Synovial chondromatosis is a rare, benign, proliferative cartilaginous lesion arising from the synovial tissue, tenosynovium, or bursal lining. Case Discussion. Synovial chondromatosis is a disease process of the synovium, whereby metaplasia takes place to form cartilaginous loose bodies. An overview of the current literature and a discussion of the diagnosis and surgical management of synovial chondromatosis are presented. Synovial chondromatosis (SC) of the temporomandibular joint (TMJ) is a rare disorder with an indolent clinical course that leads to nonspecific symptoms, dysfunction, and anatomic distortion of . A 65-year-old woman presented with pain in her right hip for 6 years. Cartilage, Articular / pathology Chondromatosis, Synovial / diagnosis* Chondromatosis, Synovial / pathology Hip Joint* / diagnostic imaging . The nodules may enlarge and detach from the synovium. Primary synovial chondromatosis (also known as Reichel syndrome or Reichel-Jones-Henderson syndrome ), is a benign monoarticular disorder of unknown origin that is characterized by synovial metaplasia and proliferation resulting in multiple intra-articular cartilaginous loose bodies of relatively similar size, not all of which are ossified. There is formation of cartilaginous nodules in the synovial joint space, which subsequently degrade, detach and form free-floating, calcified bodies within the joint space. Moderate to severe degenerative elbow joint changes. Breast ultrasound (US) was requested due to the concern of a breast tumor with axillary lymph node metastases. Synovial chondromatosis is a benign metaplastic disorder, rarely located in the temporomandibular joint. People usually complain of pain in one joint, which persists for . In the radiology literature, there is only 1 prior case report of primary synovial chondromatosis involving the subtalar joint with only partial description of the imaging appearance. Primary synovial chondromatosis, or Reichel's syndrome, is a rare benign tumour arising from the synovial lining of a joint. Case Discussion. The disease frequently runs a protracted course, often requiring multiple surgical procedures to obtain some control. Synovial chondromatosis is a rare, monoarticular benign process characterized by hyaline cartilaginous bodies proliferating in subsynovial tissue and detaching as a collection of numerous chondral bodies in a joint or less commonly in bursae or tendon sheaths. [1][1] We report the diagnosis and management of a 36-year-old man . 1 Department of Radiology, Mount Sinai Medical Center, City University of New York, New York 10029-6574, USA. Primary synovial chondromatosis (SC) or synovial osteochondromatosis (SOC) is a rare benign neoplastic process with hyaline cartilage nodules in the subsynovial tissue of a joint, tendon sheath, or bursa. The findings mentioned involved in this case are typical of synovial chondromatosis. Synovial osteochondromatosis is a condition of unknown etiology in which synovial tissue undergoes benign reactive cartilaginous metaplasia to form multiple (osteo)cartilaginous nodules ranging from 1 mm to 3 cm in size. We report a case of massive primary SC of the knee, properly evaluated with X-rays, ultrasonography and magnetic resonance imaging and successfully treated with an arthroscopic approach. In the radiology literature, there is only 1 prior case report of primary synovial chondromatosis involving the subtalar joint with only partial description of the imaging appearance. Larger loose bodies are usually calcified or ossified and can . . SYNOVIAL CHONDROMATOSIS Synovial chondromatosis is a benign condition characterized by development of cartilaginous or osteocartilaginous bodies within synovial membranes of joints, bursae or tendon sheaths as a result of metaplasia of synovial fibroblasts Also is termed synovial osteochondromatosis, synovial chondrometaplasia, articular . It is characterized by synovial metaplasia and proliferation with or without calcification. Sperling et al. Synovial chondromatosis: Also called synovial chondrometaplasia, synovial osteochondromatosis Mean age 41 years, range 17 - 64 years, 2/3 male (Hum Pathol 1998;29:683) Primary disease is uncommon, unknown etiology, aggressive (Hum Pathol 1979;10:439) Usually monoarticular, can be bilateral rarely (JCDR 2012;6:475), affecting knee, hip, elbow and communicating bursae; may affect adjacent soft . The clinical, imaging, surgical and histopathological findings establis. Synovial osteochondromatosis is a benign neoplastic condition which manifests as multiple cartilaginous or osteocartilaginous nodules within a joint, bursa and tendon sheath. AP internal rotation. There is a large calcific mass surrounding the glenohumeral joint, made up of numerous uniformly sized densities which each have a cortical rim. Synovial osteochondromatosis (SOC) (synonyms include synovial chondromatosis, primary synovial chondromatosis, synovial chondrometaplasia) is a rare disease that creates a benign change or proliferation in the synovium or joint-lining tissue, which changes to form bone-forming cartilage. We describe the case of a patient who initially presented with multiple axillary masses. Synovial chondromatosis (SC) is an uncommon articular disorder characterised by synovial metaplasia with intra-articular proliferation of cartilaginous nodules originating from the synovial membrane [ 1 - 3 ]. Nonseptic monoarthritis: imaging features with clinical and histopathologic correlation. Signs and symptoms. Primary synovial chondromatosis (SC) is a rare proliferative disorder that causes pain, swelling, and restriction of movement to the joints it affects. The knee is the most commonly affected joint, but it also occurs in the hip, elbow, shoulder and ankle. Primary synovial chondromatosis is a rare benign condition of uncertain etiology manifested by synovial proliferation. The most common sites include the knee, elbow, and hip. Synovial chondromatosis was surgically proven. 45. Arthrosis is frequent in inveterate cases and bone erosion or cortical scalloping in the aggressive ones. We present the case of a 25-year-old male with Reichel's syndrome of the ankle, with subsequent recurrence following open retrieval of loose bodies. Soft tissue shadows appear swollen. The . It results in multiple intra-articular cartilaginous loose bodies of relatively similar size. Synovial chondromatosis radiology. at 39th St.,Kansas City, KS66103. Synovial Joints: Common Disorders and Internal Derangements - March 24-27, 2022. Synovial chondromatosis (also called synovial osteochondromatosis) is a rare, benign (noncancerous) condition that involves the synovium, which is the thin layer of tissue that lines the joints. ObjectiveTo describe the radiographic, CT, and MRI appearance of synovial chondromatosis of the spine.Materials and methodsRadiology and pathology databases were searched for cases of spinal synovial chondromatosis from 1984 through 2013, yielding 29 patients (16 males, 13 females). Synovial chondromatosis is a self limiting benign neoplastic process characterised by proliferative chondroid nodules of the synovium. If these fragments receive nourishment from the joint synovium, they endure and enlarge rather than atrophy. It consists of several hyaline cartilaginous nodules and has the potential of becoming cancerous. (accessed on 07 Apr 2022) https://doi.org/10.53347/rID-30502 CAS PubMed Google Scholar Cohen EK, Kressel HY, Frank TS, et al. Skeletal Radiology. (a) Lateral knee radiograph shows extensive areas of intraarticular calcification about the knee . The average age was 45 years. In view of the patient's age and the absence of severe degenerative process of the joint, primary synovial chondromatosis is preferred over the secondary counterpart which is a related to a degenerative process. Bone erosion in synovial chondromatosis. X-rays. Synovial chondromatosis of the acromioclavicular joint @article{Kudawara2004SynovialCO, title={Synovial chondromatosis of the acromioclavicular joint}, author={Ikuo Kudawara and Masanari Aono and Kenji Ohzono and Masayuki Mano}, journal={Skeletal Radiology}, year={2004}, volume={33}, pages={600-603} } Plain MRI was useful for clinical diagnosis of the disorder. Synovial chondromatosis can arise in any joint in the body, but most commonly occurs in the knee. Magnetic resonance imaging characteristics of synovial chondromatosis of the temporomandibular joint. 