Articles Vol. 63 No. 3 (2022) 22/05/2022

ANKLE ARTHROSCOPIC SURGERY FOR THE TREATMENT OF SYNOVIAL CHONDROMATOSIS. A CASE REPORT

Duong Dinh Toan1,2, Vo Quoc Hung3,4
1 Hanoi Medical University
2 Trường Đại học Y Hà Nội
3 VietDuc University Hospital
4 Bệnh viện Hữu Nghị Việt Đức
Corresponding author: duongdinhtoan@hmu.edu.vn
DOI: 10.52163/yhc.v63i3.350
12 Views
8 Downloads
Keywords
Synovial chondromatosis, loose bodies, arthroscopy.
Abstract

Synovial chondromatosis of the joints is a rare benign disease of unknown etiology. The disease can arise in the synovial membrane of joints or tendon sheaths. Synovial chondromatosis is characterized by multiple loose bodies in the joint, they cause symptoms such as swelling, pain and limitation of joint movement, which can lead to structural damage in the long term. We describe the case of a 42-year-old male patient who was diagnosed with a right ankle synovial chondromatosis. X-ray and MRI images showed two synovial chondromatosis that located in the anterior and posterior compartments of the subtalar joint. The patient was successfully treated by arthroscopic removal of loose bodies in the joint and partial synovial resection.

Clinical follow-up after one month and two months and 24 months, ankle joint function was completely normal. MRI 24 months after surgery showed showed no sign of tumor recurrence. Conclusion: Arthroscopy of the ankle joint is an effective, safe, and minimally invasive treatment method. When diagnosing synovial chondromatosis in the ankle joint, surgery should be done early to prevent secondary joint damage.

References
[1]
Padhan P, Ahmed S, Synovial Chondromatosis. N Engl J Med. 2019;381(14):1364. doi:10.1056/NEJMicm1813672 Google Scholar
[2]
Neumann JA, Garrigues GE, Brigman BE et al., Synovial Chondromatosis. JBJS Rev. 2016;4(5):e2. doi:10.2106/JBJS.RVW.O.00054 Google Scholar
[3]
Sathe P, Agnihotri M, Vinchu C, Synovial chondromatosis of ankle in a child: A rare presentation. J Postgrad Med. 2020;66(2):112-113. doi:10.4103/jpgm.JPGM_628_19 Google Scholar
[4]
Saxena A, St Louis M, Synovial Chondromatosis of the Ankle: Report of Two Cases With 23 and 126 Loose Bodies. J Foot Ankle Surg. 2017;56(1):182-186. doi:10.1053/j.jfas.2016.02.009 Google Scholar
[5]
Pellacci F, Zmerly H, I corpi liberi endoarticolari. Rivista Italiana di Biologia e Medicina, 2001;21(1): 345-347. Google Scholar
[6]
Peixoto D, Gomes M, Torres A et al., Arthroscopic treatment of synovial chondromatosis of the ankle. Rev Bras Ortop. 2018;53(5):622-625. Published 2018 Jul 27. doi:10.1016/j.rboe.2018.07.001. Google Scholar
[7]
Shearer H, Stern P, Brubacher A, Pringle T. A case report of bilateral synovial chondromatosis of the ankle. Chiropr Osteopat. 2007;15:18. Published 2007 Nov 24. doi:10.1186/1746-1340-15-18 Google Scholar
[8]
Milgram JW, Synovial osteochondromatosis: a histopathological study of thirty cases. J Bone Joint Surg Am. 1977;59(6):792-801. Google Scholar
[9]
Santiago T, Mariano C, Primary synovial chondromatosis of the ankle joint presenting as monoarthritis. BMJ Case Rep. 2013;2013:bcr2013202186. Published 2013 Dec 10. doi:10.1136/bcr-2013-202186. Google Scholar