Synovial Chondromatosis of the Elbow Joint in a 27-Year-Old Man:A Case Report

作     者：Fatih Turkmensoy Ismail Türkmen Mehmet Salih Soylemez Yalcin Turhan Birol Aktas Feyza Unlu Ozkan 

作者机构：Department of Orthopaedics and TraumatologyGoztepe Training and Research HospitalIstanbul Medeniyet UniversityIstanbulTurkey Department of Orthopaedics and TraumatologyDüzce State HospitalDüzceTurkey Department of Physical Therapy and RehabilitationFatih Sultan Mehmet Training and Research HospitalIstanbulTurkey 

出 版 物：《Open Journal of Orthopedics》 (矫形学期刊（英文）)

年 卷 期：2013年第3卷第2期

页      面：164-166页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Elbow Loose Body Malignant Transformation Synovial Chondromatosis Treatment 

摘      要：Introduction: Multiple intraarticular loose bodies are pathognomonic for the Synovial chondromatosis. This disorder affects a wide age range from adults to childhood with no sex dominance. Malignant transformation is rare to date, and there are approximately 34 cases in literature about the transformation of synovial chondromatosis to chondrosarcoma. Case: We present case of a 27-year-old patient who had synovial chondromatosis in his elbow. Discussion: Radiographic findings are usually pathognomonic for the diagnosis. Multiple calcified loose bodies can be seen in the joint in radiographs. Computed tomography (CT) optimally depicts the calcified intraarticular fragments and extrinsic bone erosion. However, because the radioopacity cannot be detected in 1/3 of the cases, diagnosis becomes difficult. Treatment modalities include arthroscopic or open extraction of the loose bodies and arthropasty in the presence of severe osteoarthritis. Conclusion: Synovial chondromatosis should be kept in the differential dignosis of the chronic monoarticular pain and painful limitations of the range of motions of the joints.