Synovial chondromatosis in a young child: A rare presentation

Srinivas, Kuppa; Rajaiah, Dema; Ramana, Yerukala; Kumar, Puppula Kiran

doi:10.4103/2277-8632.153318

Cited by 4 publications

(7 citation statements)

References 4 publications

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“…Arthroscopic removal of loose bodies alone or in conjunction with synovectomy has given similar outcomes [13]. The recurrence rate has been reported as 3-23% [5,6].…”

Section: Discussionmentioning

confidence: 99%

“…PSC has been recognized as 'snowstorm knee', 'Reichel syndrome', and literature presents with only a few case reports [7,9]. Males are predominantly affected more as compared to females and commonly there is affection in the age group of 20 to 50 years with affection in children being rarely reported [2][3][4][5][6][7]10].…”

Section: Discussionmentioning

confidence: 99%

“…Primary synovial chondromatosis (PSC) affecting the knee characteristically has cartilaginous nodules, usually intraarticular, forming loose bodies of unknown etiology [2][3][4]. A benign disorder that may cause synovial metaplasia with monoarticular knee synovitis [5]. Such an uncommon etiology poses diagnostic and management dilemmas.…”

Section: Introductionmentioning

confidence: 99%

“…Such an uncommon etiology poses diagnostic and management dilemmas. The literature review presented a few case reports of PSC affecting the knee joint as rare presentations [3,[5][6][7]. Arthroscopic synovectomy has given good functional outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Synovial Chondromatosis-Induced Monoarticular Knee Arthritis: Challenges With Arthroscopic Synovectomy on Late Presentation

Tomar¹,

Arya²,

Govil³

et al. 2022

Cureus

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Unilateral painful swelling of the knee is one of the most common orthopedic presentations. Monoarticular synovitis of the knee may be present due to inflammation, trauma, age-related degeneration, or tumor pathology. Primary synovial chondromatosis (PSC) is an uncommon cause.A 40-year-old female presented with painful swelling of her left knee for around nine months. She had a flexion deformity of her left knee with minimal hydrops. The radiograph showed speckled calcifications and osteopenia with a reduction of medial joint space. MRI imaging confirmed synovitis with calcifications. She underwent an arthroscopic synovectomy for her management. Her biopsy was consistent with synovial chondromatosis. The initial progression was favorable to allowing independent, unsupported, pain-free activities of daily routine. At three months, however, there was disease progression, causing limitation of knee movements and the need for a walker for support.An uncommon cause of synovitis presents at a late stage with a delay in the early diagnosis and early recognition. PSC is considered a benign lesion with good functional outcomes after arthroscopic surgery. Recurrence and poor functional outcome possibly suggest aggressive disease.A delayed diagnosis and late presentation may be susceptible to recurrence and poor functional outcome, even after an adequate arthroscopic debridement and rigorous post-operative rehabilitation program.

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“…Arthroscopic removal of loose bodies alone or in conjunction with synovectomy has given similar outcomes [13]. The recurrence rate has been reported as 3-23% [5,6].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Synovial Chondromatosis-Induced Monoarticular Knee Arthritis: Challenges With Arthroscopic Synovectomy on Late Presentation

Tomar¹,

Arya²,

Govil³

et al. 2022

Cureus

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“…2011 [ 24 ] 15 F Right shoulder N/A Plain radiographCT scan MRI N/A N/A Narasimhan R. 2011 [ 7 ] 11 F Left elbow Persistent pain with limited range of motion precipitated by trauma for 2 months Plain radiographCT scanMRI Circumscribed lobulated nodules of osteocartilaginous tissue with the stroma consisting of cellular fibroblastic tissue Arthroscopic removal of loose bodies and synovectomy Kukreja S. 2013 [ 12 ] 16 M Left knee Pain, swelling, and restriction for 1 year Plain radiographMRI Lobules of cartilage without cellular atypia and papillary hypertrophy of synovium with increased vascularity Arthrotomy with loose body removal and extensive synovectomy Giancane G. 2013 [ 2 ] 7 M Left knee Pain, swelling, and limping gait for 2 months Plain radiograph UltrasoundMRI Vascularized synovial tissue with a slack edematous component, a focal papillar pattern covered by synovial cells (CD163+), and a slight mononucleate infiltrate that resembled aspecific hyperplastic synovitis Arthroscopy with loose body removal and synovectomy Raza A. 2014 [ 18 ] 12 F Right hip Pain for 1 year Plain radiographMRI N/A Arthrotomy with loose body removal and synovectomy Srinivas K. 2015 [ 13 ] 10 F Left knee Swelling with occasional pain for 4 months Plain radiographMRI …”

Section: Discussion and Review Of The Literaturementioning

confidence: 99%

Synovial osteochondromatosis mimicking juvenile idiopathic arthritis in an adolescent: a case-based review

et al. 2022

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Synovial osteochondromatosis is an extremely rare benign condition in children and adolescents that have joint pain as a presenting manifestation. It is usually monoarticular with the knee as the most common affected joint. In this article, we describe the case of a female adolescent suffering from debilitating chronic right knee pain initially mimicking juvenile idiopathic arthritis, who was subsequently diagnosed with primary synovial osteochondromatosis. We present a review of synovial osteochondromatosis focusing on the clinical manifestations, radiographic features, histopathologic findings, and treatment, with a summarized review of pediatric patients with initial musculoskeletal presentations who were ultimately diagnosed as synovial osteochondromatosis. Although synovial osteochondromatosis is rare in children and adolescents, this condition should be included in the differential diagnosis of joint pain and may mimic juvenile idiopathic arthritis. Appropriate diagnostic radiography, including both plain radiography and magnetic resonance imaging, is necessary to accurately diagnose this condition. We also emphasize the importance of a multidisciplinary team approach to managing patients with synovial osteochondromatosis.

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Primary Intra-articular and Extra-articular Synovial Chondromatosis in a Child: A Rare Cause of Shoulder Pain in Children

Üçpınar

Şahin

2020

J Coll Physicians Surg Pak

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Synovial chondromatosis is a rare condition with chondroid metaplasia of the synovial membrane and multinodular proliferation of the synovial membrane of the joints, tendons and bursae without any certain etiology. The disease generally presents in monoarticular form; and the most commonly involved joint is the knee. It commonly occurs in third and fifth decades of life. Synovial chondromatosis of the shoulder in children is extremely rare; and up to now, only two cases have been reported in the literature. Herein, we report synovial chondromatosis of the shoulder joint in a child with both intraarticular and extraarticular involvement. To the best of the authors' knowledge, this is the first case in the literature with both intra-and extra-articular involvement of synovial chondromatosis of the shoulder joint in children.

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Synovial chondromatosis in a young child: A rare presentation

Cited by 4 publications

References 4 publications

Synovial Chondromatosis-Induced Monoarticular Knee Arthritis: Challenges With Arthroscopic Synovectomy on Late Presentation

Synovial Chondromatosis-Induced Monoarticular Knee Arthritis: Challenges With Arthroscopic Synovectomy on Late Presentation

Synovial osteochondromatosis mimicking juvenile idiopathic arthritis in an adolescent: a case-based review

Primary Intra-articular and Extra-articular Synovial Chondromatosis in a Child: A Rare Cause of Shoulder Pain in Children

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