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1.
Giant Solitary Synovial Chondromatosis of the Temporomandibular Joint with Intracranial Extension
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Synovial chondromatosis are rare entities but are well-described lesions in the literature that can affect many joint areas of the body. A case of tumoral synovial chondromatosis involving the temporomandibular joint with intracranial extension through mandibular fossa is reported. As long as there was significant infratemporal and extradural invasion of the middle and posterior fossa, a transtemporal and infratemporal approach was performed and total removal of the lesions was achieved. A brief review of skull base synovial chondromatosis is presented. 相似文献
2.
Synovial chondromatosis in a facet joint of a cervical vertebra 总被引:2,自引:0,他引:2
STUDY DESIGN: A case report of a cervical facet joint synovial chondromatosis. OBJECTIVES: To correlate the radiologic and histologic features of vertebral synovial chondromatosis with review of the literature. SUMMARY OF BACKGROUND DATA: Only two previous cases of vertebral facet joint synovial chondromatosis were found in a review of the English language medical literature. METHODS: A 39-year-old woman had severe cervical pain associated with neurologic signs and symptoms in the left upper extremity. Computed tomographic and magnetic resonance imaging studies were performed. RESULTS: Imaging studies showed lytic defects in the laminae of C3 and C4, with intermediate T1 and high T2 signal intensities. The diagnostic impression was that of a lymphangioma or synovial cyst. A laminectomy showed synovial tissue in both the C3-C4 facet joint and the lamina bone. Histologic examination disclosed synovial chondromatosis. CONCLUSIONS: Synovial chondromatosis of the vertebral spine is quite rare, this being only the third reported example. Direct invasion of the cancellous bone, as in this case, also is a very uncommon feature of chondromatosis. It is emphasized that when radiologic studies demonstrate a lesion with cartilaginous characteristics within or juxtaposed to a joint, synovial chondromatosis, despite its rarity, should be included in the differential diagnosis, regardless of the anatomic site. 相似文献
3.
Yokota N Inenaga C Tokuyama T Nishizawa S Miura K Namba H 《Neurologia medico-chirurgica》2008,48(6):266-270
A 52-year-old man presented with an extremely rare case of synovial chondromatosis in the temporomandibular joint (TMJ) with extension into the middle cranial fossa manifesting as swelling and exacerbation of pain. He had a long history of right TMJ disorders. Computed tomography and magnetic resonance imaging showed a mass in the right TMJ with extension into the intracranial part through the destroyed temporal skull base. The preoperative diagnosis was chondrosarcoma or osteosarcoma. The patient underwent surgery via combined trans-zygomatic temporal skull base and pre-auricular approaches and the mass was totally removed. Histological examination found an enormous number of closely packed loose bodies of various sizes, consisting of hyaline chondrocytes. The histological diagnosis was synovial chondromatosis. This rare lesion is difficult to discriminate from chondrosarcoma, so total removal is essential for correct diagnosis and cure. 相似文献
4.
Intra-articular synovial chondromatosis in the hand is rare but should be considered in the differential diagnosis of a swollen, stiff or painful joint. Other possible diagnoses include osteoarthritis, rheumatoid arthritis, gout, trauma and chronic infection, and unless enchondral ossification of loose bodies is seen the diagnosis of synovial chondromatosis may not be made preoperatively. A 69-year-old man with synovial chondromatosis of the metacarpophalangeal joint is reported. The joint was swollen and tender. He had not sustained trauma and there was no evidence of arthritis, involvement of other joints or infection. Complete synovectomy with removal of all loose bodies was successful and his symptoms resolved. Intra-articular synovial chondromatosis is a benign condition, but spontaneous resolution is the exception and surgical synovectomy remains the most effective treatment. 相似文献
5.
Ozçelik IB Kuvat SV Mersa B Pilancı O 《Acta orthopaedica et traumatologica turcica》2010,44(4):337-339
Synovial chondromatosis is an uncommon condition, characterized by multinodular cartilagineous proliferation of the joint synovium. There are only a few case reports of synovial chondromatosis involving the hand in the literature. A case of synovial chondromatosis of the ring finger is reported in this paper. 相似文献
6.
Desiree M. Scholl Kristie L. Taddie 《The Journal of foot and ankle surgery》2010,49(6):565.e13-565.e17
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. 相似文献
7.
