title: Disseminated synovial chondromatosis of the knee treated by open radical synovectomy using combined anterior and posterior approaches.
abstract: Synovial chondromatosis of the knee is a rare benign neoplasm of the synovium. Likewise, uncertainty on management still prevails. Though rare, it nevertheless warrants greater emphasis than it receives in the literature to allow correct diagnosis and accurate early surgical intervention. It predominantly involves the anterior compartment of the knee and disseminated disease is extremely rare. The optimal approach for surgical treatment of such an extensive synovial chondromatosis of knee remains unclear. Herein, we describe a case of extensive generalized synovial chondromatosis of the knee extending into the Baker's cyst in a 30 years old female. A diagnosis of synovial chondromatosis was made by clinical evaluation and MR imaging and confirmed by histopathological examination. Patient was successfully treated by open radical synovectomy of knee using both anterior and posterior approaches in a single step procedure.
authors.affiliation: Fellow, Department of Orthopaedic Surgery, Flinders Medical Centre and Repatriation General Hospital, Adelaide, Australia.
authors.forename: Shailendra
authors.initials: S
authors.lastname: Singh
authors.affiliation: Fellow, Department of Orthopaedic Surgery, Flinders Medical Centre and Repatriation General Hospital, Adelaide, Australia.
authors.forename: Karthik
authors.initials: K
authors.lastname: Neelakandan
authors.affiliation: Fellow, Department of Orthopaedic Surgery, Flinders Medical Centre and Repatriation General Hospital, Adelaide, Australia.
authors.forename: Chetan
authors.initials: C
authors.lastname: Sood
authors.affiliation: Professor & Chair in Orthopaedic Surgery, Flinders University, Adelaide, Australia ; Professor in Orthopaedics, The International Musculoskeletal Research Institute, Adelaide, Australia.
authors.forename: Jeganath
authors.initials: J
authors.lastname: Krishnan
keywords: Anterior & posterior approach; Baker's cyst; Knee; Radical synovectomy; Synovial chondromatosis