共查询到20条相似文献,搜索用时 15 毫秒
1.
Aécio Abner Campos Pinto Jr. Rafael Ferreira e Costa Sílvia Ferreira de Sousa Marcelo Roncalli Pinheiro Chagas Maria Auxiliadora Vieira do Carmo Júlio César Tanos de Lacerda 《Head and neck pathology》2015,9(4):525-529
Synovial chondromatosis (SC) is a chronic process, defined as a reactive cartilaginous proliferation, characterized by formation of cartilaginous nodules, usually loose in the joint space of the synovial membrane. It mainly affects large joints such as knee, hip, shoulder, and elbow, commonly in male patients. However, its manifestation in the Temporomandibular joint (TMJ), is a rare finding, occurring predominantly in females. This paper reports a case of a woman who presented to the service of Stomatology complaining of mouth opening limitations and pain in her left pre-auricular region. After clinical and radiographic analyses, the condition was diagnosed as SC of the TMJ. The loose bodies within the TMJ were removed under general anesthesia. Histological and follow-up features of this lesion are also discussed. To our knowledge, this is the second report of SC of the TMJ in Brazil. 相似文献
2.
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
3.
George Lyritis 《Acta orthopaedica》1976,47(4):373-374
Synovial chondromatosis is an extremely rare affection of the inferior radio-ulnar joint. The case in this study presented with mild episodes of swelling and pain in the wrist and discomfort during forearm rotation. 相似文献
4.
5.
6.
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
7.
Synovial Chondromatosis 总被引:1,自引:0,他引:1
8.
《Acta orthopaedica》2013,84(6):919-925
During 1969–72 138 total hip replacements were performed according to the technique of Müller. The mean age of the patients at operation was 65.4 years. The results were analysed 9–12 years after the operation. Deep infection occurred in two cases necessitating removal of the prosthesis. Eighteen per cent (25/138) were reoperated on because of mechanical failure, the prosthesis was exchanged in 20 of them. Radiological signs of loosening of either component were found in a further 17 patients; only two had symptoms. The total loosening rate was thus 33 per cent (42/138). Twenty-six patients with 31 operated hips died during the observation period. In all of these the aim of the operation was achieved. The remaining cases were evaluated for the long-term results of total hip replacement. These were found to be satisfactory in all of but two cases with symptoms of mechanical failure. Loosening of the femoral stem was associated with varus position, while no relationship was found between loosening of the acetabular cup and the degree of inclination. 相似文献
9.
10.
11.
K. E. Kofman A. H. Schuurman M. C. Mulder S. A. M. W. Verlinde L. M. Gierman P. J. van Diest R. L. A. W. Bleys 《Journal of hand and microsurgery》2014,6(1):18-25
Pisotriquetral (PT) osteoarthritis (OA) and enthesopathy of the flexor carpi ulnaris (FCU) are pathologies of the hypothenar eminence which both often remain undiagnosed, but can cause ulnar wrist pain. This study determined the prevalence of these pathologies in an older donor population. Twenty wrists were obtained from 10 cadavers with an age ranging from 65 to 94 years. Radiographs were taken of all wrists with the hand in pisotriquetral view and were assessed for osteoarthritic changes of the PT joint and signs of enthesopathy of the FCU. Ten wrists were grossly dissected and the other ten wrists were sagitally sectioned at a thickness of 10 μm. The wrists were analyzed for type and grade of osteoarthritis and signs of enthesopathy. On radiology, 2 out of 20 wrists showed no signs of osteoarthritis, 5 wrists showed severe changes. One wrist showed signs of enthesopathy. On macroscopy, 9 out of 10 wrists showed osteoartritic changes; 5 of these were severely osteoarthritic. On microscopy, all wrists showed some degree of osteoarthritis of which five showed severe changes. Signs of enthesopathy were seen in seven wrists. Pisotriquetral osteoarthritis has a high prevalence in the older donor population and may therefore be a cause of ulnar sided wrist pain. It should therefore always be considered in the differential diagnosis of ulnar sided wrist pain. By performing clinical examination with these pathologies in mind, diagnosis could be a lot faster. Furthermore, based on our results, radiographs seem to be not accurate in diagnosing osteoarthritis of the PT joint and enthesopathy of the FCU. 相似文献
12.
13.
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
14.
Mahmut Nedim Doral MD Akin Uzumcugil MD Murat Bozkurt MD Ozgur Ahmet Atay MD Akin Cil MD Gursel Leblebicioglu MD Onur Tetik MD 《The Journal of foot and ankle surgery》2007,46(3):192-195
We report a case of synovial chondromatosis of the ankle joint, which has been successfully treated with arthroscopic removal of loose bodies and synovectomy, with the patient immediately returning to school and activities of daily living. Recovery after arthroscopic debridement and loose body removal is much shorter in comparison with arthrotomy, and there is no need of immobilization postoperatively. 相似文献
15.
