Skeletal Radiology

, Volume 34, Issue 11, pp 707–713

Primary synovial osteochondromatosis presenting as constrictive capsulitis

  • S. H. Butt
  • T. Muthukumar
  • V. N. Cassar-Pullicino
  • D. C. Mangham
Scientific Article

Abstract

Primary synovial chondromatosis of the joints can present as capsular constriction with peri-articular osteopenia. This rare presentation is highlighted in three cases (two hips and one shoulder). The diagnosis in all the patients was made on arthrography and/or MRI/CT and was confirmed histologically. Synovial chondromatosis should be considered in patients with this presentation. Arthrography is the best imaging modality to confirm the cause (synovial chondromatosis) and effect (constrictive capsulitis).

Keywords

Synovial chondromatosis CT MRI Arthrography 

References

  1. 1.
    Bruckner FE, Nye CJS. A prospective study of adhesive capsulitis of the shoulder in a high risk population. Q J Med 1981; 198:191–204.Google Scholar
  2. 2.
    Nevasier RJ, Nevasier TJ. The frozen shoulder. Diagnosis and management. Clin Orthop 1987; 233:59–64.Google Scholar
  3. 3.
    Lequesne M, Becker J, Bard M, Witvoet J, Postel M. Capsular constriction of the hip: arthrographic and clinical considerations. Skeletal Radiol 1981; 6:1―10.CrossRefPubMedGoogle Scholar
  4. 4.
    Griffiths HJ, Utz R, Burke J, Bonfiglio T. Adhesive capsulitis of the hip and ankle. AJR Am J Roentgenol 1985; 144:101–105.PubMedGoogle Scholar
  5. 5.
    Van Der Korst JK, Colenbrander H, Cats A. Phenobarbital and the shoulder hand syndrome. Ann Rheum Dis 1966; 25:553―555.PubMedGoogle Scholar
  6. 6.
    Emig EW, Schweitzer ME, Karasick D, Lubowitz J. Adhesive capsulitis of the shoulder: MR diagnosis. AJR Am J Roentgenol 1995; 164:1457–1459.PubMedGoogle Scholar
  7. 7.
    Connell D, Padmanabhan R, Buchbinder R. Adhesive capsulitis: role of MR imaging in differential diagnosis. Eur Radiol 2002;12:2100–2106.PubMedGoogle Scholar
  8. 8.
    Shafer B, Tibone JE, Kerlan RK. Frozen shoulder. A long term follow-up. J Bone Joint Surg Am 1992; 74:738–746.PubMedGoogle Scholar
  9. 9.
    Lee MH, Ahn JM, Muhle C, et al. Adhesive capsulitis of the shoulder: diagnosis using MR arthrography, with arthroscopic findings as the standard. J Comput Assist Tomogr 2003; 27:901–905.CrossRefPubMedGoogle Scholar
  10. 10.
    Manton GL, Schwietzer ME, Weishaupt D, Karasick D. Utility of MR arthrography in the diagnosis of adhesive capsulitis. Skeletal Radiol 2001; 30:326–330.Google Scholar
  11. 11.
    Bunker TD, Anthony PP. The pathology of frozen shoulder—a Dupuytren like disease. J Bone Joint Surg Br 1995; 77:677–683.PubMedGoogle Scholar
  12. 12.
    Cayla P, Chaouat C, Coste F. The decalcifying form of synovial chondromatosis of the hip. Rev Rhum Osteoarctic 1965; 32:646–653.Google Scholar
  13. 13.
    Mussey RD, Henderson MS. Chondromatosis. J Bone Joint Surg Am 1949; 31:619–627.Google Scholar
  14. 14.
    Maurice H, Crone M, Watt I. Synovial chondromatosis. J Bone and Joint Surg Br 1988; 70:807–811.Google Scholar
  15. 15.
    Crotty JM, Monu JUV, Pope Jr TL. Synovial chondromatosis. Radiol Clin North Am 1996; 34:327–341.PubMedGoogle Scholar
  16. 16.
    Murphy FP, Dahlin DC, Sullivan CR. Articular synovial chondromatosis. J Bone Joint Surg Am 1962; 44:77–86.Google Scholar
  17. 17.
    Jeffreys TE. Synovial chondromatosis. J Bone Joint Surg Br 1967; 49:530–534.PubMedGoogle Scholar
  18. 18.
    Trias A, Quintana O. Synovial chondrometaplasia: review of world literature and a study of 18 Canadian cases. Can J Surg 1976; 19:151–158.PubMedGoogle Scholar
  19. 19.
    Norman A, Steiner GC. Bone erosion in synovial chondromatosis. Radiology 1986; 161:749–752.PubMedGoogle Scholar
  20. 20.
    Hardacker J, Mindell ER. Synovial chondromatosis with secondary subluxation of the hip. J Bone Joint Surg Am 1991; 73:1405–1407.PubMedGoogle Scholar
  21. 21.
    Kramer J, Recht M, Deeley DM, et al. MR appearance of idiopathic synovial chondromatosis. J Comput Assist Tomogr 1993; 17:772–776.PubMedGoogle Scholar
  22. 22.
    Kim SH, Hong SJ, Park JS, et al. Idiopathic synovial chondromatosis of the hip: radiographic and MR appearances in 15 patients. Korean J Radiol 2002; 3:254–259.PubMedGoogle Scholar
  23. 23.
    Murphy WA, Siegel MJ, Gilula LA. Arthrography in the diagnosis of unexplained chronic hip pain with regional osteopenia. AJR Am J Roentgenol 1977; 129:283–287.PubMedGoogle Scholar
  24. 24.
    Prager RJ, Mall JC. Arthrographic diagnosis of synovial chondromatosis. AJR Am J Roentgenol 1976; 127:344–346.PubMedGoogle Scholar
  25. 25.
    Wilson WJ, Parr TJ. Synovial chondromatosis. Orthopaedics 1988; 11:1179–1183.Google Scholar
  26. 26.
    Davis RI, Hamilton A, Biggart JD. Primary synovial chondromatosis: a clinicopathologic review and assessment of malignant potential. Hum Pathol 1998;27:683–688.CrossRefGoogle Scholar
  27. 27.
    Wittkop B, Davies AM, Mangham DC. Primary synovial chondromatosis and synovial chondrosarcoma. Eur Radiol 2002; 12:2112–2119.PubMedGoogle Scholar
  28. 28.
    Robinson P, White LM, Kandel R, Bell RS, Wunder JS. Primary synovial chondromatosis of the hip: extracapsular patterns of spread. Skeletal Radiol 2004; 33:210–215.Google Scholar
  29. 29.
    Crittenden CJ, Jones DM, Santarelli AG. Knee arthrogram in synovial chondromatosis. Radiology 1970; 94:133–134.PubMedGoogle Scholar

Copyright information

© ISS 2005

Authors and Affiliations

  • S. H. Butt
    • 1
  • T. Muthukumar
    • 1
  • V. N. Cassar-Pullicino
    • 1
  • D. C. Mangham
    • 2
  1. 1.Department of RadiologyThe Robert Jones and Agnes Hunt Orthopaedic HospitalOswestryUK
  2. 2.Department of PathologyThe Robert Jones and Agnes Hunt Orthopaedic HospitalOswestryUK

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