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J Wrist Surg
DOI: 10.1055/s-0044-1779625
Case Report

Synovial Chondromatosis of Distal Radioulnar Joint with Osteoarthropathic Changes

Daisuke Nakajima
1   Department of Orthopaedic Surgery, Tokai University Hachioji Hospital, Hachioji, Tokyo, Japan
,
Masayoshi Ikeda 
2   Department of Orthoapedic Surgery, Shonan Central Hospital, Fujisawa, Kanagawa, Japan
,
Yuka Kobayashi
1   Department of Orthopaedic Surgery, Tokai University Hachioji Hospital, Hachioji, Tokyo, Japan
,
Ikuo Saito
3   Department of Orthopaedic Surgery, Isehara Kyodo Hospital, Isehara, Kanagawa, Japan
› Author Affiliations Funding None.
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Abstract

Objective Synovial chondromatosis (SC) is relatively rare, but it often occurs in large joints and can cause osteoarthropathic (OA) changes if left untreated. It is extremely rare for this condition to occur around the wrist joint. We present a case treated by osteophyte resection for restriction of the forearm rotation caused by SC and the resulting OA changes in the distal radioulnar joint (DRUJ).

Case Description A 50-year-old woman had progressive OA changes due to SC in the DRUJ, and restriction of forearm rotation. Thorough excision of SC and osteophytes through the dorsal and palmar approaches of the wrist improved the range of rotation of the forearm with no recurrence.

Literature Review Although there have been scattered reports of SC occurring in the DRUJ, there have been no reports of management for restriction of forearm rotation caused by OA changes.

Clinical Relevance For SC in DRUJ, it is important to make an early definitive diagnosis and perform a synovectomy to prevent the progression of OA changes. Osteophyte resection is effective in the treatment of restriction of the joint motion caused by secondary OA changes.

Keywords

synovial chondromatosis - osteoarthropathic changes - distal radioulnar joint - resection of osteophyte

The location where the work was performed: Shonan Central Hospital.




Publication History

Received: 17 August 2023

Accepted: 16 January 2024

Article published online:
06 February 2024

© 2024. Thieme. All rights reserved.

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