scholarly journals Pediatric primary synovial chondromatosis of the shoulder, biceps tendon sheath and subcoracoid bursa

2020 ◽  
Vol 11 (2) ◽  
pp. 317-320
Author(s):  
J.-J. Sinikumpu ◽  
S.-P. Sinikumpu ◽  
K. Sirniö ◽  
J. Näpänkangas ◽  
R. Blanco Sequeiros
2008 ◽  
Vol 17 (3) ◽  
pp. e6-e10 ◽  
Author(s):  
Chlodwig Kirchhoff ◽  
Sonja Buhmann ◽  
Volker Braunstein ◽  
Veronique Weiler ◽  
Wolf Mutschler ◽  
...  

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0018
Author(s):  
Burak Abay ◽  
Neslihan Aksu ◽  
Ramazan Soydan ◽  
Ertuğrul Ercan ◽  
Cengiz Kopuz

Objectives: Primary synovial chondromatosis (PSC) is a rare benign neoplasm that affects diarthrodial joints. The reported cases of PSC in the literature are mostly localized in the knee, followed by the hip, elbow, wrist and shoulder. We report the surgical treatment of a rare case of PSC localized in the long biceps tendon sheath. Methods: A 66-year-old woman presented severe pain in her left shoulder without any traumatic event. The pain was rated on Visual analog scale (VAS) as 4 to 7. At the physical examination, a palpable mass was found medial to the bicipital groove of the left shoulder. Functional examination of the left shoulder revealed painful limitation at 150 abduction, at 130 forward elevation and at 40 external rotation. Constant Murley Score was measured as 65. A magnetic resonance image (MRI) revealed the presence of 2x2x1.8 cm lesion within the biceps tendon sheath, rotator cuff tear and a bone cyst in the great tubercule. The treatment of choice was the open surgical treatment with excision of the lesion, curettage and spongious allografting of the bony cyst and repair of the rotator cuff with two suture anchors. The histological examination was consistent with PSC without any malignant transformation. The shoulder was immobilized postoperatively for 2 days in a sling. Immediate passive ROM exercises were started at third day for 6 weeks. Results: At the 6 week follow-up, the patient achieved full symmetric restoration of motion. She had returned to full activity. Visual analog scale was rated 0 to 1 and Constant Murley Score was measured as 92. Functional examination of the left shoulder reveled 170 of abduction, at 160 forward elevation and at 40 external rotation. At 1-year follow-up, clinical findings were unremarkable, with no sign of recurrence. Conclusion: PSC is a benign, idiopathic lesion of the synovial membranes of the diarthrodial joints. PSC is observed rarely in extra-articular shoulder involvement. Although the diagnosis of PSC is often clear with the results of radiological and intraoperative findings, it needs to be verified histologically. Surgical treatment is preferred to avoid the risk of malignant transformation, possible damage to the neighboring anatomical structures and functional disability as seen in our patient.


Orthopedics ◽  
2004 ◽  
Vol 27 (3) ◽  
pp. 321-323 ◽  
Author(s):  
José J Miranda ◽  
Sean Hooker ◽  
Martin F Baechler ◽  
William Burkhalter

2020 ◽  
Vol 7 (1) ◽  
pp. 160-163
Author(s):  
Gabriela Soare ◽  
C.C. Baciu ◽  
G.I. Popescu ◽  
Laura Dragomirescu ◽  
A. Vișoianu

Synovial chondromatosis is rare condition, a benign proliferation of the synovial membrane, with the possibility of forming large masses that produce cartilaginous bodies, that can either  remain attached to the synovium or can detach and float in the joint, producing mechanical damage to the joint surfaces. The cartilaginous bodies can, in time, transform, ossifying and later developing bone marrow or, in very rare cases, it may suffer malignant transformation to chondrosarcoma. We present a case of a 28 years old male, with synovial chondromatosis of the left shoulder, comprising of two large synovial masses, one extended into the axillary recess and long head of biceps tendon sheath and another large mass expanded towards the anterior thoracic wall and subclavian space. We treated the case in two stages, first by open surgical procedure with resection of the synovial mass, and secondary through the arthroscopic approach, with excision of the loose bodies and synovectomy by cauterization.        


2021 ◽  
Vol 9 (5) ◽  
pp. 232596712110036
Author(s):  
Jong Geol Do ◽  
Jin Tae Hwang ◽  
Kyung Jae Yoon ◽  
Yong-Taek Lee

Background: Ultrasound is an essential tool for diagnosing shoulder disorders. However, the role of ultrasound in assessing and diagnosing adhesive capsulitis has not been fully studied. Purpose: To evaluate the ultrasound features of adhesive capsulitis and estimate the correlations between clinical impairment and ultrasound parameters. Study Design: Case series; Level of evidence, 4. Methods: A total of 61 patients with clinically diagnosed unilateral adhesive capsulitis were retrospectively reviewed using high-resolution ultrasound. To compare ultrasound parameters, we performed ultrasound examinations on both affected and unaffected shoulders. Ultrasound parameters, including thickness of the coracohumeral ligament (CHL), rotator interval (RI), axillary recess (AR), hypervascularity of the RI, and effusion of the long head of the biceps tendon sheath, were measured. Passive range of motion (PROM), visual analog scale for pain, and the Shoulder Pain and Disability Index were used for clinical assessment. Results: The CHL, the RI, and the AR in affected shoulders were significantly thicker than in unaffected shoulders ( P < .05). CHL thickness in affected shoulders was significantly correlated with PROM limitation, which included forward elevation, abduction, external rotation (ER), and internal rotation (IR) ( P < .05). AR thickness correlated with passive forward elevation limitation and passive IR limitation ( P < .05). The CHL was significantly thicker in stage 2 compared with stage 1, and the RI was thicker in stage 2 compared with stage 3. The diagnostic cutoff values for adhesive capsulitis were 2.2 mm for CHL thickness (77% sensitivity, 91.8% specificity) and 4 mm for AR thickness (68.9% sensitivity, 90.2% specificity). Conclusion: The ultrasound parameters associated with structural changes were correlated with clinical characteristics of adhesive capsulitis. Thickened CHL, RI, and AR were observed in affected shoulders. The cutoff values of 2.2 mm for CHL thickness and 4 mm for AR thickness can be used as cutoff diagnostic values for adhesive capsulitis.


2017 ◽  
Vol 11 (2) ◽  
pp. 137-139
Author(s):  
Hassan M.T. Fawi ◽  
Stefan Dojcinov ◽  
Kathleen Lyons ◽  
Timothy J.W. Matthews

We report the case of a middle-age lady who presented following minor trauma, with dominant-sided anterior elbow pain and swelling of 6 months in duration. She was assessed clinically, and underwent investigations, which confirmed features consistent with giant cell tumour (GCT) of distal biceps tendon sheath. She underwent uneventful en-bloc excisional surgery. She did not have radiotherapy. She is now 5 years postoperatively asymptomatic, with full function, and with no signs of recurrence.


2011 ◽  
Vol 20 (7) ◽  
pp. 1069-1073 ◽  
Author(s):  
Tomohisa Hashiuchi ◽  
Goro Sakurai ◽  
Mitsutoshi Morimoto ◽  
Tatsuya Komei ◽  
Yoshinori Takakura ◽  
...  

2013 ◽  
Vol 43 (3) ◽  
pp. 399-402 ◽  
Author(s):  
Michel De Maeseneer ◽  
Tom Van Isacker ◽  
Leon Lenchik ◽  
Marie-Astrid Van Caillie ◽  
Maryam Shahabpour

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