These synovial tissues undergo metaplasia to form cartilaginous or osteocartilaginous bodies which may break off from the synovial surface, causing pain or mechanical blockage to the joint 1. Synovial chondromatosis can reportedly occur as either a primary or secondary form. It usually affects a single tendon sheath of the hand or foot. A 49yearold caucasian man presented with right knee. Mar 01, 2019 synovial chondromatosis is a rare condition characterized by benign chondrogenic meta plasia of extraarticular synovial tissue.
Synovial chondromatosis sc has been widely described in great horned owls, mainly affecting the scapulohumeral joints, usually bilaterally, and in most cases at least another joint. Discussion synovial chondromatosis sc can be defined as an infrequent benign synovial process, characterized for the formation of metaplastic cartilaginous nodes inside the synovial connective tissue of the articular surfaces. We describe the cases of two patients who presented with synovial chondromatosis and progression. Transition to synovial chondrosarcoma rareassociated with multiple recurrences recommended reading. Synovial chondromatosis of the elbow with asymptomatic ulnar. Additionally, the subjects of intrasynovial cartilaginous lesions primary and secondary synovial chondromatosis and crystal deposition diseases are. However, as the tumor grows larger, affected people may notice a lump or swelling. Since the mid 1950s, the technical strategy has included open arthrotomy with removal of loose bodies and synovectomy. Synovial chondromatosis is a rare condition that is probably caused by synovial connective tissue metaplasia. Synovial chondromatosis of the hip a case reportijorip. Also called synovial chondrometaplasia, synovial osteochondromatosis. Histopathological study confirmed the findings of synovial chondromatosis. In synovial chondromatosis, a benign condition, numerous cartilaginous nodules form in the soft tissues of the joint.
Synovial chondromatosis is rare joint disorder that has no clear etiology. A case report of primary synovial chondromatosis with bilateral. These tumors are most commonly found in the knee joint and rarely presents in the foot and ankle region. Dec 15, 2019 how is synovial chondromatosis treated. Synovial chondromatosis masquerading as a parameniscal. Cartilaginous neoplasms of soft tissue and synovium are relatively uncommon. In this disorder, cartilaginous or osteocartilaginous loose bodies are produced in. Studies have suggested that this condition is in between enchondroma and chondrosarcoma. Synovial chondromatosis presenting as painless soft tissue. Synovial chondromatosis most commonly occurs in adults ages 20 to. A disorder of a joint featuring a change of the normal joint lining synovium tissues cellular structure to form cartilage tissue. We report a case of a middle age gentleman with primary soc and was misdiagnosed as an acute neck of talus fracture following trauma. A rare case of a swollen knee due to disseminated synovial. Synovial chondromatosis is a rare condition characterized by benign chondrogenic meta plasia of extraarticular synovial tissue.
Synovial proliferative disorders, including pigmented villonodular synovitis, giant cell tumor of tendon sheath, hemosiderotic synovitis, and fatty infiltration of the synovial membrane are discussed. Synovial osteochondromatosis an overview sciencedirect. We present an unusual presentation of synovial chondromatosis masquerading as a parameniscal cyst of the knee. However, its current description was not applied until 1958 by jaffe, 4. Feb 20, 2015 synovial chondromatosis dr q m morshed mahbub abir ms resident nitor 2. Synovial chondromatosis of the foot clinics in surgery. In some cases, the tumor can limit range of motion or cause numbness andor pain if it presses on nearby nerves. Also called tenosynovial or bursal chondromatosis epidemiology. Synovial chondromatosis is a rare, benign condition that involves the synovium, the thin layer of tissue that lines joints. 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. One possible cause is a change in the level of fibroblast growth receptor factor receptor3, which leads to a possible feedback loop that results in. Request pdf synovial chondromatosis of the temporomandibular joint. Continuing navigation will be considered as acceptance of this use. Synovial chondromatosis synovial chondromatosis has been divided into primary and secondary forms.
During surgery, the surgeon may find multiple freefloating cartilaginous loose bodies in the joint space. Synovial chondromatosis of the hip a case reportijorprint issn no. It is very rare in the hand and wrist and because of its low prevalence and nonspecific symp. It may or may not cause pain or swelling and usually.
