Download PDF
CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(S 02): e180-e183
DOI: 10.1055/s-0044-1790596
Relato de Caso

Synovial Chondromatosis of the Shoulder: Report of Two Cases

Article in several languages: português | English
Daniel Ferreira Fernandes Vieira 
1   Disciplina de Ortopedia, Pontifícia Universidade Católica do Paraná (PUC/PR), Londrina, PR, Brasil
2   Hospital de Ortopedia Uniort.e, Londrina, PR, Brasil
,
Beatriz Begnini Borsato 
3   Escola de Medicina, Pontifícia Universidade Católica do Paraná (PUC/PR), Londrina, PR, Brasil
,
Luís Felipe Baldinu Caramujo 
3   Escola de Medicina, Pontifícia Universidade Católica do Paraná (PUC/PR), Londrina, PR, Brasil
,
Paula de Andrade Castello 
3   Escola de Medicina, Pontifícia Universidade Católica do Paraná (PUC/PR), Londrina, PR, Brasil
,
João Paulo Fernandes Guerreiro 
1   Disciplina de Ortopedia, Pontifícia Universidade Católica do Paraná (PUC/PR), Londrina, PR, Brasil
2   Hospital de Ortopedia Uniort.e, Londrina, PR, Brasil
› Author Affiliations Financial Support The authors declare that there was no financial support from public, commercial, or not-for-profit sources.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Synovial chondromatosis is an uncommon, progressive, benign condition favoring synovial metaplasia resulting from the production of cartilaginous tissue as loose bodies within the joints. In rare cases, it can affect the interior of the shoulder joint and present with pain, edema, and impaired mobility. The diagnosis is challenging, requiring imaging techniques. Its confirmation often occurs only after surgical treatment and anatomopathological examination. The authors report two cases of patients with similar clinical presentations of pain, edema, and mobility loss in the shoulder joint. The investigation included imaging exams, such as radiographs and magnetic resonance imaging, and an anatomopathological examination confirming the diagnostic hypothesis. Arthroscopic surgical treatment with synovectomy and removal of loose bodies followed by physical therapy rehabilitation resulted in clinical improvement in both patients. This report emphasizes the importance of investigating suspected synovial chondromatosis due to its nonspecific clinical presentation. Comparing our outcomes with the literature, we concluded that surgical treatment with synovectomy, loose body removal, and physical therapy is effective, and that long-term outpatient follow-up is necessary to detect recurrence.

Keywords

arthroscopy - shoulder - synovial chondromatosis - synovial membrane

Work carried out at the Hospital de Ortopedia Uniort.e, Londrina, PR, Brazil.




Publication History

Received: 18 June 2021

Accepted: 14 October 2021

Article published online:
27 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 Brasil Filho R, Filardi Filho CS, Menitti EL, Baptista MV, Daher SS. Condromatose sinovial: relato de um caso. Rev Bras Ortop 1997; 32 (11) 921-923
    Search in Google Scholar
  • 2 Paim AE, Ferreira DC, Paim A, Almeida RM. Tratamento artroscópico da condromatose sinovial do ombro: relato de caso. Rev Bras Ortop 2008; 43 (04) 146-149
    CrossrefSearch in Google Scholar
  • 3 Acharya BM, Devkota P, Shrestha SK, Pradhan NS, Ahmad S. Condromatose sinovial simétrica bilateral do ombro: relato de caso. Rev Bras Ortop 2018; 53 (05) 647-650
    CrossrefPubMedSearch in Google Scholar
  • 4 Fuerst M, Zustin J, Lohmann C, Rüther W. Synoviale Chondromatose. Orthopade 2009; 38 (06) 511-519
    CrossrefPubMedSearch in Google Scholar
  • 5 McKenzie G, Raby N, Ritchie D. A pictorial review of primary synovial osteochondromatosis. Eur Radiol 2008; 18 (11) 2662-2669
    CrossrefPubMedSearch in Google Scholar
  • 6 Horii M, Tamai M, Kido K, Kusuzaki K, Kubo T, Hirasawa Y. Two cases of synovial chondromatosis of the subacromial bursa. J Shoulder Elbow Surg 2001; 10 (02) 186-189
    CrossrefPubMedSearch in Google Scholar
  • 7 Ramos MRF, Ramos RRM, Santos LA. Condromatose sinovial. Relato de caso. Rev Bras Ortop 1997; 32 (09) 749-750
    Search in Google Scholar
  • 8 Maurice H, Crone M, Watt I. Synovial chondromatosis. J Bone Joint Surg Br 1988; 70 (05) 807-811
    CrossrefPubMedSearch in Google Scholar
  • 9 Sanchez-Munoz E, Prado MA, Martinho G, Pérez YG, Miró RL. Condromatose sinovial do ombro. Descrição de dois casos e revisão da literatura. Rev Port Ortop Traumatol 2014; 22 (03) 406-414
    Search in Google Scholar
  • 10 Jeffreys TE. Synovial chondromatosis. J Bone Joint Surg Br 1967; 49 (03) 530-534
    CrossrefPubMedSearch in Google Scholar