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




Abstract

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

References

  1. Murphy FP., et al. “Articular synovial chondromatosis”. Journal of Bone and Joint Surgery 44A (1962): 77-86.
  2. Per WC., et al. “A 28-year-old woman with swelling of the thumb”. American Journal of Orthopedics 24 (1995): 563-567.
  3. Fujioka H., et al. “Posterior interosseous nerve palsy caused by synovial chondromatosis arising in the annular periradial recesses of the elbow”. Modern Rheumatology 21 (2011): 192-196.
  4. Jones JR., et al. “Synovial chondromatosis presenting with peripheral nerve compression–a report of two cases”. The Journal of Hand Surgery: British 12 (1987): 25-27.
  5. Ruth RM and Groves RJ. “Synovial Osteochondromatosis of the elbow presenting with ulnar nerve neuropathy”. American Journal of Orthopedics 25 (1996): 843-844.
  6. Carità E., et al. “Synovial Chondromatosis of Wrist: A Case Report”. EC Orthopaedics2 (2021): 15-20.
  7. Sano K., et al. “Articular synovial chondromatosis of the finger”. The Journal of Plastic Surgery and Hand Surgery 48 (2014): 347-349.
  8. Ho YY and Choueka J. “Synovial chondromatosis of the upper extremity”. Journal of Hand Surgery American 4 (2013): 804-810.
  9. Head LK., et al. “Tenosynovial chondromatosis of the wrist presenting with acute carpal tunnel syndrome: A case report”. Hand Surgery and Rehabilitation 2 (2018): 117-120.
  10. Ontel F and Greenspan A. “Chondrosarcoma complicating synovial chondromatosis: findings with magnetic resonance imaging”. The Canadian Association of Radiologists Journal 45 (1994): 318-323.
  11. Davis RI., et al. “Primary synovial chondromatosis: a clinicopathologic review and assessment of malignant potential”. Human Pathology 29 (1998): 683-688.
  12. Sano K., et al. “Articular synovial chondromatosis of the finger”. The Journal of Plastic Surgery and Hand Surgery 48 (2014): 347-349.
  13. Milgram JW. “Synovial osteochondromatosis: a histopathological study of thirty cases”. Journal of Bone and Joint Surgery American 59 (1977): 792-801.
  14. Ji JH., et al. “Secondary synovial chondromatosis of the shoulder”. Knee Surgery, Sports Traumatology, Arthroscopy 23 (2015): 2624-2627.
  15. Nokes SR., et al. “Temporomandibular Joint chondromatosis with intracranial extension: MR and CT contributions”. AJR 148 (1987): 1173-1174.
  16. Norman A and Steiner GC. “Bone erosion in synovial chondromatosis”. Radiology 167 (1988): 477-478.
  17. Kramer J., et al. “MR appearance of idiopathic synovial osteochondromatosis”. Journal of Computer Assisted Tomography 5 (1993): 772-776.
  18. Jeffreys TE. “Synovial chondromatosis”. The Journal of Bone and Joint Surgery. British 49 (1967): 530-534.a
  19. Davis RI., et al. “Primary synovial chondromatosis: A clinicopathologic review and assessment of malignant potential”. Human Pathology 7 (1998): 683-688.
  20. McCarthy C., et al. “Primary synovial chondromatosis: a reassessment of malignant potential in 155 cases”. Skeletal Radiology 6 (2016): 755-762.
Citation: Enrico Carità., et al. “Arthroscopic Treatment of Metacarpophalangeal Synovial Chondromatosis: A Case Report”. EC Orthopaedics 12.5 (2021): 91-97.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


June Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the June issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for upcoming Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before July 06, 2021.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk