Recurrent synovial chondromatosis treated with menisectomy and synovectomy

Lucas, Jay H; Quinn, Peter D.; Foote, Joseph; Baker, Stephen B.; Bruno, James R.

doi:10.1016/s1079-2104(97)90339-5

Cited by 19 publications

(15 citation statements)

References 18 publications

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“…Although rare, recurrences can occur [15,34,35]. Thus, regardless of treatment modality, it is imperative to proceed to complete removal of the cartilaginous nodules and synovia [4,36].…”

Section: Discussionmentioning

confidence: 99%

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Synovial Chondromatosis of the Temporomandibular Joint Successfully Treated by Surgery

Pinto¹,

Costa²,

Sousa

et al. 2015

Head and Neck Pathol

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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 followup features of this lesion are also discussed. To our knowledge, this is the second report of SC of the TMJ in Brazil.

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“…Although rare, recurrences can occur [15,34,35]. Thus, regardless of treatment modality, it is imperative to proceed to complete removal of the cartilaginous nodules and synovia [4,36].…”

Section: Discussionmentioning

confidence: 99%

“…Thus, regardless of treatment modality, it is imperative to proceed to complete removal of the cartilaginous nodules and synovia [4,36]. The assessment of synovia as well as its removal seems to be associated with the prevention of SC recurrence [34,35].…”

Section: Discussionmentioning

confidence: 99%

Synovial Chondromatosis of the Temporomandibular Joint Successfully Treated by Surgery

Pinto¹,

Costa²,

Sousa

et al. 2015

Head and Neck Pathol

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“…Le taux de récidive post-opératoire rapporté est de 15 % [24] avec un recul de 3 ans [17] et serait en rapport avec une synovectomie incomplète [1]. Le cas échéant, une discectomie avec synovectomie peut être proposée [25]. La dégénérescence sarcomateuse a été exceptionnellement décrite dans 5 % des cas [24].…”

Section: Discussionunclassified

La chondromatose synoviale temporo-mandibulaire : à propos de 4 cas cliniques et revue de la littérature

Umana

Piral

Princ

et al. 2015

Med Buccale Chir Buccale

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Résumé -Introduction : L'ostéochondromatose ou chondromatose synoviale temporo-mandibulaire est une arthropathie chronique bénigne d'étiologie inconnue. Elle se caractérise par une métaplasie chondroïde de la membrane synoviale ayant pour résultat la formation intra-articulaire de corps cartilagineux ou ostéo-cartilagineux. Observations : Quatre cas d'ostéochondromatose synoviale de l'ATM sont envisagés : le premier exhibait un tableau clinique similaire à celui d'un désordre temporo-mandibulaire (DTM) ; quant aux trois autres, ils furent diagnostiqués à la suite d'une tuméfaction de la région prétragienne. Discussion : Cette pathologie se révèle par des signes articulaires similaires à ceux d'un DTM. Un bilan radiologique par tomodensitométrie ou par imagerie par résonance magnétique permet d'évoquer le diagnostic. Le traitement est l'ablation des corps étrangers. L'évolution est favorable avec un faible taux de récidive. Conclusion : Les signes cliniques aspécifiques compliquent le diagnostic de cette pathologie. La confrontation des éléments cliniques, radiologiques et histologiques permet de poser le diagnostic.Abstract -Synovial chondromatosis of the temporomandibular joint: 4 case reports and literature review. Introduction: Synovial osteochondromatosis or chondromatosis of the Temporomandibular Joint (TMJ) is a benign arthropathy of unknown etiology that is characterized by chondrometaplasia of the synovial membrane, resulting in multiple intra-articular cartilaginous bodies. Observations: We present four cases of this disorder: the first case presented signs and symptoms of TMJ disorder and the other three presented a preauricular swelling. Discussion: Patients usually present articular symptoms similar to those related to TMJ disorders. Imaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI) are used for the diagnosis. Treatment of synovial chondromatosis usually consists of removal of the intra-articular bodies. The recurrence rate is low. Conclusion: Aspecific articular symptoms complicate the diagnosis of this pathology. The diagnosis is made by assessing the clinical, radiological and histological findings.

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“…Most authors postulate arthroscopy and synovectomy [1,4,11] in case of benign synovial osteochondromatosis. Malignant transformation-like chondrosarcoma need ''en bloc resection'' or amputation of the affected joint [2].…”

Section: Discussionmentioning

confidence: 99%

Synovial osteochondromatosis in a 9-year-old girl: clinical and histopathological appearance

Tiedjen

Senge

Wiese

2005

Knee Surg Sports Traumatol Arthrosc

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This article reports the clinical and histopathological appearance of synovial osteochondromatosis in the right knee joint of a 9-year-old girl. Initial symptoms such as monoarticular joint swelling led to further diagnostic procedures with the aid of different imaging techniques including X-ray examination and MRI. The definitive diagnosis was based on histopathological findings after performing arthroscopy of the affected joint and the intraoperative appearance of the synovial lesions. Besides antiphlogistical drug-therapy, the treatment of choice is synovectomy.

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Recurrent synovial chondromatosis treated with menisectomy and synovectomy

Cited by 19 publications

References 18 publications

Synovial Chondromatosis of the Temporomandibular Joint Successfully Treated by Surgery

Synovial Chondromatosis of the Temporomandibular Joint Successfully Treated by Surgery

La chondromatose synoviale temporo-mandibulaire : à propos de 4 cas cliniques et revue de la littérature

Synovial osteochondromatosis in a 9-year-old girl: clinical and histopathological appearance

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