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
16.
Ikuo Fujita MD Keiji Matsumoto MD Minetaka Maeda MD Tomohiko Kizaki MD Yoshiyuki Okada MD Tetsuji Yamamoto MD 《The Journal of foot and ankle surgery》2006,45(1):47-51
Synovial osteochondromatosis arising in the foot is a rare condition. We report a 69-year-old woman with synovial osteochondromatosis of the Lisfranc joint. The patient presented with a 10-year history of left foot pain. Imaging studies showed multiple calcified masses around the Lisfranc joint. We performed a synovectomy and removal of the loose bodies in the dorsal, lateral, and plantar aspects of the Lisfranc joint by dislocating the bases of the fourth and fifth metatarsal bones. To our knowledge, this is only the second case report of synovial osteochondromatosis involving the Lisfranc joint. 相似文献
17.
A gymanast developed ulnar wrist pain caused by pisotriquetral instability. Pisotriquetral arthrodesis resulted in pain relief and sufficient functional return to allow her to return to gymnastics. Pisotriquetral arthrodesis is a feasible alternative to pisiform excision worth consideration in high-demand patients with symptomatic pisotriquetral instability or arthrosis. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic, Level V. 相似文献
18.
Sarah Hew-Ming Wong Sam Salama Achilleas Thoma 《CANADIAN JOURNAL OF PLASTIC SURGERY》2003,11(1):47-52
Synovial chondromatosis is a rare condition that is probably caused by synovial connective tissue metaplasia. It is very rare in the hand and wrist and because of its low prevalence and nonspecific symptoms, synovial chondromatosis can present diagnostic difficulties for the hand surgeon and may lead to a delay in treatment. We review the literature and report three additional cases of synovial chondromatosis in the hand. 相似文献
19.
Meagan E. Tibbo Cody C. Wyles Peter S. Rose Franklin H. Sim Matthew T. Houdek Michael J. Taunton 《The Journal of arthroplasty》2018,33(7):2173-2176
Background
Synovial chondromatosis (SC) is a rare disease involving cartilaginous metaplasia of synovial tissue. Treatment via synovectomy and loose body removal alone results in elevated recurrence rates, with up to 1 in 5 patients requiring conversion to a hip arthroplasty. The purpose of this study is to investigate outcomes of hip arthroplasty in the setting of SC, focusing on (1) disease-specific survival, (2) implant survivorship and complications, and (3) clinical outcomes.Methods
We identified 26 patients with histologically confirmed SC who underwent hip arthroplasty between 1970 and 2015. Mean follow-up and patient age were 10 years (range 2-35) and 55 years (range 26-82), respectively. At the time of arthroplasty, 21 (81%) patients had “active” disease and underwent synovectomy. No constrained acetabular components were used. Six patients (23%) had a preoperative flexion contracture.Results
The 15-year disease-free survival was 89%. Recurrence occurred in 3 patients at a mean of 0.8 years (range 0.03-1.2) postoperatively. Thirteen patients (50%) sustained a complication [most commonly aseptic loosening (n = 3, 12%)] and 7 required revision surgery. The 10-year and 15-year revision-free survival was 82% and 64%, respectively. Mean Harris Hip Score improved significantly from 50 (range 23-85) preoperatively to 82 (range 44-100) postoperatively (P < .001).Conclusion
Arthroplasty with simultaneous synovectomy provides reliable pain relief and excellent disease-specific survival at long-term follow-up; however, revision and complication rates were high. 相似文献20.
Arthroscopic Retrieval of over 100 Loose Bodies in Shoulder Synovial Chondromatosis: A Case Report and Review of Literature 下载免费PDF全文
Pradyumna Raval MCh Ashish Vijayan FRCS Arpit Jariwala FRCSEd MD 《Orthopaedic Surgery》2016,8(4):511-515
Synovial chondromatosis is a rare and benign condition of unknown cause. It is also known as synovial osteochondromatosis. It is characterized by involvement of the synovial tissue, which lines various joints of our body. Initial symptoms range from pain in the joint, locking of the joint at times, especially the knee, to arthritis of the joint that is a late feature of this condition. Although large joints such as the knee are commonly affected, involvement of the shoulder joint is a rare occurrence. Historically an open arthrotomy was preferred for removal of loose bodies coupled with a thorough synovectomy. However, arthroscopy for loose body retrieval has gained popularity over the past two decades. Arthroscopic surgery is an extremely skilled procedure and there is a learning curve for operating in certain anatomical areas such as the shoulder. However, not only does an arthroscopy provide the surgeon with an excellent view of the shoulder but the patient also has a faster recovery. We report a rare case of shoulder synovial chondromatosis in which more than 100 loose bodies were successfully retrieved by an arthroscopy in an individual who had an excellent outcome post‐surgery, reaffirming our faith in the procedure. A detailed literature review of arthroscopic procedures is also presented. 相似文献