Synovial osteo chondromatosis soc are benign tumors arising from metaplastic synovial tissue of joints, bursae or tendon sheath. Primary synovial chondromatosis, represent chondroid metaplasia in the subserous layer on inner surface of capsule of a joint with resultant formation of multiple intraarticular chondral bodies. Several biopsies and resected specimens demonstrated synovial chondromatosis before a diagnosis of chondrosarcoma was made. It most commonly involves large joints, such as the knee, hip, and shoulder, but its presence in smaller joints has also been reported. Sep 10, 2015 synovial sarcoma is a rare and aggressive soft tissue sarcoma. This is well recognized and does not indicate malignancy. Synovial chondromatosis is a relative common pathology of the joint. Synovial sarcoma genetic and rare diseases information. Since the disorder is typically confined to a joint, such as an arm, shoulder, or knee, symptoms will be localized to the affected area and will be similar to osteoarthritis. Synovial chondromatosis sc of the temporomandibular joint tmj is a rare benign condition characterized by the formation of metaplastic cartilage in the synovium resulting in numerous attached and unattached osteocartilagenous calcified loose bodies within the joint. Synovial chondromatosis is a rare condition in which foci of cartilage develop in the synovial membrane as a result of benign metaplasia of the subsynovial connective tissue. Synovial chondromatosis in the temporomandibular joint. Synovial chondromatosis an overview sciencedirect topics. Synovial sarcoma ss is a rare malignant neoplasm that arises most commonly in joint capsules and articular tendons, but its relationship to the synovium is not always obvious.
Osteochondromatosis results when endochondral ossification of the mass occurs, often making it difficult to differentiate from osteochondral fragmentation. Radiologic and histopathologic findings synovial chondromatosis is a formation of multiple intrasynovial nodules resembling. This report describes a rare case with extensive synovial chondromatosis affecting all flexor tendons in the tarsal tunnel, its radiological features. Imaging of synovial chondromatosis with radiologicpathologic. Primary synovial chondromatosis also known as reichel syndrome or reicheljoneshenderson syndrome, is a benign monoarticular disorder of unknown origin that is characterized by synovial metaplasia and proliferation resulting in multiple intraarticular cartilaginous loose bodies of relatively similar size, not all of which are ossified. A case report of synovial chondromatosis of the knee joint arising. Tenosynovial chondromatosis is a multinodular cartilaginous proliferation that arises from tenosynovial membranes due to synovial metaplasia terminology.
The patient was an 82year old gentleman seen in our knee clinic with painful swel, author. Synovial chondromatosis of the elbow causing a mechanical block to range of motion. Synovial chondromatosis is a rare condition that mostly affects the knee and is characterized by a process of cartilaginous metaplasia of the connective elements of the subintimal layer of the synovium. Synovial chondromatosis of the elbow is an uncommon condition. Immunohistochemistry and molecular analyses are helpful in only specific circumstances. It is also known as synovial osteochondromatosis loose body, loose bodies, rice bodies and joint mice redirect to this page. In this disorder, cartilaginous or osteocartilaginous loose bodies are produced in the joint space without evidence of underlying.
Synovial chondromatosis is a disease in which hyaline cartilage can occur in the joint in pedunculated form, within the synovial membrane, or free within the joint. Synovial chondromatosis of the lumbar spine with compressive myelopathy. Extremely rare synovial chondrosarcoma arising from the elbow joint. The treatment of choice for synovial chondromatosis is a complete surgical excision. The synovium has abnormal growth, leading to the production of cartilage bodies which may separate and become loose within the joint. Synovial chondromatosis was first described by leannac in 18, 1, 3.
Although described as a benign disease, it can be very destructive and can cause severe osteoarthritis and pain. Secondary synovial chondromatosis is the more common form and often occurs when there is preexistent osteoarthritis, rheumatoid arthritis, osteonecrosis, osteochondritis dissecans, neuropathic osteoarthropathy which often occurs in diabetic individuals, tuberculosis, or osteochondral fractures torn cartilage covering the end of a bone in a. They were all adjacent to joints but with no joint symptoms. The heterogeneity in their histologic features, especially the degree of cellularity and cytological atypia may pose challenges in diagnosis. Jan 01, 2015 synovial chondromatosis of the elbow is an uncommon condition. An identical process can also involve the synovium. Histology showed the typical features of benign synovial chondromatosis, including foci of cartilage cells showing cytological atypia. Immunohistochemical markers that would facilitate differentiation between synovial chondromatosis and chondrosarcoma are currently being investigated. The dominant hand seems to be synovial chondromatosis of the hand can j plast surg vol 11 no 1 spring 2003 49 figure 6excised synovial chondromatosis figure 7case 2. 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. They are termed ss because of their histologic resemblance to the synovium, but they rarely involve a. R f adam r george brice chary duraikannu k p iyengar michael greenhalgh. Jun 24, 20 synovial chondromatosis is a type of noncancerous tumor that arises in the lining of a joint. Primary synovial chondromatosis, which is more rare, occurs spontaneously and does not appear to relate to any preexisting conditions.
