Effectiveness of arthroscopy for synovial chondromatosis of hip joint_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LI Ji ,  LI Zhongli , SU Xiangzheng , LIU Chunhui , WANG Ketao , ZHANG Hao , YANG Yimeng

Department of Orthopedics, General Hospital of Chinese PLA, Beijing, 100853, P.R.China;

Corresponding author：

LI Zhongli, Email: lizhongli@263.net

Keywords：

Hip joint; synovial chondromatosis; arthroscopy

DOI：

10.7507/1002-1892.201704006

Video：

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Objective To evaluate the effectiveness of arthroscopy for synovial chondromatosis of hip joint. Methods Between April 2012 and September 2015, 32 patients with synovial chondromatosis of hip joint were treated by arthroscopy. There were 19 males and 13 females, with an average age of 42.1 years (range, 22-64 years). The synovial chondromatosis located at right hip in 15 cases and left hip in 17 cases. The main clinical symptoms were pain and swelling of hip joint. Of all patients, 6 cases were hip hinge, 2 cases were lower limb weakness, and 1 case was snapping hip. The " 4” sign was positive in 9 cases, Thomas’ sign positive in 4 cases, and rolling test positive in 2 cases. Results All incisions healed by first intention, and no complication occurred. All patients were followed up 16-48 months (mean, 33.8 months). The visual analogue scale (VAS) was 1.4±0.8 at last follow-up, which was significantly lower than that before operation (4.8±1.2) (t=6.382, P=0.013). The hip Harris score was 92.6±6.7 at last follow-up, which was significantly higher than that before operation (63.2±8.3) (t=9.761, P=0.006). At last follow-up, the " 4” sign and Thomas’ sign were positive in 3 cases and 1 case, respectively. The others had no positive sign. X-ray film showed no recrudescence in all cases. Conclusion Treating synovial chondromatosis of hip joint under arthroscopy has advantages of less trauma, complete debridement, quick postoperative recovery, and the satisfactory short-term effectiveness.

Citation： LI Ji, LI Zhongli, SU Xiangzheng, LIU Chunhui, WANG Ketao, ZHANG Hao, YANG Yimeng. Effectiveness of arthroscopy for synovial chondromatosis of hip joint. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(8): 897-901. doi: 10.7507/1002-1892.201704006 Copy

1.	de Sa D, Horner NS, Macdonald A, et al. Arthroscopic surgery for synovial chondromatosis of the hip: a systematic review of rates and predisposing factors for recurrence. Arthroscopy, 2014, 30(11): 1499-1504. e2.
2.	Lim SJ, Chung HW, Choi YL, et al. Operative treatment of primary synovial osteochondromatosis of the hip. J Bone Joint Surg (Am), 2006, 88(11): 2456-2464.
3.	Chen CY, Chen AC, Chang YH, et al. Synovial chondromatosis of the hip: management with arthroscope-assisted synovectomy and removal of loose bodies: report of two cases. Chang Gung Med J, 2003, 26(3): 208-214.
4.	吴华, 皇甫小桥. 关节镜下治疗髋关节滑膜软骨瘤的临床疗效. 中国修复重建外科杂志, 2012, 26(8): 915-917.
5.	Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res, 2003, (406): 48-59.
6.	Villet AD, Marks PH, Fowler PJ, et al. Occult posttraumatic osteochondral lesions of the knee: prevalence, classification, and shortterm sequelae evaluated with MR imaging. Radiology, 1991, 178(1): 271-276.
7.	Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg (Am), 1969, 51(4): 737-755.
8.	Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases. J Bone Joint Surg (Am), 1977, 59(6): 792-801.
9.	Abolghasemian M, Gharanizadeh K, Kuzyk P, et al. Hips with synovial chondromatosis may display the features of of femoroacetabular impingement. J Bone Joint Surg (Am), 2014, 96(2): e11.
10.	Kose MM, Durmus O, Ayhan MY, et al. A rare cause of chronic hip pain: Intraarticular synovial chondromatosis. Acta Reumatol Port, 2014, 39(4): 349-350.
11.	Matusmoto K, Sato T, Iwanari S, et al. The use of arthrography in the diagnosis of temporomandibular joint synovial chondromatosis. Dentomaxillofac Radiol, 2013, 42(1): 15388284.
12.	Ji JH, Shafi M, Jeong DS. Secondary synovial chondromatosis of the shoulder. Knee Surg Sports Traumatol Arthosc, 2015, 23(9): 2624-2627.
13.	Chen MJ, Yang C, Qiu YT, et al. Synovial chondromatosis of the tempromandibular joint: relationship between MRI information and potential aggressive behavior. J Craniomaxillofac Surg, 2015, 43(3): 349-354.
14.	Testaverde L, Perrone A, Caporali L, et al. CT and MR findings in synovial chondromatosis of the temporomandibular joint: our experience and review of literature. Eur J Radiol, 2011, 78(3): 414-418.
15.	Ozmeric A, Aydogan NH, Kocadal O, et al. Arthroscopic treatment of synovial chondromatosis in the ankle joint. Int J Surg Case Rep, 2014, 5(12): 1010-1013.
16.	郭世炳, 冯卫, 贾燕飞. 髋关节滑膜软骨瘤病的诊断与治疗. 中国矫形外科杂志, 2007, 15(7): 549-551.
17.	Ferro FP, Philippon MJ. Arthroscopy provides symptom relief and good functional outcomes in patients with hip synovial chondromatosis. J Hip Preserv Surg, 2015, 2(3): 265-271.
18.	Blitzer CM, Scarano, KA. Arthroscopic management of synovial osteochondromatosis of the hip. Orthopedics, 2015, 38(6): e536-e538.
19.	Kowalczuk M, Bhandari M, Farrokhyar F, et al. Complications following hip arthroscopy: a systematic review and meta-analysis. Knee Surgery, Sports Traumatology, Arthroscopy, 2013, 21(7): 1669-1675.

