Posterior interosseous nerve palsy caused by synovial osteochondromatosis of the elbow analyzed by three-dimensional reconstruction: a case report

Abstract Background Synovial osteochondromatosis, a benign tumor consisting of cartilage and bone, generally presents as multiple osteochondral or chondral nodules. Peripheral nerve palsy caused by synovial osteochondromatosis is rare. Three-dimensional reconstruction based on magnetic resonance ima...

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Main Authors: Koichi Yano, Yasunori Kaneshiro, Kosuke Sasaki, Hideki Sakanaka
Format: Article
Language:English
Published: BMC 2018-11-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13256-018-1865-y
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author Koichi Yano
Yasunori Kaneshiro
Kosuke Sasaki
Hideki Sakanaka
author_facet Koichi Yano
Yasunori Kaneshiro
Kosuke Sasaki
Hideki Sakanaka
author_sort Koichi Yano
collection DOAJ
description Abstract Background Synovial osteochondromatosis, a benign tumor consisting of cartilage and bone, generally presents as multiple osteochondral or chondral nodules. Peripheral nerve palsy caused by synovial osteochondromatosis is rare. Three-dimensional reconstruction based on magnetic resonance imaging shows the specific shape and location of the tumor and its relation to the nerve. Case presentation We describe a case of posterior interosseous nerve palsy caused by synovial osteochondromatosis of the elbow in a 66-year-old Japanese man. A three-dimensional reconstructed image based on magnetic resonance imaging was used to determine the location and shape of the giant tumor, which was composed of bone and cartilage. After surgical resection of the giant tumor and neurolysis of the posterior interosseous nerve, he fully recovered from nerve palsy 9 months postoperatively. There was no recurrence of the lesion 1 year postoperatively. Conclusion Synovial osteochondromatosis that causes posterior interosseous nerve palsy has a characteristic morphology and location, that is, a giant tumor located anterior to the humeroradial joint, as revealed by three-dimensional magnetic resonance image reconstruction.
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spelling doaj.art-576adb6b4a654b19b18e15170b41ec7d2022-12-22T01:26:43ZengBMCJournal of Medical Case Reports1752-19472018-11-011211510.1186/s13256-018-1865-yPosterior interosseous nerve palsy caused by synovial osteochondromatosis of the elbow analyzed by three-dimensional reconstruction: a case reportKoichi Yano0Yasunori Kaneshiro1Kosuke Sasaki2Hideki Sakanaka3Department of Orthopaedic Surgery, Seikeikai HospitalDepartment of Orthopaedic Surgery, Seikeikai HospitalDepartment of Orthopaedic Surgery, Ekisaikai HospitalDepartment of Orthopaedic Surgery, Seikeikai HospitalAbstract Background Synovial osteochondromatosis, a benign tumor consisting of cartilage and bone, generally presents as multiple osteochondral or chondral nodules. Peripheral nerve palsy caused by synovial osteochondromatosis is rare. Three-dimensional reconstruction based on magnetic resonance imaging shows the specific shape and location of the tumor and its relation to the nerve. Case presentation We describe a case of posterior interosseous nerve palsy caused by synovial osteochondromatosis of the elbow in a 66-year-old Japanese man. A three-dimensional reconstructed image based on magnetic resonance imaging was used to determine the location and shape of the giant tumor, which was composed of bone and cartilage. After surgical resection of the giant tumor and neurolysis of the posterior interosseous nerve, he fully recovered from nerve palsy 9 months postoperatively. There was no recurrence of the lesion 1 year postoperatively. Conclusion Synovial osteochondromatosis that causes posterior interosseous nerve palsy has a characteristic morphology and location, that is, a giant tumor located anterior to the humeroradial joint, as revealed by three-dimensional magnetic resonance image reconstruction.http://link.springer.com/article/10.1186/s13256-018-1865-ySynovial osteochondromatosisPosterior interosseous nerve palsyElbowThree-dimensional reconstruction
spellingShingle Koichi Yano
Yasunori Kaneshiro
Kosuke Sasaki
Hideki Sakanaka
Posterior interosseous nerve palsy caused by synovial osteochondromatosis of the elbow analyzed by three-dimensional reconstruction: a case report
Journal of Medical Case Reports
Synovial osteochondromatosis
Posterior interosseous nerve palsy
Elbow
Three-dimensional reconstruction
title Posterior interosseous nerve palsy caused by synovial osteochondromatosis of the elbow analyzed by three-dimensional reconstruction: a case report
title_full Posterior interosseous nerve palsy caused by synovial osteochondromatosis of the elbow analyzed by three-dimensional reconstruction: a case report
title_fullStr Posterior interosseous nerve palsy caused by synovial osteochondromatosis of the elbow analyzed by three-dimensional reconstruction: a case report
title_full_unstemmed Posterior interosseous nerve palsy caused by synovial osteochondromatosis of the elbow analyzed by three-dimensional reconstruction: a case report
title_short Posterior interosseous nerve palsy caused by synovial osteochondromatosis of the elbow analyzed by three-dimensional reconstruction: a case report
title_sort posterior interosseous nerve palsy caused by synovial osteochondromatosis of the elbow analyzed by three dimensional reconstruction a case report
topic Synovial osteochondromatosis
Posterior interosseous nerve palsy
Elbow
Three-dimensional reconstruction
url http://link.springer.com/article/10.1186/s13256-018-1865-y
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AT yasunorikaneshiro posteriorinterosseousnervepalsycausedbysynovialosteochondromatosisoftheelbowanalyzedbythreedimensionalreconstructionacasereport
AT kosukesasaki posteriorinterosseousnervepalsycausedbysynovialosteochondromatosisoftheelbowanalyzedbythreedimensionalreconstructionacasereport
AT hidekisakanaka posteriorinterosseousnervepalsycausedbysynovialosteochondromatosisoftheelbowanalyzedbythreedimensionalreconstructionacasereport