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Synovial chondromatosis is a rare disease in which cartilaginous masses form in the synovial membrane. The cartilaginous foci may detach to form loose bodies within the joint, which may calcify or ossify. This condition is commonly seen in the knee, hip, or elbow, but is rare in the shoulder (Varma & Ramakrishna 1976, Volpin et al. 1980, Leo & Nocera 1985).  相似文献   

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Synovial chondromatosis of the shoulder   总被引:2,自引:0,他引:2  
We describe a case of synovial chondromatosis involving the shoulder. Presenting symptoms, radiographic features, intraoperative findings, and treatment options are discussed.  相似文献   

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Abstract A 32-year-old male sustained penetrating injury of the right shoulder with an angled iron rod in a road side accident. He presented with the rod in situ in his shoulder. Fortunately there was no neurovascular deficit. The metal rod was carefully removed with success, after cutting the rod with hacksaw to avoid neurovascular damage during removal.  相似文献   

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A unique case of Turner's syndrome in association with synovial chondromatosis suggests that other cases with this association should be investigated to determine whether the occurrence of the 2 disease processes is coincidental.  相似文献   

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Articular synovial chondromatosis is a rare disease commonly affecting the knee, hip or elbow, and characterized by the formation of metaplastic cartilaginous foci in the synovium. A case of cynovial chondromatosis affecting the shoulder joint is now reported because of the extreme rarity of the disease in this situation.  相似文献   

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Synovial chondromatosis is cartilaginous metaplasia of mesenchymal remnants of synovial tissue of the joints. Its main characteristic is the formation of cartilaginous nodules in the synovium and inside the articular space (loose bodies). It usually presents between the third and fifth decades and is rare in children. It presents as a mono-articular pathology affecting large joints such as the knee, hip, and elbow. The main symptoms are pain, swelling, and limitation of movements in the affected joint. Diagnosis is made by panoramic radiographs, computed tomography scan, and mainly magnetic resonance imaging and on surgery. The authors describe of synovial chondromatosis presenting in the elbow of an 11 year-old girl which is unreported to the best of our knowledge.  相似文献   

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Meningiomas seldom occur in children, and spinal meningioma in a child is rare. We report the case of a boy, 3 years and 5 months of age, who had an unusual atypical meningioma involving the subarachnoid space from T-2 to the cauda equina. To our knowledge, no similar case has been reported previously.  相似文献   

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患者,女,38岁,主因右膝下渐肿胀3年入院,不伴有关节交锁,打软腿,无外伤病史。查体:右膝髌下膨隆肿大,象眼消失,触诊约有5 cm×5 cm大小肿物,表面欠光滑,质柔韧,无压痛,活动差,右膝关节活动度良好。辅助检查:CR拍片可见右膝髌下散在多个圆形高密度影。MRI扫描见,右膝髌骨下方,关  相似文献   

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Primary synovial chondromatosis (PSC) is a rare, usually monoarticular disorder of synovial joints. PSC is characterised by the formation of osteocartilaginous nodules in the synovial connective tissue. We report the case of a 32-year-old male with PSC of the left hip. At clinical examination abduction of the left hip was limited and rotation was painful. Ultrasound examination of the hip revealed joint effusion and multiple hyperechogenic foci due to distal acoustic shadowing. Plain radiographs showed a slight soft tissue swelling around the femoral neck and multiple round or ovoid calcifications of a uniform size. MRI revealed a large joint effusion with multiple small filling defects. Open total synovectomy was performed after dislocation of the femoral head. The diagnosis of PSC was confirmed by histological examination of the excised material. The majority of cells failed to exhibit any staining for cerb B-2 and ki-67. None of the sections showed more than 5% labelling for DNA-fragmentation proven by terminal deoxytransferase-mediated dUTD nick-end labeling (TUNEL), and all were completely non-reactive for p53 as well. In conclusion, immunohistochemical analysis suggests that in this case PSC originated from metaplasia and not from a proliferative process. After two years, the patient was free of symptoms and radiological control did not show evidence of recurrence or femoral head necrosis. Physical findings, diagnosis, histological features and management of PSC are discussed.  相似文献   

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A case of painful shoulder in a 42-year old right-hand dominant Caucasian female due to degeneration of the coracoclavicular joint is described. The pain was aggravated by weight lifting. The diagnosis was confirmed radiographically with simple plain films and clinically by the injection of local anaesthetic (xylocaine 2%) that lead to the exclusion of any other concomitant pathology of the acromioclavicular joint and the anterior subacromial space. The patient was treated successfully with an intraarticular steroid injection, and 30 months later she remains free of symptoms.  相似文献   

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