Synovial Chondromatosis Affecting a Digital Proximal Interphalangeal Joint

Abstract

We present a case of synovial chondromatosis affecting the interphalangeal joint where the disease did not clearly manifest itself on pre-operative radiographs. Although rare, surgeons should consider articular synovial chondromatosis as a differential for pain and stiffness in any joint, even those of the hand.

Synovial Chondromatosis in the Metacarpophalangeal Joint

“…Further research and evidence is required to determine more accurate modalities of diagnosis and prevention of recurrence. 49 67 M PIP 3 years X-ray Ex, LBR, Ar No 5 months Takami et al 50 52 F PIP 10 years X-ray Ex, Syn, LBR Yes 3 years Tudor et al 51 52 M Radioulnar 3 months X-ray, MRI LBR, Syn No 1 year Tyllianakis et al 52 61 F Wrist Unknown X-ray, MRI Ex, LBR No 1 year Ueo et al 53 37 M PIP Unknown X-ray Ex, Syn, LBR No 6 months Vinchon et al 54 14 M MCP 2 years X-ray Ex, LBR No 8 years Yonekura et al 55 57 F L CMC 5 years X-ray, CT Ex, Syn No 3 years Christoforou et al 13 28…”

“…1,2,17,29 The exact procedures differed slightly, but the majority involved excision, removal of loose bodies, and synovectomy as seen in Table 1. 3,10,40 As reported by Spiers et al, 49 surgical procedures differed from a simple synovectomy to arthrodesis of patients with greater burden of disease. Recurrence was reported as 35% in the literature, as there were 23 of 65 cases in the hand and wrist which presented with recurrence (Table 1).…”

A Rare Case of Distal Interphalangeal Chondromatosis in the Middle Finger: Case Report With Review of Literature

“…The rarest location is in the hand (2% of cases) (4). Location in metacarpophalangeal joints (2, 5-9), proximal interphalangeal joints (2,(10)(11)(12)(13)(14) and thumb (15)(16)(17)(18) have been reported in the literature.…”