Hip synovial chondromatosis. Arthroscopic treatment
Article Sidebar
PDF (Español (España))
Autores (Español (España))
Referencias figuras (Español (España))
Figura 1 - A (Español (España))
Published:
Aug 27, 2014
Keywords:
Synovial chondromatosis. Hip arthroscopy.
Main Article Content
Abstract
Background: Synovial chondromatosis is defined as a benign metaplastic lesion, with a low incidence in hips. The ideal treatment technique is controversial due to the probable recurrence and degenerative progression described with both arthroscopic and open surgery. The aim of this study is to report the surgical technique and short-term results in a series of patients with synovial chondromatosis treated with arthroscopic hip.Methods: From April 2007 to May 2011, 10 patients (9 women and a man; average age 38 years; range 17-53) underwent hip arthroscopy for synovial chondromatosis. Surgical technique, clinical and radiological results, and satisfaction with the procedure were evaluated. The preoperative modified Harris hip functional scale was 51 points (range 49-54). Delayed histology confirmed diagnosis in all cases. Prospective follow-up averaged 35 months (range 24-47).Results: The conventional arthroscopic technique to extract loose bodies and partial anterolateral synovectomy were performed in all patients. In three patients incision of one of the portals was extended to extract bodies of large diameter. The postoperative modified Harris hip functional scale averaged 88 points (range 85-91). No radiographic joint degenerative progress was seen at the last control. All patients were satisfied with the procedure. There were no complications.Conclusions: Favorable short-term results are consistent with those reported in the literature. Patients with synovial chondromatosis can be treated with hip arthroscopy safely and effectively.
Downloads
Download data is not yet available.
Metrics
Metrics Loading ...
Article Details
How to Cite
Comba, F. M., Quinteros, C. M., Martorell, G., Buttaro, M. A., Zanotti, G., & Piccaluga, F. (2014). Hip synovial chondromatosis. Arthroscopic treatment. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 79(3), 179-185. https://doi.org/10.15417/325
Issue
Section
Clinical Research
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.
In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.
It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.
The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.
References
1. Maurice H, Crone M, Watt I. Synovial chondromatosis. J Bone Joint Surg Br 1988;70(5):807-11.
2. Adelani MA, Wupperman RM, Holt GE. Benign synovial disorders. J Am Acad Orthop Surg 2008;16(5):268-75.
3. Boyer T, Dorfmann H. Arthroscopy in primary synovial chondromatosis of the hip: description and outcome of treatment.
J Bone Joint Surg Br 2008;90(3):314-8.
4. Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res
2003;406:48-59.
5. Norman A, Steiner GC. Bone erosion in synovial chondromatosis. Radiology 1986;161(3):749-52.
6. Lim SJ, Chung HW, Choi YL, Moon YW, Seo JG, Park YS. Operative treatment of primary synovial osteochondromatosis of
the hip. J Bone Joint Surg Am 2006;88(11):2456-64.
7. Schoeniger R, Naudie DD, Siebenrock KA, Trousdale RT, Ganz R. Modified complete synovectomy prevents recurrence in
sinovial chondromatosis of the hip. Clin Orthop Relat Res 2006;451:195-200.
8. Dawson J, Fitzpatrick R, Carr A, Murray D. Questionnarie on the perceptions of patients about total hip replacement. J Bone
Joint Surg Br 1996; 78:185-90.
9. Tonnis D, Heinecke A. Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am
1999;81(12):1747-70.
10. Byrd JW. Hip arthroscopy utilizing the supine position. Arthroscopy 1994;10(3):275-80.
11. Stalzer S, Wahoff M, Scanlan M. Rehabilitation following hip arthroscopy. Clin Sports Med 2006;25(2):337-57.
12. Larson CM, Pierce BR, Giveans MR. Treatment of athletes with symptomatic intra-articular hip pathology and athletic
pubalgia/sports hernia: a case series. Arthroscopy 2011;27(6):768-75.
13. McCarthy JC, Busconi B. The role of hip arthroscopy in the diagnosis and treatment of hip disease. Orthopedics
1995;18(8):753-6.
14. Chiang CW, Chan YS, Hsu KY, Chen WJ. Revision arthroscopic surgery for synovial chondromatosis of the hip: a case report
and literature review. J Orthop Surg Taiwan 2007;24:1-5.
15. Kelly BT, Williams RJ 3rd, Philippon MJ. Hip arthroscopy: current indications, treatment options and management issues.
Am J Sports Med 2003;31:1020-37.
16. Chen CY, Chen AC, Chang YH, Fu TS, Lee MS. Synovial chondromatosis of the hip: management with arthroscopy assisted
synovectomy and removal of loose bodies: report of two cases. Chang Gung Med J 2003;26:208-14.
17. Knoeller SM. Synovial osteochondromatosis of the hip joint. Etiology, diagnostic investigation and therapy. Acta Orthop Belg
2001;67:201-10.
18. Lee JB, Kang C, Lee CH, Kim PS, Hwang DS. Arthroscopic treatment of synovial chondromatosis of the hip. Am J Sports Med
2012;40(6):1412-8.
19. Hamilton A, Davis RI, Hayes D, Moyan RA. Chondrosarcoma developing in synovial chondromatosis. A case report. J Bone
Joint Surg Br 1987; 69:137-40.
20. Lim SJ, Park YS. Operative treatment of primary synovial osteochondromatosis of the hip. Surgical technique. J Bone Joint
Surg Am 2007;89(Suppl 2 Pt.2):232-45.
21. Schoeniger R, Naudie DD, Siebenrock KA, Trousdale RT, Ganz R. Modified complete synovectomy prevents recurrence in
synovial chondromatosis. Clin Orthop Relat Res 2006;451:195-200.