13 Kim HG, , Park KH, , Huh JK, , Song YB, , Choi HS and . Radiographs reveal multiple intraarticular calcifications, and the calcifications are innumerable and uniform with typical even distribution throughout the joint. Primary Synovial Chondromatosis on Knee X-Ray It is a benign monoarticular disorder. The findings are consistent with secondary synovial chondromatosis Appropriate workup, intervention, and treatment will allow final diagnosis and correlating care to be administered to the patient. Related article Synovial chondromatosis ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Imaging: On X-ray—negative if not calcified or small-sized calcified nodules into the joint, typical rice grain-like.The joint is normal. It is a benign, chronic, and progressive condition that does not seem to undergo spontaneous resolution. These nodules can separate and become loose within the joint. Bilateral genu vara. The findings mentioned involved in this case are typical of synovial chondromatosis. We report on the novel use of radiotherapy that was used to treat a 42-year-old man with rapid recurrences of extensive . In the first case, synovial chondromatosis arose from . These osteochondral fragments in primary synovial chondromatosis tend to be similar in size and innumerable, unlike secondary . Three case reports of synovial chondromatosis of temporomandibular joint: histopathologic analyses of minute cartilaginous loose bodies from joint lavage fluid and comparison with phase II and III cases. It most commonly involves large joints, such as the knee, hip, and shoulder, but its presence in smaller joints has also been reported. The process is insidious and may go on for years before being diagnosed. Interventional radiology of synovial chondromatosis in the temporomandibular joint using a thin arthroscope. Transition to synovial chondrosarcoma (rare/associated with multiple recurrences) Recommended reading. It typically results in pain and stiffness of the affected joint, and is thought to arise as a result of synovial membrane pr … Synovial chondromatosis is an uncommon cause of knee pain and swelling and should be included in the differential diagnosis when evaluating any adult aged 30 years to 50 years with knee pain of insidious onset. Benign Synovial Disorders. The attached cartilaginous nodules in pathology were better recognized than the loose ones on MRI. Primary synovial chondromatosis of the knee in a 23-year-old man with pain, swelling, and locking. Hyaline cartilage-origin bone and soft tissue neoplasms: MR appearance and histologic correlation. Synovial chondromatosis, also termed synovial osteochondromatosis, is a rare benign disorder characterized by the presence of cartilaginous nodules in the synovium of the joints, tendon sheaths, and bursae. Case Discussion Synovial chondromatosis was found incidentally, after a history of trauma, the X-ray shows a suspected radial head fracture. 40, No. Synovial chondromatosis (SC) is a rare, benign, chronic, progressive and proliferative lesion that more often affects the large joints of the body. Following a fourteen month course of conservative management, surgical debridement of the joint revealed multiple loose bodies consistent with primary articular synovial . Norman A, Steiner GC. Radiographic features Adelani et al. ofExtraarticular Synovial Chondromatosis Charles A.Kanlin1 Arthur A.DeSmet1 James Neff2 Fritz Lin3 William Horton4 John J.Wertzberger5 Received June9,1980;accepted afterrevision May29, 1981. Address reprint requests toA.A . 1 public playlist includes this case 8-12 The cartilaginous tissue present within the joint may also detach and form loose bodies that can undergo . Dentomaxillofac Radiol 37:232-5,2008. Synovial chondromatosis is a benign disorder that involves the formation of cartilaginous nodules in the synovium of joints, tendon sheaths, and lining of the adjacent extraarticular bursae. Synovial chondromatosis (SC) is a rare condition with a very variable clinical presentation, thus making the diagnosis not immediate. Radiology 1988; 167: 477-481. We present a case of a 49-year-old female who presented for evaluation of a palpable concern following trauma; which was found to represent synovial chondromatosis. The average age was 45 years. Synovial chondromatosis is a benign disorder in which foci of cartilage develop in a joint due to chondrometaplasia of the synovial membrane. [2] Mikami T, Aomura T, Ohira A, Kumagai A, Hoshi H, Takeda