Hedley Coleman Edward Chandraratnam Gary Morgan Lavier Gomes Fiona Bonar 《Head and neck pathology》2013,7(3):304-309
Synovial chondromatosis of the temporomandibular joint is rare. Even less commonly documented is the progression of synovial chondromatosis to a synovial chondrosarcoma. The aim of this paper is to present only the third case of synovial chondrosarcoma of the temporomandibular joint. Distinction between these two entities by histology alone is extremely difficult and even though it is advised that the definitive diagnosis should be based on clinical, radiographic and histological evidence, this has proved not to be so simple. The patient, a 63 year old female presented with a swelling associated with her left temporomandibular joint. CT and MRI scans confirmed the presence of a periauricular chondroid mass. Fine needle aspiration biopsy revealed an atypical chondroid lesion that was supicious for a chondrosarcoma. The left temporomandibular joint and surrounding tissues were resected after further imaging and extensive clinical, radiological and cytologic consultations. A diagnosis of synovial chondrosarcoma arising in synovial chondromatosis was made. 相似文献
8.
Total joint arthroplasty is commonly recommended as a definitive treatment for synovial chondromatosis refractory to other treatment. We describe a unique case of synovial chondromatosis developing after total joint arthroplasty in a patient presenting 5 years after total knee arthroplasty for osteoarthritis. This case illustrates that the diagnosis of synovial chondromatosis cannot be excluded in a patient with chronic, painful swelling of a joint, even after total joint arthroplasty. 相似文献
9.
J. Ozaki M. D. Y. Tomita Y. Nakagawa O. Kisanuki S. Tamai 《Archives of orthopaedic and trauma surgery》1993,112(3):152-154
Summary Synovial chondromatosis involving the acromioclavicular joint is very rare. We report a case of synovial chondromatosis of the acromioclavicular joint associated with synovial cyst formation. Arthrography of the acromioclavicular joint revealed that the loose bodies lay within a synovial cyst which was in communication with the acromioclavicular joint. Synovectomy including removal of the synovial cyst and the loose bodies relieved symptoms completely. The patient was still pain- and recurrence-free at 4 years' follow-up. 相似文献
10.
Hocking R Negrine J 《Foot & ankle international / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society》2003,24(11):865-867
Primary synovial chondromatosis is a rare benign condition characterized by the formation of multiple cartilaginous nodules in the synovium of joints and on occasions tendon sheaths or bursae. A case of primary synovial chondromatosis affecting the subtalar joint is reported. The patient's brother developed the same condition affecting the same joint 2 years later. The proposed etiologies are discussed including the presence of the proto-oncogene C-erb B-2. 相似文献
11.
《Journal of plastic surgery and hand surgery》2013,47(5):347-349
AbstractA 40-year-old woman presented with a six-month history of synovial chondromatosis of the metacarpophalangeal joint of the right ring finger, which was resected through both dorsal and volar incisions. To our knowledge there have been only 17 reported cases of articular synovial chondromatosis of the digital joint so far. We present a case affecting the metacarpophalangeal joint with a review of scattered information found in other 17 reports. 相似文献
12.
Articular synovial chondromatosis is a rare disease commonly affecting the knee, hip or elbow, and characterised by the formation of metaplastic cartilaginous foci in the synovium. A case of synovial chondromatosis affecting the shoulder joint is now reported because of the extreme rarity of the disease in this situation. 相似文献
13.
A case of synovial chondromatosis compressing the motor branch of the ulnar nerve of the left hand is presented. Radiographs demonstrated soft tissue calcification. The electrophysiological study confirmed denervation of the intrinsic hand muscles. During surgical exploration, synovial chondromatosis arising from the pisotriquetral joint compressing on the motor branch of the ulnar nerve was seen. Treatment consisted of pisiformectomy, partial synovectomy and removal of loose bodies. 相似文献
14.