22. Yu YH, Chan YS, Lee MS, Shih HN. Open and arthroscopic surgical management of primary synovial chondromatosis of the
hip. Chang Gung Med J 2011;34(1):101-8.
23. Ilizaliturri VM, Jr. Complications of arthroscopic femoroacetabular impingement treatment: a review. Clin Orthop Relat Res
2009;467(3):760-8.
24. Philippon MJ, Briggs KK, Yen YM, Kuppersmith DA. Outcomes following hip arthroscopy for femoroacetabular impingement
with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Joint Surg Br 2009;91(1):16-23.
25. Yamamoto Y, Hamada Y, Ide T, Usui I. Arthroscopic surgery to treat intra-articular type snapping hip. Arthroscopy 2005;
21(9):1120-5.
26. Cameron ML, Briggs KK, Steadman JR. Reproducibility and reliability of the Outerbridge classification for grading chondral
lesions of the knee arthroscopically. Am J Sports Med 2003;31(1):83-6.
2. Adelani MA, Wupperman RM, Holt GE. Benign synovial disorders. J Am Acad Orthop Surg 2008;16(5):268-75.
3. Boyer T, Dorfmann H. Arthroscopy in primary synovial chondromatosis of the hip: description and outcome of treatment.
J Bone Joint Surg Br 2008;90(3):314-8.
4. Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res
2003;406:48-59.
5. Norman A, Steiner GC. Bone erosion in synovial chondromatosis. Radiology 1986;161(3):749-52.
6. Lim SJ, Chung HW, Choi YL, Moon YW, Seo JG, Park YS. Operative treatment of primary synovial osteochondromatosis of
the hip. J Bone Joint Surg Am 2006;88(11):2456-64.
7. Schoeniger R, Naudie DD, Siebenrock KA, Trousdale RT, Ganz R. Modified complete synovectomy prevents recurrence in
sinovial chondromatosis of the hip. Clin Orthop Relat Res 2006;451:195-200.
8. Dawson J, Fitzpatrick R, Carr A, Murray D. Questionnarie on the perceptions of patients about total hip replacement. J Bone
Joint Surg Br 1996; 78:185-90.
9. Tonnis D, Heinecke A. Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am
1999;81(12):1747-70.
10. Byrd JW. Hip arthroscopy utilizing the supine position. Arthroscopy 1994;10(3):275-80.
11. Stalzer S, Wahoff M, Scanlan M. Rehabilitation following hip arthroscopy. Clin Sports Med 2006;25(2):337-57.
12. Larson CM, Pierce BR, Giveans MR. Treatment of athletes with symptomatic intra-articular hip pathology and athletic
pubalgia/sports hernia: a case series. Arthroscopy 2011;27(6):768-75.
13. McCarthy JC, Busconi B. The role of hip arthroscopy in the diagnosis and treatment of hip disease. Orthopedics
1995;18(8):753-6.
14. Chiang CW, Chan YS, Hsu KY, Chen WJ. Revision arthroscopic surgery for synovial chondromatosis of the hip: a case report
and literature review. J Orthop Surg Taiwan 2007;24:1-5.
15. Kelly BT, Williams RJ 3rd, Philippon MJ. Hip arthroscopy: current indications, treatment options and management issues.
Am J Sports Med 2003;31:1020-37.
16. Chen CY, Chen AC, Chang YH, Fu TS, Lee MS. Synovial chondromatosis of the hip: management with arthroscopy assisted
synovectomy and removal of loose bodies: report of two cases. Chang Gung Med J 2003;26:208-14.
17. Knoeller SM. Synovial osteochondromatosis of the hip joint. Etiology, diagnostic investigation and therapy. Acta Orthop Belg
2001;67:201-10.
18. Lee JB, Kang C, Lee CH, Kim PS, Hwang DS. Arthroscopic treatment of synovial chondromatosis of the hip. Am J Sports Med
2012;40(6):1412-8.
19. Hamilton A, Davis RI, Hayes D, Moyan RA. Chondrosarcoma developing in synovial chondromatosis. A case report. J Bone
Joint Surg Br 1987; 69:137-40.
20. Lim SJ, Park YS. Operative treatment of primary synovial osteochondromatosis of the hip. Surgical technique. J Bone Joint
Surg Am 2007;89(Suppl 2 Pt.2):232-45.
21. Schoeniger R, Naudie DD, Siebenrock KA, Trousdale RT, Ganz R. Modified complete synovectomy prevents recurrence in
synovial chondromatosis. Clin Orthop Relat Res 2006;451:195-200.
22. Yu YH, Chan YS, Lee MS, Shih HN. Open and arthroscopic surgical management of primary synovial chondromatosis of the
hip. Chang Gung Med J 2011;34(1):101-8.
23. Ilizaliturri VM, Jr. Complications of arthroscopic femoroacetabular impingement treatment: a review. Clin Orthop Relat Res
2009;467(3):760-8.
24. Philippon MJ, Briggs KK, Yen YM, Kuppersmith DA. Outcomes following hip arthroscopy for femoroacetabular impingement
with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Joint Surg Br 2009;91(1):16-23.
25. Yamamoto Y, Hamada Y, Ide T, Usui I. Arthroscopic surgery to treat intra-articular type snapping hip. Arthroscopy 2005;
21(9):1120-5.
26. Cameron ML, Briggs KK, Steadman JR. Reproducibility and reliability of the Outerbridge classification for grading chondral
lesions of the knee arthroscopically. Am J Sports Med 2003;31(1):83-6.