Arthroscopic treatment of synovial chondromatosis of hip joint
- PDF / 1,367,292 Bytes
- 10 Pages / 595.276 x 790.866 pts Page_size
- 12 Downloads / 220 Views
(2020) 15:405
RESEARCH ARTICLE
Open Access
Arthroscopic treatment of synovial chondromatosis of hip joint Yufeng Liu1†, Ji Li1†, Ning Ma2, Mingyang An1, Feng Gao3, Bo Hu4, Boqing Zhang1, Zhigang Wang1, Yujie Liu1* and Chunbao Li1*
Abstract Purpose: This retrospective study summarized the clinical, radiographic, and arthroscopic manifestation of synovial chondromatosis (SC) of the hip, along with the post-operative effect to discuss the curative effect of arthroscopic management of hip SC. Methods: Twenty-one patients who underwent arthroscopic surgery from the same surgeon for hip SC were followed up for an average of 45 months. T-shaped capsulotomy was routinely performed in each case. Visual analog scale, range of motion, modified Harris Hip Score, and International Hip Outcome Tool score were collected preoperatively and at the time of the latest follow-up. All patients’ demographics, radiographs, and arthroscopic images were collected to summarize and conclude the similarities and differences of their manifestation. Results: Large wedged clumps of loose bodies demonstrated distinguishable radiographic, arthroscopic appearance and demanded a different surgical strategy. Postoperative scores were all significantly improved. One case of residual pain and two cases of residual loose bodies with no symptom related were reported at the final follow-up. All but one patient were satisfied with the outcome. Conclusion: Arthroscopy treatment of hip SC with T-shaped capsulotomy has demonstrated a good result in terms of clinical outcome score, recurrence rate, and complication rate. On the basis of this study, we concluded the clinical performance of large wedged clumps of loose bodies of hip SC. Keywords: Hip arthroscopy, Synovial chondromatosis, Loose body removal, Hip joint
Introduction Synovial chondromatosis (SC) is a rare disease with cartilaginous metaplasia which occurs within the synovium of the joint [1, 2]. It commonly results in the growth of cartilaginous nodules in the synovium, many of which may detach and become loose bodies in the joint and subsequently cause damage to the articular surface and cause osteoarthritis [3]. In the majority of cases, the condition is monoarticular, with hip as the second most frequently affected joint commonly seen on clinical * Correspondence: [email protected]; [email protected] † Yufeng Liu and Ji Li contributed equally to this work. 1 Department of Sports Medicine, Chinese PLA General Hospital, Beijing 100853, China Full list of author information is available at the end of the article
practice [4, 5]. Milgram [3] had defined it as a condition with greater than four osseocartilaginous loose bodies associated with synovial metaplasia. Early diagnosis of hip SC often means a better prognosis. However, due to the nonspecific and insidious symptom of the disease and regularly false-negative imaging in early stages, the period to confirm definitive diagnosis often exceeds more than 2 years. Complaints usually include nonspecific pain as the main cause for medical con
Data Loading...
