Arthroscopic Management of Synovial Osteochondromatosis of the Elbow

Primary synovial chondromatosis is characterized by newly formed chondral or osteochondral nodules in the synovial membrane, which may detach and form loose bodies. The loose bodies can be calcified or ossified, and the condition is termed synovial osteochondromatosis. Three distinct stages can be i...

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Main Authors: Sui Kit Chan, M.B.B.S.(HK), Tun Hing Lui, M.B.B.S. (HK), F.R.C.S. (Edin), F.H.K.A.M., F.H.K.C.O.S.
Format: Article
Language:English
Published: Elsevier 2021-04-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628720303984
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author Sui Kit Chan, M.B.B.S.(HK)
Tun Hing Lui, M.B.B.S. (HK), F.R.C.S. (Edin), F.H.K.A.M., F.H.K.C.O.S.
author_facet Sui Kit Chan, M.B.B.S.(HK)
Tun Hing Lui, M.B.B.S. (HK), F.R.C.S. (Edin), F.H.K.A.M., F.H.K.C.O.S.
author_sort Sui Kit Chan, M.B.B.S.(HK)
collection DOAJ
description Primary synovial chondromatosis is characterized by newly formed chondral or osteochondral nodules in the synovial membrane, which may detach and form loose bodies. The loose bodies can be calcified or ossified, and the condition is termed synovial osteochondromatosis. Three distinct stages can be identified in primary synovial chondromatosis : phase I is active synovitis without loose bodies, phase II shows nodular synovitis along with loose bodies, and phase III is characterized by the presence of loose bodies with the resolution of synovitis. Surgical treatment has been recommended as the first choice of therapy in phases II and III disease. Complete synovectomy and removal of all loose bodies is advisable for prevention of recurrence of the disease. In this technical note, the technical details of arthroscopic removal of loose bodies and synovectomy for the management of synovial osteochondromatosis of the elbow is described. Compared with open procedures, the arthroscopic approach has many advantages, including a shorter rehabilitation period and higher patient satisfaction.
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spelling doaj.art-ef1391cbe63b4c2187ace198832416362022-12-21T22:53:17ZengElsevierArthroscopy Techniques2212-62872021-04-01104e1103e1108Arthroscopic Management of Synovial Osteochondromatosis of the ElbowSui Kit Chan, M.B.B.S.(HK)0Tun Hing Lui, M.B.B.S. (HK), F.R.C.S. (Edin), F.H.K.A.M., F.H.K.C.O.S.1North District Hospital, Hong Kong SAR, ChinaDepartment of Orthopaedics and Traumatology, Hong Kong SAR, China; Address correspondence to Tun Hing Lui, M.B.B.S. (HK), F.R.C.S. (Edin), F.H.K.A.M., F.H.K.C.O.S., Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Rd., Sheung Shui, NT, Hong Kong SAR, China.Primary synovial chondromatosis is characterized by newly formed chondral or osteochondral nodules in the synovial membrane, which may detach and form loose bodies. The loose bodies can be calcified or ossified, and the condition is termed synovial osteochondromatosis. Three distinct stages can be identified in primary synovial chondromatosis : phase I is active synovitis without loose bodies, phase II shows nodular synovitis along with loose bodies, and phase III is characterized by the presence of loose bodies with the resolution of synovitis. Surgical treatment has been recommended as the first choice of therapy in phases II and III disease. Complete synovectomy and removal of all loose bodies is advisable for prevention of recurrence of the disease. In this technical note, the technical details of arthroscopic removal of loose bodies and synovectomy for the management of synovial osteochondromatosis of the elbow is described. Compared with open procedures, the arthroscopic approach has many advantages, including a shorter rehabilitation period and higher patient satisfaction.http://www.sciencedirect.com/science/article/pii/S2212628720303984
spellingShingle Sui Kit Chan, M.B.B.S.(HK)
Tun Hing Lui, M.B.B.S. (HK), F.R.C.S. (Edin), F.H.K.A.M., F.H.K.C.O.S.
Arthroscopic Management of Synovial Osteochondromatosis of the Elbow
Arthroscopy Techniques
title Arthroscopic Management of Synovial Osteochondromatosis of the Elbow
title_full Arthroscopic Management of Synovial Osteochondromatosis of the Elbow
title_fullStr Arthroscopic Management of Synovial Osteochondromatosis of the Elbow
title_full_unstemmed Arthroscopic Management of Synovial Osteochondromatosis of the Elbow
title_short Arthroscopic Management of Synovial Osteochondromatosis of the Elbow
title_sort arthroscopic management of synovial osteochondromatosis of the elbow
url http://www.sciencedirect.com/science/article/pii/S2212628720303984
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