EFFECTIVENESS OF ARTHROSCOPIC TREATMENT FOR SYNOVIAL CHONDROMATOSIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WU Hua ¹ , HUANGFU Xiaoqiao ²

1Clinical Medicine School of Soochow University, Suzhou Jiangsu, 215021, P.R.China;;
2Department of Arthroscopic Surgery, Shanghai Sixth People’s Hospital, Shanghai Jiaotong University. Corresponding author: HUANGFU Xiaoqiao, E-mail: hopejoy@163.com;

Corresponding author：

Keywords：

Synovial chondromatosis; Hip joint; Arthroscope

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Objective To explore the technique of arthroscopic treatment of synovial chondromatosis of the hip and to evaluate its effectiveness. Methods Between July 2009 and June 2011, 15 patients with synovial chondromatosis of the hip underwent arthroscopic synovectomy and removal of loose bodier. Of 15 patients, 11 were male and 4 were female, aged from 21 to 45 years with an average of 33.1 years. The location was the left side in 6 cases and the right side in 9 cases. The disease duration was 12-43 months (mean, 23 months) Pain and functional motion limitation were the main clinical symptoms. The visual analogue scale (VAS) score was 5.8 ± 1.1; the range of motion (ROM) of the hip was (149.8 ± 27.5)°; the Harris hip score was 54.5 ± 13.3. Results All incisions healed by first intention. All the patients were followed up 6 months to 2 years (mean, 17.4 months). At last follow-up, the VAS score was 2.0 ± 1.2; the ROM of the hip was (258.3 ± 35.4)°; the Harris hip score was 93.0 ± 18.7; and the above indexes were significantly improved when compared with preoperative values (P lt; 0.05). No recurrence was found on postoperative MRI. Conclusion Arthroscopic treatment of synovial chondromatosis of the hip has the advantages of minimal invasion, quick recovery, and best recovery of hip function and ROM.

Citation： WU Hua,HUANGFU Xiaoqiao. EFFECTIVENESS OF ARTHROSCOPIC TREATMENT FOR SYNOVIAL CHONDROMATOSIS. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(8): 915-917. doi: Copy

1.	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.
2.	Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res, 2003, (406): 48-59.
3.	Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. And end-result study using a new method of result evaluation. J Bone Joint Surg (Am), 1969, 51(4): 737-755.
4.	Murphy FP, Dahlin DC, Sullivan CR, et al. Articular synovial chondromatosis. J Bone Joint Surg (Am), 1962, 44: 77-86.
5.	Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases. J Bone Joint Surg (Am), 1977, 59(6): 792-801.
6.	Davis RI, Hamilton A, Biggart JD. Primary synovial chondromatosis: a clinicopatholgic review and assessment of malignant potential. Hum Pathol, 1998, 29(7): 683-688.
7.	Kim SH, Hong SJ, Park JS, et al. Idiopathic synovial osteochondromatosis of the hip: radiographic and MR appearances in 15 patients. Korean J Radiol, 2002, 3(4): 254-259.
8.	Ogilvie-Harris DJ, Saleh K. Generalized synovial chondromatosis of the knee: a comparison of removal of the loose bodies alone with arthroscopic synovectomy. Arthroscopy, 1994, 10(2): 166-170.
9.	Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res, 2003, (406): 48-59.
10.	Kelly BT, Williams RJ 3rd, Philippon MJ. Hip arthroscopy: current indications, treatment options, and management issues. Am J Sports Med, 2003, 31(6): 1020-1037.
11.	Boyer T, Dorfmann H. Arthroscopy in primary synovial chondromatosis of hip: description and outcome of treatment. J Bone Joint Surg (Br), 2008, 90(3): 314-318.
12.	Yu YH, Chan YS, Lee MS, et al. Open and arthroscopic surgical management of primary synovial chondromatosis of the hip. Chang Gung Med J, 2011, 34 (1): 101-108.
13.	Nakamura Y, Echigoya N, Toh S. Synovial osteochondromatosis of the hip treated through a surgical dislocation. J Arthroplasty, 2009, 24(7): 1433. e15-e19.

1. 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.
2. Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res, 2003, (406): 48-59.
3. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. And end-result study using a new method of result evaluation. J Bone Joint Surg (Am), 1969, 51(4): 737-755.
4. Murphy FP, Dahlin DC, Sullivan CR, et al. Articular synovial chondromatosis. J Bone Joint Surg (Am), 1962, 44: 77-86.
5. Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases. J Bone Joint Surg (Am), 1977, 59(6): 792-801.
6. Davis RI, Hamilton A, Biggart JD. Primary synovial chondromatosis: a clinicopatholgic review and assessment of malignant potential. Hum Pathol, 1998, 29(7): 683-688.
7. Kim SH, Hong SJ, Park JS, et al. Idiopathic synovial osteochondromatosis of the hip: radiographic and MR appearances in 15 patients. Korean J Radiol, 2002, 3(4): 254-259.
8. Ogilvie-Harris DJ, Saleh K. Generalized synovial chondromatosis of the knee: a comparison of removal of the loose bodies alone with arthroscopic synovectomy. Arthroscopy, 1994, 10(2): 166-170.
9. Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res, 2003, (406): 48-59.
10. Kelly BT, Williams RJ 3rd, Philippon MJ. Hip arthroscopy: current indications, treatment options, and management issues. Am J Sports Med, 2003, 31(6): 1020-1037.
11. Boyer T, Dorfmann H. Arthroscopy in primary synovial chondromatosis of hip: description and outcome of treatment. J Bone Joint Surg (Br), 2008, 90(3): 314-318.
12. Yu YH, Chan YS, Lee MS, et al. Open and arthroscopic surgical management of primary synovial chondromatosis of the hip. Chang Gung Med J, 2011, 34 (1): 101-108.
13. Nakamura Y, Echigoya N, Toh S. Synovial osteochondromatosis of the hip treated through a surgical dislocation. J Arthroplasty, 2009, 24(7): 1433. e15-e19.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF ARTHROSCOPIC TREATMENT FOR SYNOVIAL CHONDROMATOSIS

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