthroscopic Treatment of Synovial Chondromatosis in the Ankle Joint. Cureus 2017; 9:e1983. [PMID: 29503777 PMCID: PMC5825044 DOI: 10.7759/cureus.1983] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Synovial chondromatosis of the ankle is rare and sparsely documented. Traditional surgical intervention is open loose body excision and synovectomy. Upon literature review, only two other cases were found to be managed arthroscopically. We report a case of synovial chondromatosis in a 54-year-old man leading to pain and limited range of motion of his ankle. This unique case of extensive nodule formation was treated via a three-port arthroscopic approach. Removal of loose bodies and synovectomy were successfully performed arthroscopically. A total of 76 loose bodies were removed and synovectomy performed using a 3.5 mm diameter full radius shaver. This case demonstrates that a three-port arthroscopic approach can provide adequate treatment while maintaining the superior risk profile inherent to arthroscopic intervention.
Collapse
Affiliation(s)
- Daniel R Kunzler
- School of Medicine, University of Texas Medical Branch at Galveston
| | | | - Brittney J Warren
- Department of Orthopedics, University of Texas Medical Branch at Galveston
| | - Cory F Janney
- Department of Orthopedics, United States Navy, University of Texas Medical Branch at Galveston
| | - Vinod Panchbhavi
- Department of Orthopedics, University of Texas Medical Branch at Galveston
| |
Collapse
|
19
|
Saxena A, St Louis M. Synovial Chondromatosis of the Ankle: Report of Two Cases With 23 and 126 Loose Bodies. J Foot Ankle Surg 2016; 56:182-186. [PMID: 27066867 DOI: 10.1053/j.jfas.2016.02.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2015] [Indexed: 02/03/2023]
Abstract
Synovial chondromatosis is rare joint disorder that has no clear etiology. Classification of the disorder was first reported by Milgram in 1977. One possible cause is a change in the level of fibroblast growth receptor factor receptor-3, which leads to a possible feedback loop that results in the formation of loose bodies. Genetics is another possible cause for the disorder. Synovial chondromatosis is considered benign but does the have the potential for malignant transformation. We report the case of 2 patients with 23 and 126 loose bodies of the ankle, respectively, who had successful outcomes without malignancy, after excision of the lesions. Also presented is a review of the published data for the possible causes of synovial chondromatosis and the symptoms leading up to the transformation from benign to malignant.
Collapse
Affiliation(s)
- Amol Saxena
- Podiatrist, Department of Sports Medicine, Palo Alto Foundation Medication Group, Palo Alto, CA.
| | - Marie St Louis
- Podiatrist, Kaiser Permanente, West Los Angeles Facility, Los Angeles, CA
| |
Collapse
|
20
|
Ryan JD, Garwood C, Lickiss J. Synovial Chondromatosis Surrounding the First Metatarsophalangeal Joint: A Case Report. Foot Ankle Spec 2016; 9:174-8. [PMID: 25910945 DOI: 10.1177/1938640015583309] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
UNLABELLED Synovial chondromatosis is a benign synovial tumor that rarely occurs in the foot. We present a case of a 36-year-old male who underwent surgical excision of primary synovial chondromatosis of the first metatarsophalangeal joint. This report also presents a review of the literature related to synovial chondromatosis of the foot. Currently in the literature, this pathology has been described as occurring in multiple locations in the foot and ankle. Synovial chondromatosis can occur primarily or secondarily in diseased joints. Treatment is based on the phase of disease, with a goal to decrease pain and arthritis, and increase mobility. Surgical techniques used for foot and ankle synovial chondromatosis have been adapted from larger joints where the condition is more prevalent. Further case studies are needed to formulate a treatment protocol for foot and ankle synovial chondromatosis, but successful surgical excision was found in this case report. LEVELS OF EVIDENCE Therapeutic, Level IV: Case study.
