Extra-articular synovial chondromatosis of the ankle

Tibrewal, Saket; Iossifidis, Anestis

doi:10.1302/0301-620x.77b4.7615619

Cited by 17 publications

(10 citation statements)

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“…In our case, open surgical excision was performed with satisfactory outcome at one year with no clinical evidence of recurrence or joint arthrosis. Arthrodesis or arthroplasty is an option in joint with significant degenerative changes [13]. In one case, subtalar arthrodesis was performed as secondary procedure [4] due to persistent pain.…”

Section: Discussionmentioning

confidence: 99%

Subtalar and Extra Articular Synovial Chondromatasis

Bahari¹,

McKenna²

2012

JCR

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Synovial chondromatosis is an uncommon condition affecting large joints such as hip, knee, shoulder and elbow. Diagnosis can be achieved by history, examination and radiographic findings. Histological diagnosis is definitive. A 53 year old female patient presented with 2 months history of ankle injury and was treated as ankle sprain. A diagnosis of monoarticular synovial chondromatosis affecting the subtalar joint with extra articular involvement was made and treated with excision of lesion with satisfactory outcome at one-year review. We found 4 cases of subtalar synovial chondromatosis in the English literature but no history of trauma documented their presenting compliant. The injury had prompted the investigation, treatment and may contribute to the satisfactory outcome as the condition was treated at an earlier stage.

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Section: Discussionmentioning

confidence: 99%

Subtalar and Extra Articular Synovial Chondromatasis

Bahari¹,

McKenna²

2012

JCR

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“…Sur une série de 32 cas de chondromatose synoviale, Murphy et al ont rapporté un cas de localisation au niveau de la cheville [5,6]. Ces corps étrangers peuvent être intra-et extraarticulaires comme c'est le cas rapporté par Tiberewal et Iossifidis [7]. Sur le plan radiologique, le diagnostic est aisé lorsqu'on observe des ostéochondromes qui peuvent être uniques ou multiples, se projetant au contact d'une articulation.…”

Section: Discussionunclassified

Synovial chondromatosis of the ankle: two cases

et al. 2008

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Nous rapportons deux observations d'ostéo-chondromatose synoviale de la cheville. Les aspects cliniques, radiologiques et thérapeutiques sont décrits. L'ablation des corps étrangers intra-articulaires associée à une synovectomie fait disparaître la douleur et restaure la fonction de l'articulation. Mots clés : Chondromatose synoviale -ChevilleSynovial chondromatosis of the ankle: two cases Abstract: We report two cases of synovial chondromatosis of the ankle joint. The clinical, radiographic and therapeutic findings are described. Removal of the intra-articular loose bodies and synovectomy resulted in relief of pain and restored the joint function.

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“…La chondromatose synoviale des gaines tendineuses peut prêter confusion avec un chondrome des parties molles ou un chondrosarcome, surtout en cas d'extension tumorale rapide associée à des lésions ostéocartilagineuses. C'est dire l'intérêt d'un diagnostic précis reposant sur la confirmation de l'origine synoviale de la prolifération cartilagineuse [6,12].…”

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Chondromatose synoviale de la gaine des tendons fibulaires

et al. 2006

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La chondromatose synoviale est une métaplasie ; elle entraîne la prolifération cartilagineuse du tissu synovial qui détermine la formation de chondromes pouvant s'ossifier (ostéochondromes). À notre connaissance, l'atteinte de la gaine des tendons fibulaires n'a jamais été décrite dans la littérature. Les auteurs rapportent l'observation d'un footballeur âgé de 36 ans qui se plaignait d'une tuméfaction de la région malléolaire latérale de la cheville gauche, sans douleur, mais avec gêne au chaussage. Après excision et synovectomie, le diagnostic de la tumeur retenu était une chondromatose synoviale de la gaine des tendons péroniers.Touchant souvent les grosses articulations, la chondromatose est rarement extra-articulaire. L'atteinte des gaines tendineuses se situe essentiellement à la main et au pied. L'aspect clinique et radiologique peut prêter confusion avec un chondrosarcome de bas grade. C'est dire l'intérêt d'un diagnostic précis confirmé par une étude anatomo-pathologique. Le traitement repose sur une excision de tous les chondromes, associée à une synovectomie afin d'éviter la récidive. Synovial chondromatosis of fibular tendon sheathAbstract: Synovial osteochondromatosis (SOC) is characterized by synovial membrane metaplasia with production of small cartilaginous nodules that protrude on the inner surface of the synovial membrane, undergo pedunculation, and finally break off. Free cartilage fragments may undergo ossification. To our knowledge, fibular sheath localization has not been previously described. The authors report a case of a 36 year-old football player, who presented a one year history of swelling over the malleolar region of the left ankle, without pain or functional deficit. After excision and synovectomy, the diagnosis was a synovial chondromatosis of the fibular tendons sheath.The chondromatosis involves large articulations and the extra articular form is rare. The involvement of tendinous sheaths concerns usually the hand and foot. The clinical and radiological features may be mistaken for low grade chondrosarcoma. For an accurate diagnosis, the histological confirmation is important. The excision of loss bodies with synovectomy permits to avoid the recurrence.

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Extra-articular synovial chondromatosis of the ankle

Cited by 17 publications

References 1 publication

Subtalar and Extra Articular Synovial Chondromatasis

Subtalar and Extra Articular Synovial Chondromatasis

Synovial chondromatosis of the ankle: two cases

Chondromatose synoviale de la gaine des tendons fibulaires

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