Case Report
Volume 12 Issue 5 - 2021
Arthroscopic Treatment of Metacarpophalangeal Synovial Chondromatosis: A Case Report
Enrico Carità*, Alberto Donadelli, Mara Laterza, Piergiuseppe Perazzini and Landino Cugola
Clinica San Francesco, Via Monte Ortigara, Verona, Italy
*Corresponding Author: Enrico Carità, Clinica San Francesco, Via Monte Ortigara, Verona, Italy.
Received: March 01, 2021; Published: April 30, 2021


Introduction: Synovial chondromatosis is a rare, benign metaplasia affecting the synovial membrane of articular joints. Numerous cartilaginous nodules proliferate into the sinovium and, in time, detach from the synovial membrane becoming loose bodies. The disease can involve any joint and presentation in metacarpophalangeal joint is uncommon.

Case Presentation: A 18-year-old man presented with a history of painful swelling on the dorsum of the metacarpophalangeal joint of the right medium finger. Patient’s symptoms began after a trauma. The patient first noticed swelling and reduction in range of motion over the dorsal of metacarpophalangeal joint, which were accompanied by pain and progressive deformity. X-rays demonstrated no osseous abnormality, but MRI illustrated an intra-articular synovitis. The patient underwent an arthoscopic shaving and many cartilaginous loose bodies were found and taken off. No calcification masses were found. After one year, the patient is free of pain and regained full range of movement. He returned to him original sport activities soon after surgery and he was well satisfied with the clinical outcome.

Conclusion: Arthroscopic removal of synovial chondromatosis of the metacarpophalangeal joints is a successful and safe therapeutic method when calcified masses are not present. After the surgery, immediate pain relief and improvement of finger function can be expected.


Keywords: Synovial Chondromatosis; Metacarpophalangeal Chondromatosis; Arthroscopic Loose Body Removal; Arthroscopic Synovectomy; Metacarpohalalngeal Arthroscopy


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Citation: Enrico Carità., et al. “Arthroscopic Treatment of Metacarpophalangeal Synovial Chondromatosis: A Case Report”. EC Orthopaedics 12.5 (2021): 91-97.

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