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Case Reports
. 2015 Sep 3:22:5.
doi: 10.11604/pamj.2015.22.5.7481. eCollection 2015.

A neglected case of giant synovial chondromatosis in knee joint

Sancar Serbest  1 , Ugur Tiftikçi  1 , Fatih Karaaslan  2 , Haci Bayram Tosun  3 , Hüseyin Fatih Sevinç  1 , Mahi Balci  4
Affiliations
Case Reports

A neglected case of giant synovial chondromatosis in knee joint

Sancar Serbest et al. Pan Afr Med J. .

Abstract

Synovial chondromatosis is a rare benign condition arising from the synovial membrane of the joints, synovial sheaths or bursae around the joints. Primary synovial chondromatosis typically affects the large joints in the third to fifth decade of life. The purpose of this case report is to document this rare synovial pathology, which required open synovectomy and debridement to eradicate it. In our case, the biggest sized SOC was 20x19x6 cm, although there were many joint mice. Our case had the biggest SOC ever extracted, which to the best of my knowledge has not been reported earlier.

Keywords: Synovial chondromatosis; giant; knee Joint; loose body; surgery.

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Figures

Figure 1
Figure 1
X-ray of right knee joint showing the radiodence body. Anteroposterior (a) and lateral (b) X-ray of the knee
Figure 2
Figure 2
MRI T-2 image showing the effusion, synovial hypertrophy and a loose calcific body (a, b)
Figure 3
Figure 3
Right knee joint exposed by medial parapatellar approach, a large loose body lying in front of intercondylar notch (a, b, c, d)
Figure 4
Figure 4
A large loose body of around 20x19x6 cm extracted from the knee joint (a, b c)
Figure 5
Figure 5
Histopathology slide of the loose body showing lobules of cartilage without cellular atypia (a, b c)
Figure 6
Figure 6
Radiographic findings after the removal of large loose body. Anteroposterior (a) and lateral (b) X-ray of the knee
See this image and copyright information in PMC

References

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