1/4. Arthroscopic treatment for synovial chondromatosis of the shoulder.Synovial chondromatosis of the shoulder is a rare condition. The following is a description of such a case with the presenting symptoms, radiographic features, intraoperative findings, and the arthroscopic technique for treatment of this disease. Loose bodies were found in the long head of the biceps tendon sheath, the subscapularis recess, and throughout the glenohumeral joint, causing erosive damage. We feel that arthroscopy allows for better visualization of the entire glenohumeral joint, including the long head of the biceps tendon sheath and the subscapularis recess, and for ease of loose body removal. Additional advantages of arthroscopy include decreased postoperative pain, early active range of motion, shorter course of rehabilitation, and earlier functional return.- - - - - - - - - - ranking = 1keywords = chondromatosis (Clic here for more details about this article) |
2/4. Synovial chondromatosis in the quadriceps tendon.We present a case of synovial chondromatosis originating from the quadriceps tendon sheath, which caused a complete quadriceps tendon rupture. The patient was treated using marginal excision. The ruptured quadriceps tendon was repaired. This is the first description of a quadriceps tendon rupture associated with synovial chondromatosis.- - - - - - - - - - ranking = 1.2keywords = chondromatosis (Clic here for more details about this article) |
3/4. Dominantly inherited progressive pseudorheumatoid dysplasia with hypoplastic toes.OBJECTIVE: To present four related patients with progressive pseudorheumatoid dysplasia (PPsRD) each with distinctive history, unique phenotype and some peculiar radiographic findings. RESULTS AND CONCLUSIONS: The history was characterised by weather-dependent articular pain. The unique phenotypic features were hypoplasia/dysplasia of one or two toes. Peculiar radiographic findings were hypoplasia of the 3rd and 4th metatarsals, platyspondyly with rectangular shape of the lumbar spinal canal, progressive narrowing of the joint spaces and early synovial chondromatosis. Finally, the condition was inherited as a dominant trait. This constellation of abnormalities constitutes a distinct form of PPsRD. PPsRD must be differentiated from other bone dysplasias, specifically spondyloepiphyseal dysplasias, autosomal dominant spondylarthropathy, juvenile rheumatoid arthritis and osteoarthritis.- - - - - - - - - - ranking = 0.2keywords = chondromatosis (Clic here for more details about this article) |
4/4. Synovial chondromatosis of the temporomandibular joint: report and analysis of eleven cases.PURPOSE: Synovial chondromatosis (SC) is a benign monoarticular condition that is uncommon in the temporomandibular joint (TMJ). The purpose of this article is to present 11 additional cases of SC of the TMJ and discuss newer modes of imaging, diagnostic approaches, treatment options, and follow-up data. methods: medical records of 11 patients with SC treated within our department from 1991 to the present were reviewed. Demographic data, etiology, clinical presentation, diagnostic evaluation, treatment, and follow-up information were collected. Previously reported cases (both TMJ and others) from 1988 to present were identified for comparison and the literature reviewed. RESULTS: There were 8 females and 3 males with an average age of 54 years. pain and preauricular swelling were the most common presenting clinical complaints. Etiologic factors (parafunction, inflammatory joint disease) were found in 7 of 11 cases. Plain radiographs showed joint calcifications in only 2 of 11 cases. Computed tomography identified calcifications in 3 of 6. magnetic resonance imaging clearly demonstrated the mass and its extension in 10 of 10 cases. Fine needle aspiration was diagnostic in 4 of 9. All patients were treated with an open arthrotomy. Meniscectomy was required in 7 of 11. Average follow-up was 5.2 years with no recurrences reported. CONCLUSION: The current case series of SC shows a female predilection with age and presenting complaints similar to those previously reported. A traumatic etiology was not identified, although a weak association is reported in the literature. The superiority of magnetic resonance imaging for both diagnosis and evaluation of extension of disease is shown. In a subset of cases, fine needle aspiration is useful for confirming the clinicoradiographic impression. Complete removal of involved tissue is associated with an excellent prognosis.- - - - - - - - - - ranking = 1keywords = chondromatosis (Clic here for more details about this article) |