Skip to main content

Advertisement

Log in

Intermetatarsal bursa primary synovial chondromatosis: case report and review of the literature

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Primary synovial chondromatosis is a benign neoplastic process, occurring mostly in large joints, more rarely in tendon sheaths, and extremely uncommonly in bursae. We describe a patient with primary synovial chondromatosis arising in the fourth intermetatarsal bursa. Knowledge of the bursal anatomy of the forefoot, and of characteristic imaging findings and the pathogenesis of synovial chondromatosis, is essential in including this uncommon entity in the differential when occurring in unusual locations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Prager RJ, Mall JC. Arthrographic diagnosis of synovial chondromatosis. AJR Am J Roentgenol. 1976;127:344–6.

    Article  CAS  PubMed  Google Scholar 

  2. Norman A, Steiner GC. Bone erosion in synovial Chondromatosis. Radiology. 1986;161:749–52.

    Article  CAS  PubMed  Google Scholar 

  3. Manco LG, DeLuke DM. CT diagnosis of synovial chondromatosis of the temporomandibular joint. AJR Am J Roentgenol 1987;148:574–6.

    Article  CAS  PubMed  Google Scholar 

  4. Lazarus E, Song JH, Lambiase RE, Tung GA. Cases of the day. Radiographics. 1996;16:709–12.

    Article  CAS  PubMed  Google Scholar 

  5. Murphey MD, Vidal JA, Fanburg-Smith JC, Gajewski DA. Imaging of synovial chondromatosis with radiologic-pathologic correlation. Radiographics. 2007;27:1465–88.

    Article  PubMed  Google Scholar 

  6. Lim W, Jeon J, Choi S, Choi H. Synovial chondromatosis in the temporomandibular joint: a case with typical imaging features and pathological findings. Br J Radiol. 2011;84:e213–8.

    Article  CAS  PubMed  Google Scholar 

  7. Ezequiel P, Tatiana K, Sabri M, Dror DB, Meir N, et al. Massive synovial chondromatosis of the foot: a case report. Clin Res Foot Ankle. 2014;2:130.

    Article  Google Scholar 

  8. Sanromán JF, López AC, Badiola IA, Ferro MF, De Sánchez AL. Indications of arthroscopy in the treatment of synovial chondromatosis of the temporomandibular joint: report of 5 new cases. J Oral Maxillofac Surg 2008;66:1694–99

    Article  Google Scholar 

  9. Koyama J-i, Ito J, Hayashi T, Kobayashi F. Synovial chondromatosis in the temporomandibular joint complicated by displacement and calcification of the articular disk: report of two cases. AJNR Am J Neuroradiol. 2001;22:1203–6.

    CAS  PubMed  Google Scholar 

  10. Herzog S, Mafee M. Synovial chondromatosis of the TMJ: MR and CT findings. AJNR Am J Neuroradiol. 1990;11:742–5.

    CAS  PubMed  Google Scholar 

  11. Giustra PE, Furman RS, Roberts L, Killoran PJ. Synovial osteochondromatosis involving the elbow. Am J Roentgenol. 1976;27:347–8.

    Article  Google Scholar 

  12. Bonatti BDS, Patrocinio LG, Costa SAA, Costa JMC, Patrocinio JA. Temporomandibular joint synovial chondromatosis. Braz J Otorhinolaryngol. 2008;74(3):480.

    Article  Google Scholar 

  13. Balliu E, Medina V, Villanova JC, Pelaez I, Puig J, Trull JM, et al. Synovial chondromatosis of the temporomandibular joint: CT and MRI findings. Dentomaxillofacial Radiol. 2007;36:55–8.

    Article  CAS  Google Scholar 

  14. Nokes SR, King PS, Garcia R Jr, Silbiger ML, Daniel Jones J III, Castellano ND. Temporomandibular joint chondromatosis with intracranial extension: MR and CT contributions. AJR Am J Roentgenol. 1987;148:1173–4.

    Article  CAS  PubMed  Google Scholar 

  15. Kanlin CA, De Smet AA, Neff J, Lin F, Horton W, Wertzberger JJ. The variable manifestations of extraarticular synovial chondromatosis. AJR Am J Roentgenol. 1981;137:731–5.

    Article  Google Scholar 

  16. Walker EA, Murphey MD, Fetsch JF. Imaging characteristics of tenosynovial and bursal chondromatosis. Skeletal Radiol. 2011;40:317–25.

    Article  PubMed  Google Scholar 

  17. Hopyan S, Nadesan P, Yu C, Wunder J, Alman BA. Dysregulation of hedgehog signaling predisposes to synovial chondromatosis. J Pathol. 2005;206(2):143–50.

    Article  CAS  PubMed  Google Scholar 

  18. Lui TH. Endoscopic resection of the lateral ankle bursa with synovial chondromatosis. Arthosc Tech. 2016;5(3):e489–93.

    Article  Google Scholar 

  19. Lin Y-C, Goldsmith JD, Gebhardt MG, Jim SW. Bursal synovial chondromatosis formation following osteochondroma resection. Skeletal Radiol. 2014;43(7):997–1000.

    Article  PubMed  Google Scholar 

  20. Theumann NH, Pfirrmann CW, Chung CB, Mohana-Boreges AV, Haghighi P, Trudell DJ, Resnick D. Intermetatarsal spaces: analysis with MR bursography, anatomic correlation, and histopathology in cadavers. Radiology 2001;221:478–84.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

Nawar Hakim, Department of Pathology, Texas Tech University Health Science Center at El Paso.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Manuel Trevino.

Ethics declarations

Conflicts of interest

The authors declare that they have no conflicts of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Trevino, M., Laks, S., Kafchinski, L. et al. Intermetatarsal bursa primary synovial chondromatosis: case report and review of the literature. Skeletal Radiol 46, 1769–1773 (2017). https://doi.org/10.1007/s00256-017-2765-8

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-017-2765-8

Keywords

Navigation