Primary synovial chondromatosis of the shoulder: clinical, arthroscopic and histopathological aspects.
Primary synovial chondromatosis is an uncommon condition, and involvement of the glenohumeral joint is rare. Currently, the recommended treatment is arthroscope-assisted synovectomy and removal of the loose bodies. We report a case with the clinical findings, radiographic features, arthroscopic technique for treatment of this disease and the main histological appearance of the removed loose bodies. We believe this is an easy and safe method for management of this disorder and that the support of an experienced pathologist is necessary to avoid differential diagnostic problems with the uncommon malignant transformation.
Chillemi
Claudio
C
Istituto Chirurgico Ortopedico Traumatologico, Via del Lido 110, 04100 Latina, Italy. c_chillemi@libero.it
Marinelli
Mario
M
de Cupis
Vincenzo
V
D000293:Adolescent; D001182:Arthroscopy / Q000379:methods*; D015838:Chondromatosis, Synovial / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D019299:Decompression, Surgical; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016059:Range of Motion, Articular / Q000502:physiology; D012785:Shoulder Joint / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D020069:Shoulder Pain / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D000074402:Synovectomy
Chir Organi Mov. 1997 Jan-Mar;82(1):73-81
9269117
Am J Surg Pathol. 2003 Sep;27(9):1260-8
12960811
Eur J Histochem. 1999;43(3):227-33
10563255
Skeletal Radiol. 1995 May;24(4):298-300
7644946
Hum Pathol. 1998 Jul;29(7):683-8
9670824
Arch Orthop Trauma Surg. 2001;121(1-2):109-11
11195106
J Bone Joint Surg Am. 1977 Sep;59(6):792-801
908703
Arthroscopy. 1994 Apr;10(2):166-70
8003143
J Orthop Res. 1999 Jan;17(1):73-9
10073650
Orthop Rev. 1994 Nov;23 (11):902-5
7677824
Arthroscopy. 2003 Apr;19(4):E36
12671611
Spine (Phila Pa 1976). 2003 Oct 1;28(19):E396-400
14520052
Clin Orthop Relat Res. 1990 Aug;(257):91-3
2379379
J Bone Joint Surg Am. 1977 Jun;59(4):492-5
863944
Skeletal Radiol. 2003 Feb;32(2):99-102
12589490
Int J Oral Maxillofac Surg. 2003 Apr;32(2):143-7
12729773
Eur Radiol. 2002 Aug;12(8):2112-9
12136332
Arthroscopy. 1993;9(5):602-4
8280337
Orthopedics. 2000 Jun;23 (6):611-3
10875424
Arthroscopy. 1991;7(2):233-6
2069636
Acta Orthop Scand. 1990 Dec;61(6):567-9
2281768
J Bone Joint Surg Br. 1988 Nov;70(5):807-11
3192585
Cancer Genet Cytogenet. 2003 Jan 1;140(1):18-22
12550753
Am J Orthop (Belle Mead NJ). 2000 Oct;29(10 ):793-5
11043964
Arthroscopy. 2003 Jan;19(1):E2
12522395
J Bone Joint Surg Br. 1951 Feb;33-B(1):80-4
14814164
Pathol Res Pract. 2002;198(9):585-8
12440780