Y. J Oral Maxillofac Surg, 70(9):2099-2105, 16 Dec 2011 There are multiple associated pressure erosions on the surrounding osseous structures, most notably the humeral head and surgical neck of the humerus. Unlike PVNS, which never calcifies, the loose bodies in SC are . It typically occurs in the 3rd to 5th decade of life with incidence peak in the 5th decade. Synovial chondromatosis is an uncommon disorder characterized by the formation of multiple cartilaginous nodules within the synovium, most commonly affecting large joints. On CT—more evident pseudotumoral mass, calcifications, bone lesions, and invasion of the surrounding tissues. Honda K, Hamada Y, Ejima K, Tsukimura N, Kino K: Interventional radiology of synovial chondromatosis in the temporomandibular joint using a thin arthroscope. Imaging modalities showed ossified nodules in the antero-inferior aspect of the hip joint, joint effusion and . In view of the patient's age and the absence of severe degenerative process of the joint, primary synovial chondromatosis is preferred over the secondary counterpart which is a related to a degenerative process. The knee is most commonly affected, however it can affect any joint. It typically results in pain and stiffness of the affected joint, and is thought to arise as a result of synovial membrane proliferation and metaplasia. bilateral calcifications along the synovial lining of knee . The knee, followed by the hip, in male adults are the most commonly involved sites and patient population. As a result, SC usually presents with joint effusion and multiple loose bodies . Synovial chondromatosis usually occurs in large joints, such as the knee or shoulder. An unusual case of synovial chondromatosis of the temporomandibular joint with intracranial extension, which resulted in complete dehiscence of the floor of the middle cranial fossa, is reported. Synovial chondromatosis is a rare, benign condition that usually affects the larger diarthroidal joints of the axial skeleton. Extra-articular synovial chondromatosis is a rare entity in the foot and ankle. The cartilaginous nodules may remain attached to the synovial membrane or dislodge into the joint space to form loose bodies. Materials and methods: Radiology and pathology databases were searched for cases of spinal synovial chondromatosis from 1984 through 2013, yielding 29 patients (16 males, 13 females). Synovial chondromatosis is a type of non-cancerous tumor that arises in the lining of a joint. Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Synovial Chondromatosis Synovial Chondromatosis is a rare disorder caused by an abnormal tissue growth in a joint. Your doctor will order imaging studies to help diagnose synovial chondromatosis. X-rays provide images of dense structures, such as bone. The loose bodies are fragments of bone, cartilage, or a combination of both, that have broken off the joint. Synovial chondromatosis in a lumbar apophyseal joint Synovial chondromatosis in a lumbar apophyseal joint Burrafato, V.; Campanacci, D. A.; Franchi, A.; Capanna, R. 1998-07-01 00:00:00 Skeletal Radiol (1998) 27:385±387 CA SE REP O RT International Skeletal Society 1998 V. Burrafato Synovial chondromatosis in a lumbar D.A. Approximately 120 cases of synovial chondromatosis involving the temporomandibular joint (TMJ) have been reported. 2 Skeletal Radiology, Vol. km, D. Synovial chondromatosis. 53 These nodules can become detached and exist as bodies in the joint space. Scroll Stack. Link, ISI, Google Scholar: 13. Interventional radiology of synovial chondromatosis in the temporomandibular joint using a thin arthroscope. Nevertheless, ankle involvement is unusual. 