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Stones around bones! atypical giant synovial chondromatosis: a rare case report

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Abstract

We report a case of a 56-year-old man with painless synovial chondromatosis presenting as extremely large masses with smooth surfaces at the suprapatellar region on both side related to the right knee joint. The large masses at the suprapatellar region both in the medial and in the lateral aspect of the knee along with restriction of movements were the main complaints reported by the patient. Plain X-ray studies revealed punctate calcifications anteriorly and on both sides of the knee joint. Surgery was performed subsequently which showed multiple rocky hard giant chondroid masses around the knee without any nodularity. Synovial chondromatosis usually present with small nodular masses, but in our case the masses were very large and had smooth surfaces which were very unusual. After 6 months following the surgery, the patient had full range of motion and no complaints. We suggest that synovial chondromatosis may present as huge masses with smooth surfaces which can mimic as tumors. The Surgeon should be aware of this pattern of appearance of synovial chondromatosis.

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References

  1. Fuerst M, Zustin J, Lohmann C et al (2009) Synovial chondromatosis. Orthopade 38(6):511–519

    Article  PubMed  CAS  Google Scholar 

  2. Heybeli N, Ozcan M, Copuroglu C et al (2009) Isolated synovial chondromatosis of the proximal tibiofibular joint. Acta Orthop Traumatol Turc 43(5):448–452

    Article  PubMed  Google Scholar 

  3. Kirchhoff C, Buhmann S, Braunstein V et al (2008) Synovial chondromatosis of the long biceps tendon sheath in a child: a case report and review of the literature. J Shoulder Elbow Surg 17(3):e6–e10

    Article  PubMed  Google Scholar 

  4. Errani C, Jutte PC, De Paolis PM et al (2007) Secondary synovial chondromatosis in a bursa overlying an osteochondroma mimicking a peripheral chondrosarcoma—a case report. Acta Orthop 78(5):701–704

    Article  PubMed  Google Scholar 

  5. Berg E (1999) Synovial osteochondomatosis. Orthop Nurs 18(3):55–56

    Article  PubMed  CAS  Google Scholar 

  6. Ginaldi S (1980) Computed tomography feature of synovial osteochondromatosis. Skeletal Radiol 5(4):219–222

    Article  PubMed  CAS  Google Scholar 

  7. Kraszewski J, Krzymanski G, Lomzynski G et al (1984) Chondromatosis of the temporomandibular joint synovial membrane. Description of 2 cases. Czas Stomatol 37(5):349–353

    PubMed  CAS  Google Scholar 

  8. Nakanishi S, Sakamoto K, Yoshitake H et al (2009) Bone morphogenetic proteins are involved in the pathobiology of synovial chondromatosis. Biochem Biophys Res Commun 379(4):914–919

    Article  PubMed  CAS  Google Scholar 

  9. Buddingh EP, Krallman P, Neff JR et al (2003) Chromosome 6 abnormalities are recurrent in synovial chondromatosis. Cancer Genet Cytogenet 140(1):18–22

    Article  PubMed  CAS  Google Scholar 

  10. Christensen JH, Poulsen JO (1975) Synovial chondromatosis. Acta Orthop Scand 46(6):919–925

    Article  PubMed  CAS  Google Scholar 

  11. McGrory JE, Rock MG (2000) Synovial chondromatosis of the shoulder. Am J Orthop 29(10):793–795

    PubMed  CAS  Google Scholar 

  12. Paul GR, Leach RE (1970) Synovial chondromatosis of the shoulder. Clin Orthop Relat Res 68:130–135

    Article  PubMed  CAS  Google Scholar 

  13. Coolican MR, Dandy DJ (1989) Arthroscopic management of synovial chondromatosis of the knee. Findings and results in 18 cases. J Bone Joint Surg Br 71(3):498–500

    PubMed  CAS  Google Scholar 

  14. Dogan A, Harman M, Uslu M et al (2006) Rocky form giant synovial chondromatosis: a case report. Knee Surg Sports Traumatol Arthrosc 14(5):465–468

    Article  PubMed  Google Scholar 

  15. Goel A, Cullen C, Paul AS et al (2001) Multiple giant synovial chondromatosis of the knee. Knee 8(3):243–245

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Ravi Mittal.

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No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.

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Naranje, S., Mittal, R. Stones around bones! atypical giant synovial chondromatosis: a rare case report. Eur J Orthop Surg Traumatol 21, 367–370 (2011). https://doi.org/10.1007/s00590-010-0709-2

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  • DOI: https://doi.org/10.1007/s00590-010-0709-2

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