J Korean Orthop Assoc.
2008 Feb;43(1):131-134. 10.4055/jkoa.2008.43.1.131.
Synovial Chondromatosis of the Metacarpophalangeal Joint: A Case Report
- Affiliations
-
- 1Department of Orthopedic Surgery, Wonkwang University Hospital, Iksan, Korea. osksh@wonkwang.ac.kr
- 2Department of Orthopedic Surgery, Hana Hospital, Iksan, Korea.
- KMID: 2106429
- DOI: http://doi.org/10.4055/jkoa.2008.43.1.131
Abstract
- Synovial chondromatosis is an uncommon lesion, which is characterized by cartilaginous and osseous metaplasia of the joint synovium. Synovial chondromatosis usually involves a large joint and rarely occurs in the hand. Intra-articular synovial chondromatosis during the hand should be considered in the differential diagnosis of swollen, stiff or painful joints. Other possible diagnoses include osteoarthritis, rheumatoid arthritis, gout, trauma and chronic infection. Moreover, if enchondral ossification of loose bodies is not seen a diagnosis of synovial chondromatosis can not be made preoperatively. Intra-articular synovial chondromatosis is a benign condition and surgical synovectomy remains the most effective treatment. The authors report a case of synovial chondromatosis of the fifth metacarpophalangeal joint.
