Arthroscopy in primary synovial chondromatosis of the hip

Abstract

Between 1985 and 2000, 120 patients underwent arthroscopic management for primary synovial chondromatosis of the hip. We report the outcome of 111 patients with a mean follow-up of 78.6 months (12 to 196). More than one arthroscopy was required in 23 patients (20.7%), and 42 patients (37.8%) went on to require open surgery. Outcomes were evaluated in greater detail in 69 patients (62.2%) treated with arthroscopy alone, of whom 51 (45.9%) required no further treatment and 18 (16.2%) required further arthroscopies. Of the 111 patients, 63 (56.7%) had excellent or good outcomes. At the most recent follow-up, 22 patients (19.8%) had undergone total hip replacement. Hip arthroscopy proved beneficial for patients diagnosed with primary synovial chondromatosis of the hip, providing good or excellent outcomes in more than half the cases.

Hip arthroscopy: What to tell your patient

“…31 In a recent review, 197 patients underwent hip arthroscopy for removal of intra-articular osteochondral fragments and synovectomy to alleviate both mechanical symptoms and pain. 32 Follow-up periods ranged from one to 184 months.…”

Hip Arthroscopy for Synovial Chondromatosis: Tips and Tricks

“…5 Arthroscopic removal of the loose bodies is effective to alleviate symptoms and prevent secondary joint changes with or without synovectomy. 2 Other techniques for using tools for loose body removal should be mentioned. Randelli et al 6 described the use of a flexible endotracheal catheter with applied suction; however, the small diameter often required piecemeal removal of individual loose bodies through a separate larger-bore cannula.…”

“…Hip arthroscopy is commonly used for loose body removal in the surgical treatment of SC. 2 Arthroscopic removal of loose bodies with synovectomy is advantageous because it offers less perioperative morbidity than the open surgical approach. Mastery of basic hip arthroscopy portals and technique is crucial.…”

Tratamento artroscópico da osteocondromatose sinovial no quadril

“…A maioria dos casos ocorre no joelho e cotovelo (2,3,(5)(6)(7)(8) . Existem poucas descrições no quadril (15) . Em nosso meio os relatos restringem-se a casos com acometimento do joelho e ombro (16)(17)(18) .…”

“…Esse tipo de abordagem ampla implica, no entanto, maior morbidade e risco de complicações (20,21) . Num estudo recente, Boyer e Dorfmann (15) relatam a experiência com o tratamento artroscópico da condromatose sinovial do quadril. Resultados bons e excelentes foram obtidos em mais da metade dos pacientes e o seguimento médio foi maior que seis anos, com índice de recidiva em torno de 40%.…”