Article

Primary synovial osteochondromatosis of the hand and wrist. Report of a series of 21 cases and literature review.

Institut de la Main, Clinique Jouvenet, Paris.
Revue du rhumatisme (English ed.) 06/1999; 66(5):256-66. pp.256-66
Source: PubMed

ABSTRACT To define the characteristics of synovial osteochondromatosis of the hand and wrist.
Retrospective study of 21 patients, including 11 with intraarticular and 10 with tenosynovial disease. Cases secondary to degenerative joint disease were excluded. Surgery consisted in removal of the osteocartilaginous bodies and of the adjacent synovial membrane. Mean follow-up was seven years (range, three to 18 years). The relevant literature was reviewed in part.
Recurrence was seen in four patients and was multiple in two of these four. Most recurrences occurred within five to ten years after surgery. All four patients with recurrences had intraarticular disease. No cases of malignant transformation were seen. The characteristics of synovial osteochondromatosis at the hand and wrist are reviewed.
Detailed preoperative investigations including computed arthrotomography and magnetic resonance imaging should be performed to increase the likelihood of complete excision.

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    Article: Recurrent synovial chondromatosis of the wrist: case report and literature review.
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    ABSTRACT: Synovial chondromatosis of the wrist is rare. We report the case of a 35-year-old man with synovial chondromatosis of the left wrist with an 8-year follow-up. Frequent recurrences finally resulted in total wrist arthrodesis. A review of the literature produced 24 case reports of synovial chondromatosis of the wrist with only three cases showing recurrence.
    Acta orthopaedica Belgica 05/2005; 71(2):230-5. · 0.40 Impact Factor
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    Article: SINOVIJALNA HONDROMATOZA
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    ABSTRACT: Synovial chondromatosis is an uncommon benign disorder of the synovial membrane of joints, tendon sheaths, or bursae characterized by the formation of multiple cartilaginous nodules or osseus loose bodies. It is usually a monoarticular disease, and 33 different localizations have been described until now. The aim of this review article is to present the newest knowledge on the etiology, diagnosis, differential diagnosis, and management of synovial chondromatosis. Malignant transformation to chondrosarcoma is an unusual but possible complication. It is closely connected with recurrence rate and usually occurs many years after surgical treatment. More specific details related to surgical treatment of most often affected joints, i.e. shoulder, elbow, hip, knee, and ankle are reported as well at the end of this review article.
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Keywords

21 patients
 
adjacent synovial membrane
 
cases
 
Cases secondary
 
complete excision
 
degenerative joint disease
 
Detailed preoperative investigations
 
four patients
 
intraarticular
 
magnetic resonance imaging
 
patients
 
relevant literature
 
Retrospective study
 
synovial osteochondromatosis
 
tenosynovial disease
 

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