Recurrent synovial chondromatosis of the knee after radical synovectomy and arthrodesis.
We describe a case of highly refractory synovial chondromatosis, which recurred despite four arthroscopic synovectomies, a chemical synovectomy, two open synovectomies and an arthrodesis. A review of the literature revealed one similar case. Both presented with marked joint stiffness suggesting a poor prognosis. Although arthrodesis may relieve short-term symptoms it does not prevent further recurrence of disease.
Church
J S
JS
Perth Orthopaedic and Sports Medicine Centre, 31 Outram Street, West Perth 6005, Western Australia. j.s.church@btinternet.com
Breidahl
W H
WH
Janes
G C
GC
D000328:Adult; D001174:Arthrodesis; D015838:Chondromatosis, Synovial / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000379:methods; D011379:Prognosis; D012008:Recurrence; D000074402:Synovectomy