Collapse
Affiliation(s)
- Jay D Ryan
- Inova Fairfax Hospital, Fairfax, VA (JDR, JL)MedStar Georgetown Hospital, Washington DC (CG)
| | - Caitlin Garwood
- Inova Fairfax Hospital, Fairfax, VA (JDR, JL)MedStar Georgetown Hospital, Washington DC (CG)
| | - Jessica Lickiss
- Inova Fairfax Hospital, Fairfax, VA (JDR, JL)MedStar Georgetown Hospital, Washington DC (CG)
| |
Collapse
|
21
|
Lui TH. Tenosynovial (Extra-articular) Chondromatosis of the Extensor Digitorum Longus Tendon and Synovial Chondromatosis of the Ankle: Treated by Extensor Digitorum Longus Tendoscopy and Ankle Arthroscopy. Foot Ankle Spec 2015; 8:422-5. [PMID: 25416298 DOI: 10.1177/1938640014560165] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
UNLABELLED Synovial chondromatosis is a rare pathology in the foot and ankle region. We present a case of concomitant tenosynovial chondromatosis of the extensor digitorum longus tendon and synovial chondromatosis of the ankle, which was successfully treated by extensor digitorum tendon tendoscopy and ankle arthroscopy. LEVELS OF EVIDENCE Therapeutic, Level IV: Case study.
Collapse
Affiliation(s)
- Tun Hing Lui
- Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong
| |
Collapse
|
22
|
Yu X, Li W, Dai M, Zhang B, Zou F, Liu H. Giant extra-articular synovial osteochondromatosis of the left proximal thigh: A case report. Oncol Lett 2015; 10:3577-3580. [PMID: 26788172 DOI: 10.3892/ol.2015.3746] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2014] [Accepted: 07/21/2015] [Indexed: 01/23/2023] Open
Abstract
Extra-articular synovial osteochondromatosis is a rare disease. The present study describes the case of a 46-year-old female who suffered from extra-articular synovial osteochondromatosis of the left proximal thigh with limited hip movement. The patient underwent a total tumor resection and recovered well. The tumor was 15×14×5 cm3 in size and located in the muscle gap. After a 3-month follow-up, the patient's left hip motion was improved and a computed tomography scan demonstrated no evidence of recurrence. However, the long-term efficacy of this procedure requires continuous observation of the patient. To the best of our knowledge, this is the first case of a giant extra-articular synovial osteochondromatosis of the proximal thigh muscle gap.
Collapse
Affiliation(s)
- Xiaolong Yu
- Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P.R. China
| | - Wei Li
- Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P.R. China
| | - Min Dai
- Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P.R. China
| | - Bin Zhang
- Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P.R. China
| | - Fan Zou
- Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P.R. China
| | - Hucheng Liu
- Multidisciplinary Therapy Center of Musculoskeletal Tumors, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P.R. China
| |
Collapse
|
23
|
Synovial Chondromatosis of the Ankle Joint: Clinical, Radiological, and Intraoperative Findings. Case Rep Orthop 2015; 2015:359024. [PMID: 26177002 PMCID: PMC4484565 DOI: 10.1155/2015/359024] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2015] [Accepted: 05/18/2015] [Indexed: 12/21/2022] Open
Abstract
Synovial chondromatosis, also termed synovial osteochondromatosis, is a rare benign disorder characterized by the presence of cartilaginous nodules in the synovium of the joints, tendon sheaths, and bursae. It most commonly involves large joints, such as the knee, hip, and shoulder, but its presence in smaller joints has also been reported. Nevertheless, ankle involvement is unusual. The diagnosis is commonly made following a thorough history, clinical, physical, and radiographic examination. We report a case of a young patient with primary synovial chondromatosis of the ankle joint and present the clinical, radiographic, and intraoperative findings.
Collapse
|
24
|
Lui TH. Tenosynovial Osteochondromatosis of the Flexor Hallucis Longus Tendon Treated by Tendoscopy. J Foot Ankle Surg 2015; 54:758-64. [PMID: 25979294 DOI: 10.1053/j.jfas.2015.04.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2013] [Indexed: 02/03/2023]
Abstract
Tendosynovial chondromatosis of the foot and ankle is a rare disease entity. We reported 3 patients with tenosynovial osteochondromatosis of flexor hallucis longus. They were successfully treated by arthroscopic synovectomy and removal of the loose bodies.
Collapse
Affiliation(s)
- Tun Hing Lui
- Consultant, Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, New Territory, Hong Kong Special Administrative Region, People's Republic of China.
| |
Collapse
|
25
|
Intra-articular giant synovial osteochondroma: case reports of the ankle and knee joint. Case Rep Orthop 2015; 2015:320139. [PMID: 25785214 PMCID: PMC4345263 DOI: 10.1155/2015/320139] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2014] [Revised: 02/01/2015] [Accepted: 02/05/2015] [Indexed: 11/24/2022] Open
Abstract
Two cases of giant intra-articular osteochondromas (knee and ankle joint) are reported; pathologically they are rare representations of synovial chondromatosis. A 17-year-old man presented with a tumorous mass which had been localized in his left ankle for many years, increasing in volume during the last months. The lesion was removed by posteromedial ankle arthrotomy. The second case was observed in a 39-year-old woman with a slow-growing mass in her right knee joint. The lesion was removed from the Hoffa fat pad by open anteromedial arthrotomy.
