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Tenosynovial chondromatosis of the flexor hallucis longus in a 17-year-old girl

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Abstract

Tenosynovial chondromatosis is a benign chondrogenic metaplasia of extra-articular synovial tissue. The most common locations for tenosynovial chondromatosis to develop are the hands and feet. The condition has rarely been reported in children. We present a case of tenosynovial chondromatosis of the flexor hallucis longus in a 17-year-old girl. The presentation was unusual not only due to the location and young age of the patient but also the absence of any palpable mass on physical exam and complete lack of calcification of the cartilage bodies. Initial diagnosis was made by MRI. The patient underwent tenosynovectomy with an excellent postoperative recovery at 6-month follow-up. Histopathology confirmed the diagnosis of tenosynovial chondromatosis.

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Authors and Affiliations

  1. Vanderbilt University School of Medicine, 2215 Garland Ave. (Light Hall), Nashville, TN, 37232, USA

    Nichelle I. Winters

  2. Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA

    A. Brian Thomson

  3. Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA

    Raina R. Flores

  4. Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, USA

    Martin I. Jordanov

Authors
  1. Nichelle I. Winters
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  2. A. Brian Thomson
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  3. Raina R. Flores
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  4. Martin I. Jordanov
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Correspondence to Nichelle I. Winters.

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Winters, N.I., Thomson, A.B., Flores, R.R. et al. Tenosynovial chondromatosis of the flexor hallucis longus in a 17-year-old girl. Pediatr Radiol 45, 1874–1877 (2015). https://doi.org/10.1007/s00247-015-3383-z

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  • DOI: https://doi.org/10.1007/s00247-015-3383-z

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