“Synovial chondromatosis involving small joints like ankle: A rare case report”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Background: Primary synovial chondromatosis (Reichel syndrome), is a benign mono-articular disorder of unknown origin characterized metaplasia and proliferation of synovial tissue resulting in multiple intraarticular cartilaginous loose bodies of relatively similar in size usually involving larger joints commonly found in men of middle age of third to fourth decade of life. Case characteristic: A 40 year male presented with dull aching pain in the ankle joint left side since last one year which is progressively increasing in intensity along with swelling of the left ankle more towards the anterior aspect with restriction of movement. On examination, there was synovial hypotrophy and crepitation inside the joints with ROM 10 degree dorsiflexion with15 degree planter flexion .X-ray of the ankle showing multiple loose body mostly located the anterior part the ankle. MRI showing multiple intra-articular mass isointense to muscle in T1W and hyper-intense to muscle on T2WA containing multiple foci of low signal. Outcome: The patient underwent open arthrotomy with debridement and removal of the loose body with synovectomy, followed for one and half years without any recurrence now walking comfortably with full range of motion and regained his previous daily activity level. Conclusion: Primary synovial chondromatosis of the ankle which is an unusual rare presentation.In a patient with long standing history of pain swelling and crepitation even in a small joint clinical diagnosis of primery synovial chondromatosis should be considered and further more thorough radiological evaluation and histopathological evaluation will add to the diagnosis
Authors and Affiliations
Dr Samrat smrutiranjan Sahoo, Dr Vinay Prabhat, Dr Doki Sunil Kumar, Dr Sandeep Velagada
Keywords
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- EP ID EP406782
- DOI 10.9790/0853-1711016770.
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