Collapse
|
26
|
Ozmeric A, Aydogan NH, Kocadal O, Kara T, Pepe M, Gozel S. Arthroscopic treatment of synovial chondromatosis in the ankle joint. Int J Surg Case Rep 2014; 5:1010-3. [PMID: 25460460 PMCID: PMC4275864 DOI: 10.1016/j.ijscr.2014.10.083] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2014] [Revised: 10/22/2014] [Accepted: 10/23/2014] [Indexed: 12/17/2022] Open
Abstract
INTRODUCTION Synovial chondromatosis is characterized by the presence of metaplastic cartilage nodules originating from the synovia, bursa and tendon sheaths. Although it is extremely rare in the ankle joint, malignant transformation is possible. The choice of treatment is usually open surgery for excision of loose bodies and synovectomy. Limited data is available concerning arthroscopic approaches. PRESENTATION OF CASE A 28-year-old male patient was evaluated for pain and swelling of the right ankle joint. Based on the findings of physical examination and radiographic investigations, arthroscopic surgery was performed due to ankle impingement syndrome. A diagnosis of synovial osteochondromatosis was made following the pathological survey. DISCUSSION Synovial chondromatosis is slowly progressive and is considered to be a self-limiting situation. Treatment strategies are decided on according to the patient's complaints, age and disease stage. Open or arthroscopic surgery. can be performed. Some advantages of arthroscopic surgery are wide visualization areas, easy access to areas difficult to reach, lower morbidity, no necessity for casting and immobilization, early rehabilitation and quick recovery period. CONCLUSION In conclusion, arthroscopic management can be successful in selected patients with synovial osteochondromatosis localized to the ankle joint.
Collapse
Affiliation(s)
- Ahmet Ozmeric
- Department of Orthopaedics, Traumatology, Ankara Training, Research Hospital, Ankara, Turkey
| | - Nevres Hurriyet Aydogan
- Department of Orthopaedics, Traumatology, Ankara Training, Research Hospital, Ankara, Turkey
| | - Onur Kocadal
- Department of Orthopaedics, Traumatology, Ankara Training, Research Hospital, Ankara, Turkey.
| | - Talip Kara
- Department of Orthopaedics, Traumatology, Ankara Training, Research Hospital, Ankara, Turkey
| | - Murad Pepe
- Department of Orthopaedics, Traumatology, Ankara Training, Research Hospital, Ankara, Turkey
| | - Serap Gozel
- Department of Pathology, Ankara Training and Research Hospital, Ankara, Turkey
| |
Collapse
|
27
|
Kim SR, Shin SJ, Seo KB, Teong CT, Hyun CL. Giant extra-articular synovial osteochondromatosis of the sinus tarsi: a case report. J Foot Ankle Surg 2013; 52:227-30. [PMID: 23318098 DOI: 10.1053/j.jfas.2012.11.017] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2011] [Indexed: 02/03/2023]
Abstract
A 32-year-old male presented with painful swelling of the sinus tarsi that occurred during daily activities. Diagnostic imaging suggested the presence of a large synovial osteochondromatosis that blocked subtalar motion with deformity of the adjacent bone. The large bony mass was excised, and normal subtalar motion was achieved.
