Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleLong-term Results After Arthroscopic Treatment of Synovial Chondromatosis of the Shoulder
Section snippets
Methods
Five patients with synovial chondromatosis of the shoulder were included into the retrospective study. Four males and one female patient were affected. The average age at presentation was 36 years (range, 29 to 39 years). Two left and three right shoulders were affected; all subjects were right-handed. The average period from onset of symptoms to arthroscopy was 6 years (range, 2 to 13 years). The primary presenting complaints were chronic pain (especially during abduction) and limited range of
Results
At follow-up, the Constant and Murley scores reported on all patients were very good. Scores on the affected side averaged 97 points (range, 91 to 100 points). Scores on the unaffected side were all 100 points (Table 1). The lower scores in the three patients were attributed to mild impairment of internal rotation of the shoulder (subject 4: dorsal surface of the hand to the twelfth vertebra; subject 5: dorsal surface of the hand to the third lumbar vertebra), abduction force (subject 5), and
Discussion
The standard method for treatment of synovial chondromatosis of the shoulder has been open arthrotomy for the removal of loose bodies and synovectomy.2, 4 Arthroscopic treatment for this disorder has rarely been reported and then only as isolated case reports.7, 12, 13 This study evaluated the arthroscopic treatment for synovial chondromatosis of the shoulder in a small group of patients.
The male prevalence and the age of our 5 patients with synovial chondromatosis of the gleno-humeral joint is
Conclusions
The clinical results referring to the Constant and Murley score and subjective assessment were very good at 4 to 9 years following surgery. However, in two out of five, subjects radiographs revealed the evidence of persisting or recurrent synovial chondroma at follow-up.
References (25)
- et al.
Ultrasound appearance of synovial osteochondromatosis of the shoulder
Mayo Clin Proc
(1998) - et al.
Arthroscopic treatment of synovial chondromatosis of the shoulder and biceps tendon sheath
Arthroscopy
(1993) - et al.
Recurrence of synovial chondromatosis of the glenohumeral joint after arthroscopic treatment
Arthroscopy
(2004) - et al.
Bilateral shoulder bursal osteochondromatosis associated with complete rotator cuff tear
J Shoulder Elbow Surg
(2004) - et al.
Benign and malignant chondromatosis of the jointsA contribution to the clinical aspects and histology of the disease
Z Orthop Ihre Grenzgeb
(1980) - et al.
Synovial chondromatosis of the shoulder associated with osteoarthritis: Conservative treatment in two cases and review of the literature
Am J Orthop
(2000) - et al.
Synovial chondromatosis of the biceps tendon sheath
Orthop Rev
(1994) - et al.
Arthroscopic management of synovial chondromatosis of the kneeFindings and results in 18 cases
J Bone Joint Surg Br
(1989) - et al.
Synovial chondromatosis
Orthopade
(1988) - et al.
Joint chondromatosisResults in 40 surgically and conservatively treated patients
Unfallchirurg
(1990)
Arthroscopic technique for treatment of synovial chondromatosis of the glenohumeral joint
Arthroscopy
Synovial chondromatosis of the biceps tendon sheath
Am J Orthop
Cited by (25)
Giant Solitary Synovial Osteochondroma of the Subtalar Joint
2016, Journal of Foot and Ankle SurgeryCitation Excerpt :However, recurrence has been reported after partial synovectomy (6,13). It could result from cartilaginous seeds embedded in the remaining synovium that were not detected intraoperatively (17). Complete synovectomy might be a more effective method of preventing recurrence.
Arthroscopic treatment of synovial chondromatosis of the shoulder: A case report
2015, Annals of Medicine and SurgeryCitation Excerpt :Restrictions in the joint range of movement occur associated with the mechanical effect of the free fragments and in periods of active use, local pain and swelling may be seen in the shoulder. As the visualisation of lesions which are not calcified would be difficult on direct radiographs, examination with magnetic resonance imaging is recommended in diagnosis [3–5]. Milgram defined 3 stages of synovial chondromatosis.
Arthroscopic treatment of synovial chondromatosis, an unusual cause of shoulder pain
2014, Reumatologia ClinicaBiceps tenoscopy in arthroscopic treatment of primary synovial chondromatosis of the shoulder
2014, Arthroscopy TechniquesCitation Excerpt :The available data indicate that BTS involvement is much more common than previously thought. The few existing case series found loose OCs located within the BTS in approximately half of the patients (Table 3).3-5 Notable degenerative changes (chondromalacia, osteoarthrosis) existed in two-thirds of patients at the time of surgery.
Arthroscopic removal of giant loose bodies in the glenohumeral joint
2014, International Journal of Surgery Case ReportsSynovial chondromatosis of the upper extremity
2013, Journal of Hand SurgeryCitation Excerpt :Preoperative imaging to distinguish intra-articular from extra-articular disease is particularly important for surgical planning, because extra-articular disease is usually not accessible via an arthroscopic approach. For glenohumeral synovial chondromatosis, the trend appears to be more toward arthroscopic treatment for intra-articular disease.54–57 In a series published by Urbach et al of 5 cases of shoulder chondromatosis arthroscopically treated by partial synovectomy and loose body resection, 2 patients had either residual disease or recurrence.57
The authors report no conflict of interest.