DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20203512

Excision of 93 loose bodies of synovial osteochondromatosis in the left ankle: a case report

Respati S. Dradjat, Ananto S. Pradana, Fajar S. Salim, I. Gusti Ngurah A. A. Oktafandi

Abstract


Primary synovial osteochondromatosis is an uncommon benign joint disorder characterized by the formation of cartilaginous bodies within the synovial of the different joints, tendon sheaths, and bursae. Loose bodies occur in the late stage of the disease. Excision of loose bodies is needed to treat synovial osteochondromatosis. A 20-year-old female patient presented to us with a chief complaint of pain, swelling, and discomfort sensation in the left ankle while walking. Plain X-ray on her left ankle showed loose bodies surrounding the ankle. We performed excision to remove the loose bodies. Histological examination confirmed the diagnosis. The range of motion (ROM) of the ankle increased after surgery. The patient was able to walk more comfortably. Synovial osteochondromatosis is considered benign. In this case, open excision was chosen because the ankle joint is not amenable to arthroscopy. Follow up is needed to detect early recurrence and transformation of malignancy.



Keywords


Excision, Loose bodies, Synovial osteochondromatosis

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References


Fabbriciani C, de Santis E. Synovial chondromatosis of the knee: a clinical and histopathological study of 13 cases. InSurgery and Arthroscopy of the Knee; Springer, Berlin, Heidelberg; 1986:384-389.

Jones HT. Loose body formation in synovial osteochondromatosis with special reference to the etiology and pathology. JBJS. 1924;6(2):407-58.

Sedeek SM, Choudry Q, Garg S. Synovial chondromatosis of the ankle joint: clinical, radiological, and intraoperative findings. Case reports in orthopedics. 2015;2015.

Gu H, Li W, Dai M, Zhang B, Liu H, Ding Y. Synovial osteochondromatosis of the wrist joint: A case report. Oncology letters. 2016;11(3):1819-22.

Collinsworth KM, Bush L, Goss D. Primary Synovial Osteochondromatosis Discovered After Ankle Sprain. J Orthop & Sports Phys Ther. 2019;49(4):284.

Shearer H, Stern P, Brubacher A, Pringle T. A case report of bilateral synovial chondromatosis of the ankle. Chiropractic & Osteopathy. 2007;15(1):18.

Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases. JBJS. 1977;59(6):792-801.

Fukuoka N, Nakamura O, Kaji Y, Yamagami Y, Nishimura H. A Rare Case of Synovial Osteochondromatosis of the Bicipital Radial Bursa. Anat Physiol. 2017;7(259):2161-0940.

Saxena A, Louis MS. Synovial chondromatosis of the ankle: Report of two cases with 23 and 126 loose bodies. The J Foot Ankle Surg. 2017;56(1):182-6.

Yu GV, Zema RL, Johnson RW. Synovial osteochondromatosis: a case report and review of the literature. J Ame Pod Med Assoc. 2002;92(4):247-54.

Hamada JI, Tamai K, Koguchi Y, Ono W, Saotome K. Case report: a rare condition of secondary synovial osteochondromatosis of the shoulder joint in a young female patient. J Shoulder Elbow Surg. 2005;14(6):653-6.