Synovial sarcoma is a rare and aggressive soft tissue sarcoma. Primary synovial chondromatosis radiology reference article. The knee is most commonly affected, however it can affect any joint. Oku musculoskeletal tumors aaos 2nd edition 2007, ch 28 pg 265266. Synovial chondromatosis is a rare condition characterized by benign chondrogenic metaplasia of extraarticular synovial tissue. Classification of the disorder was first reported by milgram in 1977. Sah ap, geller ds, mankin hj, rosenberg ae, delaney tf. Secondary synovial chondromatosis is the more common form and often occurs when there is preexistent osteoarthritis. These nodules can separate and become loose within the joint. 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. The lesion is usually confined to one joint, particularly the knee, and occurs in young or middleaged adults.
Synovial chondromatosis can arise in any joint in the body, but most commonly occurs in the knee. Jul 23, 2018 the pain, swelling, and mechanical symptoms of synovial chondromatosis and its generation of loose bodies have historically been treated with surgery. Synovial chondromatosis leads to pain in the affected joint as well as limitation of the range of motion and often locking the cause of synovial chondromatosis is not known. To the best of our knowledge, we report the first known case of an extensive presentation of this intraarticular and extraarticular disease of the knee joint. Atypical presentation of synovial osteochondromatosis at the. Magnetic resonance appearance of intraarticular synovial sarcoma. This is an open access article distributed under the terms of the creative commons attributionnoncommercialsharealike 3. Radiologic and histopathologic findings synovial chondromatosis is a formation. Synovial chondromatosis and parameniscal cysts are well documented pathologies around the knee joint. The imaging appearance of psc appears sufficiently unique to allow its differentiation from other causes of intraarticular pathology. You can change the settings or obtain more information by clicking sinovail. Also called synovial chondrometaplasia, synovial osteochondromatosis mean age 41 years, range 17 64 years, 23 male hum pathol 1998. Synovial chondromatosis synovial chondrometaplasia.
Primary synovial chondromatosis in the hand and wrist occurs most commonly from the ages of 30 to 60 years, with both sexes being affected equally. Atypical presentation of synovial osteochondromatosis at. Abdelwahab if, contractor d, bianchi s, hermann g, hoch b. Synovial chondromatosis is a rare condition of unclear etiology in which foci of cartilage develop in the synovial membrane of joints, bursae, or tendon sheaths as a result of metaplasia of the subsynovial connective tissue. A synovial chondromatosis is a rare benign neoplasm on the synovium. Synovial chondromatosis radiology reference article. The vast majority is benign and the neoplastic matrix is usually hyaline in type. We have examined five markers bcl2, ki67, p27, p16, and p53 in all specimens from these cases, as well as known cases of chondromatosis and chondrosarcoma for control purposes.
Synovial chondromatosis masquerading as a parameniscal cyst. Synovial chondromatosis of the temporomandibular joint. Definitive diagnosis must be made with histology and should be supported with radiographic examinations which should always include mri. The purpose of this case report is to document this rare synovial pathology. Synovial chondromatosis of the elbow with asymptomatic. The patient was an 82year old gentleman seen in our knee clinic with painful swel. Synovial chondromatosis leads to pain in the affected joint as well as limitation of the range of motion and often locking. Synovial chondromatosis is a type of noncancerous tumor that arises in the lining of a joint. Previous terminology for this lesion includes synovial osteochondromatosis, synovial chondrometaplasia, articular ecchondrosis, and synovial chondrosis, 1, 9. Primary synovial chondromatosis represents an uncommon benign neoplastic. In the early stages of the condition, it may cause no noticeable signs or symptoms. Synovial chondromatosis is a condition associated with older adults between 30 to 50 years old and men are more likely to develop the condition than women.
Veterinary pathology synovial osteochondromatosis with the. Synovial chondromatosis with malignant degeneration to chondrosarcoma. Synovial chondromatosis is a rare condition that mostly affects the knee and is characterized by a process of cartilaginous metaplasia of the connective elements of the subintimal layer of. They are termed ss because of their histologic resemblance to the synovium, but they rarely involve a synovial. It is a benign condition characterised by metaplastic nodular cartilaginous proliferation under the synovial surface in bursae, tendons and joints synonyms synovial osteochondromatosis, synovial chondroma. Synovial sarcoma is a malignant soft tissue tumor representing 5. Other articles where synovial chondromatosis is discussed. Epidemiology imaging histopathology course and staging treatment. The imaging reports of the loose bodies suggested it to be synovial chondromatosis and histopathology studies confirmed this diagnosis. Extensive synovial chondromatosis involving all flexor. The disease is most frequently reported in individuals in their third to fifth.
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