Collapse
Affiliation(s)
- Sang Rim Kim
- Department of Orthopaedic Surgery, Jeju National University College of Medicine, Jeju, Korea
| | | | | | | | | |
Collapse
|
28
|
Ogut T, Ayhan E, Irgit K, Sarikaya AI. Endoscopic treatment of posterior ankle pain. Knee Surg Sports Traumatol Arthrosc 2011; 19:1355-61. [PMID: 21311860 DOI: 10.1007/s00167-011-1428-x] [Citation(s) in RCA: 72] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2010] [Accepted: 01/27/2011] [Indexed: 12/13/2022]
Abstract
PURPOSE The aim of this study is to describe the indications for two-portal hindfoot endoscopy in the treatment of posterior ankle compartment pathologies and to express the effectiveness of this technique by short- to mid-term outcomes on 59 consecutive patients. METHODS In our institute, between 2003 and 2009, patients operated by single surgeon with hindfoot endoscopy were enrolled. The American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot and Maryland foot scores (MFS) were obtained preoperatively and postoperatively. In the final follow-up, besides the scores, patients were asked whether they were satisfied and whether they would elect this treatment again. RESULTS The indications for 59 patients were posterior ankle impingement syndrome (14), osteochondral lesion of talus (13), isolated flexor hallucis longus (FHL) tenosynovitis (11), synovial osteochondromatosis (2), pigmented villonodular synovitis (2), peroneal tenosynovitis (4), subtalar joint arthrosis (4), tibiotalar arthrosis (4), intraosseous talus cyst (4; 1 bilateral), and talus fracture (1). FHL tendon was affected in all cases, and tenolysis was performed for each patient. The mean preoperative AOFAS-hindfoot scores increased from 56.7 ± 14.5 to 85.9 ± 12.5 (P < 0.0001), and the mean preoperative MFS increased from 54.8 ± 17.5 to 84.9 ± 15.9 (P < 0.0001), postoperatively. Four patients with posttraumatic arthritis were dissatisfied. Two sural nerve-related complications were identified. DISCUSSION Hindfoot endoscopy was demonstrated to be a safe and effective procedure for the treatment of various hindfoot pathologies in this cohort, excluding patients with posttraumatic arthritis. Our results show that the prevalence of FHL tenosynovitis may be higher than previously reported and should always be considered in differential diagnosis of posteromedial ankle pain. LEVEL OF EVIDENCE Case series with no comparison group, Level IV.
Collapse
Affiliation(s)
- Tahir Ogut
- Cerrahpasa Medical Faculty, Orthopaedics and Traumatology Department, Istanbul University, Istanbul, Turkey
| | | | | | | |
Collapse
|
29
|
Scholl DM, Taddie KL. Asymptomatic synovial chondromatosis of the ankle: an incidental finding. J Foot Ankle Surg 2010; 49:565.e13-7. [PMID: 20851002 DOI: 10.1053/j.jfas.2010.08.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2009] [Accepted: 07/29/2010] [Indexed: 02/03/2023]
Abstract
Synovial chondromatosis is an uncommon, benign lesion of nodular cartilaginous neoplastic development of the synovium that can lead to loose bodies and arthritic degeneration if left untreated. Although very rare, malignant transformation to chondrosarcoma can occur. Primary and secondary forms of synovial chondromatosis also exist, and each has distinct clinical, radiographic, and histologic characteristics. In this article, we describe a case of extensive primary synovial chondromatosis of the ankle that was asymptomatic until just before presentation, and that was treated by means of open synovectomy with excision of the osteochondromatous lesions within the joint.
Collapse
Affiliation(s)
- Desiree M Scholl
- Providence Hospital and Medical Center, 16001 W. 9 Mile Road, Southfield, MI 48075, USA.
| | | |
Collapse
|
30
|
Bojanic I, Bergovec M, Smoljanovic T. Combined anterior and posterior arthroscopic portals for loose body removal and synovectomy for synovial chondromatosis. Foot Ankle Int 2009; 30:1120-3. [PMID: 19912726 DOI: 10.3113/fai.2009.1120] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
BACKGROUND Synovial chondromatosis is a rare disorder characterized by formation of cartilaginous bodies within the synovia of joints, tendon sheaths, and bursae secondary to a synovial metaplastic process. Recent literature has described using only an anterior approach to the ankle for these patients. It is unclear how well, if at all, synovectomy of the posterior part of the ankle joint was performed. Most recurrences occur years after surgery, as a result of incomplete synovectomy. MATERIALS AND METHODS We treated five patients (mean age 31.6 years; range, 21 to 63; four male, one female) with synovial chondromatosis of the ankle. We performed arthroscopic loose body removal and total synovectomy using both posterior and anterior ankle arthroscopic portals. At latest followup of a mean of 34.2 (range, 13 to 58) months, the functional result was assessed with the AOFAS score. RESULTS The AOFAS score improved from a mean of 67 (range, 58 to 77) points to a mean of 94 (range, 77 to 100) points. Overall patient satisfaction was good to excellent. We noted only one minor complication when a loose body was lost in the subcutaneous tissue, and was removed two weeks after the arthroscopy. CONCLUSION Our experience in this small group of patients seems to indicate that a 2 portal approach with total synovectomy and removal of loose bodies gives the best result and minimizes the risk of recurrence.
Collapse
Affiliation(s)
- Ivan Bojanic
- Clinical Hospital Centre Zagreb, Zagreb University School of Medicine, Department of Orthopaedic Surgery, Zagreb, Croatia
| | | | | |
Collapse
|