Arthroscopy: The Journal of Arthroscopic & Related Surgery
Case ReportDiagnosis and Arthroscopic Treatment of Primary Synovial Chondromatosis of the Shoulder
Section snippets
Case Report
A 24-year-old right hand–dominant man presented with a 6-month history of right shoulder pain during daily activity and decreased range of motion. There was no history of trauma or other underlying medical problems. Physical examination of the right shoulder revealed limited forward flexion to 70°, abduction to 20°, internal rotation to 40°, and external rotation to 30° with respect to the uninvolved side. There were no signs of inflammation or instability. Tenderness was noted over the biceps
Discussion
Primary synovial chondromatosis of the shoulder is a rare condition with an undefined etiology. It most commonly involves the knee joint, followed by the hip, elbow, wrist, ankle, and shoulder.7, 8 It is characterized by primary benign cartilaginous synovial metaplasia and leads to formation of calcified loose bodies. Milgram7 classified synovial chondromatosis into 3 separate phases of the disease: (1) active intrasynovial process without loose bodies, (2) transitional phase with active
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Cite this article as: Tokis AV, Andrikoula SI, Chouliaras VT, Vasiliadis HS, Georgoulis AD. Diagnosis and arthroscopic treatment of primary synovial chondromatosis of the shoulder. Arthroscopy 2007;23:1023.e1-1023.e5 [doi:10.1016/j.arthro.2006.07.009].