Chronic extra-articular synovial osteochondromatosis of the ankle: A case report

Extra-articular Synovial Osteochondromatosis (SC) is a rare joint pathology that is currently not well understood. Intraarticular and/or periarticular clusters of loose bodies can become debilitating and significantly limit function secondary to mass effect and foreign body type reactions. Surgical...

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Main Authors: Jaime A. Ahluwalia, DPM, AACFAS, Assal Nour Ziai, DPM, AACFAS, Ralph Napoli, DPM, FACFAS
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Foot & Ankle Surgery: Techniques, Reports & Cases
Subjects:
4
Online Access:http://www.sciencedirect.com/science/article/pii/S2667396723000861
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author Jaime A. Ahluwalia, DPM, AACFAS
Assal Nour Ziai, DPM, AACFAS
Ralph Napoli, DPM, FACFAS
author_facet Jaime A. Ahluwalia, DPM, AACFAS
Assal Nour Ziai, DPM, AACFAS
Ralph Napoli, DPM, FACFAS
author_sort Jaime A. Ahluwalia, DPM, AACFAS
collection DOAJ
description Extra-articular Synovial Osteochondromatosis (SC) is a rare joint pathology that is currently not well understood. Intraarticular and/or periarticular clusters of loose bodies can become debilitating and significantly limit function secondary to mass effect and foreign body type reactions. Surgical excision is the only curative measure at this point and intervention is further recommended due to reports of malignant transformation. We present a case of a healthy 66-year-old female with a 10-year history of a slow growing mass affecting the left lateral ankle. MRI and histopathology were consistent with exra-articular synovial osteochondromatosis and patient was managed successfully with total excision of mass. Extra-articular synovial osteochondromatosis presents a unique surgical opportunity to restore function and limit relative risk of malignant transformation. We report successful surgical outcome with immediate relief due to mass effect and significant decompression by complete excision.
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spelling doaj.art-8fd0c7e93eed42fa84f0608fd474002d2024-03-09T09:29:44ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672024-01-0141100348Chronic extra-articular synovial osteochondromatosis of the ankle: A case reportJaime A. Ahluwalia, DPM, AACFAS0Assal Nour Ziai, DPM, AACFAS1Ralph Napoli, DPM, FACFAS21 Fellow, Summit Health Foot & Ankle Reconstructive Surgery Fellowship Program, Hackensack, NJ, United StatesAttending, Southern California Permanente Medical Group, Kaiser Permanente, Los Angeles, CA, United StatesProgram Director, Summit Health Foot & Ankle Reconstructive Surgery Fellowship Program, Summit Health, Hackensack, NJ, United States; Corresponding author.Extra-articular Synovial Osteochondromatosis (SC) is a rare joint pathology that is currently not well understood. Intraarticular and/or periarticular clusters of loose bodies can become debilitating and significantly limit function secondary to mass effect and foreign body type reactions. Surgical excision is the only curative measure at this point and intervention is further recommended due to reports of malignant transformation. We present a case of a healthy 66-year-old female with a 10-year history of a slow growing mass affecting the left lateral ankle. MRI and histopathology were consistent with exra-articular synovial osteochondromatosis and patient was managed successfully with total excision of mass. Extra-articular synovial osteochondromatosis presents a unique surgical opportunity to restore function and limit relative risk of malignant transformation. We report successful surgical outcome with immediate relief due to mass effect and significant decompression by complete excision.http://www.sciencedirect.com/science/article/pii/S26673967230008614
spellingShingle Jaime A. Ahluwalia, DPM, AACFAS
Assal Nour Ziai, DPM, AACFAS
Ralph Napoli, DPM, FACFAS
Chronic extra-articular synovial osteochondromatosis of the ankle: A case report
Foot & Ankle Surgery: Techniques, Reports & Cases
4
title Chronic extra-articular synovial osteochondromatosis of the ankle: A case report
title_full Chronic extra-articular synovial osteochondromatosis of the ankle: A case report
title_fullStr Chronic extra-articular synovial osteochondromatosis of the ankle: A case report
title_full_unstemmed Chronic extra-articular synovial osteochondromatosis of the ankle: A case report
title_short Chronic extra-articular synovial osteochondromatosis of the ankle: A case report
title_sort chronic extra articular synovial osteochondromatosis of the ankle a case report
topic 4
url http://www.sciencedirect.com/science/article/pii/S2667396723000861
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