Christos K. Kyriakopoulos Andreas F. Mavrogenis Ioannis S. Benetos Demetrios Koulalis Argyris Mitsou Panayiotis J. Papagelopoulos 《European journal of orthopaedic surgery & traumatology : orthopedie traumatologie》2006,16(1):75-79
A 34-year-old male soccer player with chronic right ankle dysfunction and a history of repeated ankle joint injuries is presented. Imaging studies revealed synovial chondromatosis of the ankle joint. Arthroscopic partial synovectomy was performed and more than 20 loose bodies were excised. Four months postoperatively the patient was asymptomatic and has returned to his previous level of sport activities. At the latest follow-up, 2 years after the initial diagnosis there is no local recurrence of the disease. Arthroscopy is a minimal invasive surgical technique, with satisfactory results in the treatment of synovial chondromatosis of the ankle joint. 相似文献
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17.
关节镜下诊断与治疗滑膜软骨瘤病 总被引:3,自引:0,他引:3
目的:探讨关节滑膜软骨瘤病在关节镜下的表现、诊断要点、治疗及疗效分析。方法:本组24例,共26个关节,其中膝关节23个,肘关节2个,踝关节1个;男17例,女7例,男女比例2.4:1;年龄18-73岁,平均53岁。均行关节镜检查镜下软骨瘤取出及病变滑膜切除,并描述了该病在关节镜下的表现形式(滑膜表面型;滑膜层包裹型;关节囊纤维层包裹型;游离体型)和处理方法。结果:22例24个关节获得了平均24.5个月随访,未见复发,关节功能均好于术前,效果满意。仅有2例遗漏了2个游离体,无其它并发症。结论:关节镜下游离体摘除和滑膜切除术是治疗滑膜软骨瘤病的良好方法。 相似文献
18.
Anastasios V. TokisSofia I. Andrikoula M.D. Vassilios T. ChouliarasHaris S. Vasiliadis M.D. Anastasios D. Georgoulis 《Arthroscopy》2007
Primary synovial chondromatosis of the shoulder is a rare condition. We present the case of a 24-year-old man with a 6-month history of right shoulder pain and decreased range of motion. Computed tomography and magnetic resonance imaging findings led us to the diagnosis of synovial chondromatosis of the shoulder. Arthroscopy revealed loose bodies in the glenohumeral joint, the biceps tendon sheath, and the subscapularis recess. Active intrasynovial proliferation of the axillary pouch was noted. All loose bodies were removed arthroscopically, and partial synovectomy was performed. Histologic examination confirmed the diagnosis of primary synovial chondromatosis. We recommend arthroscopic treatment for synovial chondromatosis of the shoulder because of low morbidity and early functional return. 相似文献
19.
T. Yamaguchi M. Naito I. Asayama M. Fujisawa T. Ishiko T. Kambe K. Shiramizu 《Journal of orthopaedics and traumatology》2003,4(2):90-91
We have used arthroscopy in the treatment of synovial chondromatosis of the hip joint. Two patients complained of pain of
the hip joint that was aggravated by weight bearing. On admission, range of motion of the affected hip joints was slightly
restricted. At hip arthroscopy, osteochondral loose bodies were removed from the joint and partial synovectomy was performed.
Histologic examination revealed synovial chondromatosis. Pain relief was obtained in both patients postoperatively. 相似文献
20.
Gallia GL Weiss N Campbell JN McCarthy EF Tufaro AP Gokaslan ZL 《Journal of neurosurgery. Spine》2004,1(2):211-218
Synovial chondromatosis is an uncommon disorder characterized by the formation of multiple cartilaginous nodules within the synovium, most commonly affecting large joints. Its involvement with the spine is rare; only six cases have been reported. The authors describe two patients with synovial chondromatosis involving the cervical spine. In the first case, synovial chondromatosis arose from the left C1-2 facet joint. This patient underwent a two-stage procedure including a posterior approach for tumor resection and occipitocervical fusion as well as a transmandibular circumglossal approach to the anterior craniocervical junction to complete the tumor removal. Interestingly, on histopathological examination, scattered foci of low-grade chondrosarcoma were intermixed within the synovial chondromatosis. To the authors' knowledge, this is the first report of secondary low-grade chondrosarcoma arising in vertebral synovial chondromatosis. In the second case, synovial chondromatosis involved the left C4-5 facet joint. Tumor resection and cervical fusion were performed via a posterior approach. In this report, the authors describe the clinical presentation, radiographic findings, operative details, histopathological features, and clinicoradiological follow-up data obtained in these two patients and review the literature pertaining to this rare entity. 相似文献