1. de Sa D, Horner NS, Macdonald A, et al. Arthroscopic surgery for synovial chondromatosis of the hip: a systematic review of rates and predisposing factors for recurrence. Arthroscopy, 2014, 30(11): 1499-1504. e2.
2. Lim SJ, Chung HW, Choi YL, et al. Operative treatment of primary synovial osteochondromatosis of the hip. J Bone Joint Surg (Am), 2006, 88(11): 2456-2464.
3. Chen CY, Chen AC, Chang YH, et al. Synovial chondromatosis of the hip: management with arthroscope-assisted synovectomy and removal of loose bodies: report of two cases. Chang Gung Med J, 2003, 26(3): 208-214.
4. 吴华, 皇甫小桥. 关节镜下治疗髋关节滑膜软骨瘤的临床疗效. 中国修复重建外科杂志, 2012, 26(8): 915-917.
5. Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res, 2003, (406): 48-59.
6. Villet AD, Marks PH, Fowler PJ, et al. Occult posttraumatic osteochondral lesions of the knee: prevalence, classification, and shortterm sequelae evaluated with MR imaging. Radiology, 1991, 178(1): 271-276.
7. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg (Am), 1969, 51(4): 737-755.
8. Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases. J Bone Joint Surg (Am), 1977, 59(6): 792-801.
9. Abolghasemian M, Gharanizadeh K, Kuzyk P, et al. Hips with synovial chondromatosis may display the features of of femoroacetabular impingement. J Bone Joint Surg (Am), 2014, 96(2): e11.
10. Kose MM, Durmus O, Ayhan MY, et al. A rare cause of chronic hip pain: Intraarticular synovial chondromatosis. Acta Reumatol Port, 2014, 39(4): 349-350.
11. Matusmoto K, Sato T, Iwanari S, et al. The use of arthrography in the diagnosis of temporomandibular joint synovial chondromatosis. Dentomaxillofac Radiol, 2013, 42(1): 15388284.
12. Ji JH, Shafi M, Jeong DS. Secondary synovial chondromatosis of the shoulder. Knee Surg Sports Traumatol Arthosc, 2015, 23(9): 2624-2627.
13. Chen MJ, Yang C, Qiu YT, et al. Synovial chondromatosis of the tempromandibular joint: relationship between MRI information and potential aggressive behavior. J Craniomaxillofac Surg, 2015, 43(3): 349-354.
14. Testaverde L, Perrone A, Caporali L, et al. CT and MR findings in synovial chondromatosis of the temporomandibular joint: our experience and review of literature. Eur J Radiol, 2011, 78(3): 414-418.
15. Ozmeric A, Aydogan NH, Kocadal O, et al. Arthroscopic treatment of synovial chondromatosis in the ankle joint. Int J Surg Case Rep, 2014, 5(12): 1010-1013.
16. 郭世炳, 冯卫, 贾燕飞. 髋关节滑膜软骨瘤病的诊断与治疗. 中国矫形外科杂志, 2007, 15(7): 549-551.
17. Ferro FP, Philippon MJ. Arthroscopy provides symptom relief and good functional outcomes in patients with hip synovial chondromatosis. J Hip Preserv Surg, 2015, 2(3): 265-271.
18. Blitzer CM, Scarano, KA. Arthroscopic management of synovial osteochondromatosis of the hip. Orthopedics, 2015, 38(6): e536-e538.
19. Kowalczuk M, Bhandari M, Farrokhyar F, et al. Complications following hip arthroscopy: a systematic review and meta-analysis. Knee Surgery, Sports Traumatology, Arthroscopy, 2013, 21(7): 1669-1675.

Chinese Journal of Reparative and Reconstructive Surgery

Effectiveness of arthroscopy for synovial chondromatosis of hip joint

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