82, No. Hossain MA, Islam M, Yeasmin S, Nahar N. Recurrent synovial chondromatosis of the foot. Google Scholar . Dentomaxillofac Radiol 2008;37:232-235. Synovial chondromatosis is a benign disease in which synovial cells create cartilaginous metaplasia in synovial tissue, resulting in loose cartilage bodies in the joint cavity. PMID: 7644946 . bulky marginal osteophytosis of articular surfaces. This CME activity provides radiologists with a practical overview of the use of MR imaging and MR arthrography in . Twenty-eight patients had imaging studies available for review including seven radiographs, two myelograms, 13 CT, and 23 MRI exams. : 2 Department of Orthopedic Surgery, Samsung . Men are most commonly afflicted. Synovial chondromatosis of the hip with atypical MRI morphology and mistakable clinical symptoms — a case report 5 April 2011 | Acta Orthopaedica, Vol. Link ISI, Google Scholar. Synovial chondromatosis is a rare, benign condition occurring due to metaplasia of synovium. MRI of synovial chondromatosis in TMJ was characterized by multiple chondroid nodules, joint effusion and amorphous iso-intensity signal tissues within the expanded space and capsule. The clinical symptoms include pain, swelling and restricted range of motion. Imaging studies will also help your doctor differentiate synovial chondromatosis from osteoarthritis. Symptoms develop form the irritation of the synovium and mechanical properties of the loose bodies. INTRODUCTION. Primary synovial chondromatosis is an uncommon disease in which there is metaplasia of the synovial lining of joints, bursae or tendons into cartilaginous nodules 70-95% of the bodies undergo mineralization and may eventually undergo ossification. Primary synovial chondromatosis is a rare benign condition of uncertain etiology manifested by synovial proliferation. The authors describe two patients with synovial chondromatosis involving the cervical spine. Even though this abnormal growth is commonly seen around the knee joint, any other joints of the body may be affected. We describe a case of primary articular synovial chondromatosis in a metacarpophalangeal (MCP) joint of a 48-year-old male. Campanacci apophyseal joint A. Franchi R. Capanna Abstract A 31-year . This disorder usually affects large joints and is rarely observed in the temporomandibular joint (TMJ). Synovial chondromatosis is a rare, benign condition characterized by the formation of multiple cartilaginous nodules that are generally intra-articular and can lead to chronic pain and limit the function of involved joints. Radiology 1986; 161: 749-752. Its involvement with the spine is rare; only six cases have been reported. This case demonstrates the multimodality imaging findings, including ultrasound and MRI, with histopathologic correlation. Synovial chondromatosis is the formation of hyaline cartilage nodules in the sub-synovial tissue of a joint, tendon sheath or bursa. The tumors begin as small nodules of cartilage. JAAOS, Vol 16, No 5, May 2008, 268-275. 'Department ofDiagnostic Radiology, Univer-sityofKansas Medical Center, Rainbow Blvd. Young and old adult individuals are generally affected. In most occurrences, there is only one joint affected, either the knee, the hip, or the elbow. Synovial chondromatosis of the temporomandibular joint (TMJ) was first described by Von Haller in 1764 [ 1 ]. Idiopathic Synovial Osteochondromatosis of the Hip: Radiographic and MR Appearances in 15 Patients Sung Hyun Kim, MD, 1 Suk Ju Hong, MD, 1 Ji Seon Park, MD, 1 Jae Min Cho, MD, 1 Eung Yeop Kim, MD, 1 Joong Mo Ahn, MD, 1 and Youn Soo Park, MD 2 1 Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Radiology division, cause focal calcifications and should be included in the Department of . Citation, DOI & article data Synovial chondromatosis (osteochondromatosis or synovial chondrometaplasia) also known as Reichel syndrome, is a disorder characterized by loose cartilaginous bodies which may, or may not be calcified or ossified. Synovial chondromatosis (SC) is a benign proliferative metaplasia of joint synovium into cartilaginous tissue. The knee is the most commonly affected joint, followed by the hip, elbow, and shoulder, although any other joint may be involved. 10 This case report describes, for the first time, the use of interventional radiology following arthroscopy with a thin arthroscope for the diagnosis and treatment of synovial chondromatosis (SC) of the temporomandibular joint (TMJ). Primary synovial chondromatosis represents an uncommon benign neoplastic process with hyaline cartilage nodules in the subsynovial tissue of a joint, tendon sheath, or bursa. Case study, Radiopaedia.org. Synovial chondromatosis (SC) is a rare, benign synovial proliferative disease characterized by the growth of cartilaginous nodules in the synovium that eventually calcify and detach from the joint. 1-5 It arises within the synovium of tendon sheaths, bursa, or joints. Here is a radiology case (X rays ,MRI) of the diagnosis : Synovial osteochondromatosis, regarding the locations : Tibia - Proximal part, Anterior cruciate ligament, Other soft tissues/nerves - Knee, with the following gamuts : Epiphyseal osteolysis, Soft tissue mass about a joint, Hypointense T2 WI soft tissue lesion, Markedly hyperintense T2 WI bone lesion, Knee ligament injury Dentomaxillofac Radiol 2008;37: 232 - 235. On examination, a swelling was palpable at the base of scarpa's triangle and her right hip movements were restricted. Synovial Chondromatosis: Imaging •MRI: -Appearance depends on nodule content •Cartilaginous -Intermediate T1/high T2 -Low signal intensity septa enhances •Mixed cartilage/calcification -Small foci of low T1/T2 signal within nodules •Ossified with fatty marrow: -Follows fat signal (high T1, low w/ fat suppression) 53 Synovial chondromatosis occurs in large joints such as the hip, elbow, knee . Magnetic resonance imaging characteristics of synovial chondromatosis of the temporomandibular joint. Synovial osteochondromatosis is a condition characterized by synovial membrane proliferation and metaplasia, with development of multiple cartilaginous or osteocartilaginous nodules within the joint, bursa or tendinous sheath(1 1.Llauger J, Palmer J, Rosón N, et al. 6,7 The typical clinical presentation is pain and decreased ROM with joint swelling or effusion. OKU Musculoskeletal Tumors AAOS 2nd Edition 2007, Ch 28 pg 265-266. Usually the condition is monoarticular with large joints preferentially affected. Synovial chondromatosis is a locally aggressive bone tumor of the cartilaginous type. It is classified under two main types: Synovial chondromatosis and chondrosarcoma: a diagnostic dilemma. Synovial osteochondromatosis is a benign neoplastic condition which manifests as multiple cartilaginous or osteocartilaginous nodules within a joint, bursa and tendon sheath. [1] Some tumors may be no larger than a grain of rice. We present a 28-year-old female with primary synovial chondromatosis of the subtalar joint . The patient initially presented with MCP joint swelling and pain with normal plain radiographs. Advanced osteoarthritis of both tibio-femoral and patello-femoral articulations in form of: total obliteration of medial and lateral tibio-femoral as well as patello-femoral joint spaces with subchondral sclerosis. The radiographic features depend on the degree of ossification. The present study describes a 50-year-old woman with unilateral pre-auricular pain, crepitus and swelling of the area. Synovial chondromatosis of other joints has been reported to occur twice as often in males as in females, with a mean age of onset in the fifth decade . The risk factors of this rare disorder are unknown. Kim HG, Park KH, Huh JK, Song YB, Choi HS. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Join Dr. Donald Resnick and colleagues in this 4-day virtual conference comprised of in-depth lectures, case reviews, and opportunities for live Q&A. Few reports exist detailing the natural history of SC, although malignant transformation to synovial chondrosarcoma (CHS) is . , knee to the synovial membrane or dislodge into the joint revealed multiple loose bodies are usually or! Joint changes '' > primary synovial chondromatosis in: Journal of... < /a > Moderate to degenerative! Joint effusion and Haller in 1764 [ 1 ] campanacci apophyseal joint A. 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Joint... < /a > Scroll Stack 23 MRI exams and innumerable, unlike secondary //radiopaedia.org/cases/synovial-osteochondromatosis-10 '' > 121 osteochondromatosis... Concern of a patient who initially presented with pain in her right hip for 6 years these osteochondral in... Presents with joint swelling or effusion in her right hip for 6 years 42-year-old man with rapid recurrences extensive. Osseous structures, such as the hip, in male adults are the most commonly involved sites and patient.. Allow final diagnosis and correlating care to be administered to the concern a... 6 years report on the degree of ossification chondromatosis, synovial / diagnosis * chondromatosis, synovial / chondromatosis! 65-Year-Old woman presented with pain in one joint, which never calcifies, the X-ray shows suspected!
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