Hip Arthroscopy in the Treatment of Synovial Chondromatosis

  • Anthony Marchie
  • Philip J Glassner
  • Ian Panuncialman
  • Joseph C McCarthy
Living reference work entry


Synovial chondromatosis of the hip is often underdiagnosed. A high index of suspicion and good-quality imaging studies are therefore essential. A wide array of long and curved instrumentation is needed at surgery. Efficient use of time and an organized surgical approach are critical to decreasing joint distraction time and potential complications. A successful outcome, with pain relief, return of joint function and range of motion are predicated on incremental follow-up.


  1. 1.
    Dkhissi M, Aboutaieb R, Hermas M, Zryouil B. Villonodular synovitis of the large joints. Acta Orthop Belg. 1993;59(1):81–6.PubMedGoogle Scholar
  2. 2.
    Gitelis S, Heligman D, Morton T. The treatment of pigmented villonodular synovitis of the hip. A case report and literature review. Clin Orthop Relat Res. 1989;239:154–60.PubMedGoogle Scholar
  3. 3.
    Holgersson S, Brattström H, Mogensen B, Lidgren L. Arthroscopy of the hip in juvenile chronic arthritis. J Pediatr Orthop. 1981;1(3):273–8.PubMedCrossRefGoogle Scholar
  4. 4.
    Janssens X, Van Meirhaeghe J, Verdonk R, Verjans P, Cuvelier C, Veys EM. Diagnostic arthroscopy of the hip joint in pigmented villonodular synovitis. Arthroscopy. 1987;3(4):283–7.PubMedCrossRefGoogle Scholar
  5. 5.
    Ochi T, Iwase R, Kimura T, Hirooka A, Masada K, Owaki H, Wakitani S, Murata N, Ono K. Effect of early synovectomy on the course of rheumatoid arthritis. J Rheumatol. 1991;18(12):1794–8.PubMedGoogle Scholar
  6. 6.
    Sim FH. Synovial proliferative disorders: role of synovectomy. Arthroscopy. 1985;1(3):198–204.PubMedCrossRefGoogle Scholar
  7. 7.
    Hardacker J, Mindell ER. Synovial chondromatosis with secondary subluxation of the hip. A case report. J Bone Joint Surg Am. 1991;73(9):1405–7.PubMedGoogle Scholar
  8. 8.
    Maurice H, Crone M, Watt I. Synovial chondromatosis. J Bone Joint Surg (Br). 1988;70(5):807–11.Google Scholar
  9. 9.
    Boyer T, Dorfmann H. Arthroscopy in primary synovial chondromatosis of the hip: description and outcome of treatment. J Bone Joint Surg (Br). 2008;90(3):314–8.CrossRefGoogle Scholar
  10. 10.
    Mason JB, McCarthy JC, O’Donnell J, Barsoum W, Mayor MB, Busconi BD, Krebs VE, Owens BD. Hip arthroscopy: surgical approach, positioning, and distraction. Clin Orthop Relat Res. 2003;406:29–37.PubMedCrossRefGoogle Scholar
  11. 11.
    McCarthy JC. Hip arthroscopy: applications and technique. J Am Acad Orthop Surg. 1995;3(3):115–22.PubMedGoogle Scholar
  12. 12.
    Glick JM. Hip arthroscopy by the lateral approach. Instr Course Lect. 2006;55:317–23.PubMedGoogle Scholar
  13. 13.
    Clarke MT, Arora A, Villar RN. Hip arthroscopy: complications in 1054 cases. Clin Orthop Relat Res. 2003;406:84–8.PubMedCrossRefGoogle Scholar
  14. 14.
    Griffin DR, Villar RN. Complications of arthroscopy of the hip. J Bone Joint Surg (Br). 1999;81(4):604–6.CrossRefGoogle Scholar
  15. 15.
    Christensen CP, Althausen PL, Mittleman MA, Lee JA, McCarthy JC. The nonarthritic hip score: reliable and validated. Clin Orthop Relat Res. 2003;406:75–83.PubMedCrossRefGoogle Scholar

Copyright information

© ©Her Majesty the Queen in Right of Canada, as represented by the governor general 2014

Authors and Affiliations

  • Anthony Marchie
    • 1
  • Philip J Glassner
    • 2
  • Ian Panuncialman
    • 3
  • Joseph C McCarthy
    • 3
    • 4
  1. 1.Mackenzie HealthRichmond HillCanada
  2. 2.Hunterdon Orthopedic InstituteFlemingtonUSA
  3. 3.Harris Orthopaedic LaboratoryMassachusetts General HospitalBostonUSA
  4. 4.Joint Reconstruction CenterNewton-Wellesley HospitalBostonUSA

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