Synovial chondromatosis of the elbow [Sinovijalna hondromatoza lakta]

Dimnjaković, Damjan and Bojanić, Ivan and Mahnik, Alan and Smoljanović, Tomislav (2013) Synovial chondromatosis of the elbow [Sinovijalna hondromatoza lakta]. Collegium Antropologicum, 37 (2). pp. 633-638. ISSN 0350-6134

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Abstract

Synovial chondromatosis (SC) is a rare, mostly benign proliferation of the synovium of the joint, tendon or bursa which results in the formation of loose bodies. It can appear in one of 33 described localisations, but it is most common in the knee. In our study we gathered a group of 7 patients (6 male and 1 female) with SC of the elbow, which underwent arthroscopic surgery of the elbow, performing both removal of the loose bodies and complete synovectomy. Mayo Elbow Performance Score (MEPS) was used to evaluate and compare the patients' condition before the operation and at the final follow-up, 31 months, on average, after the operation (range 18-56 months). All patients had poor MEPS before the operation, with an average of 40.7 (range 15-50 points). At the final follow-up, 6 patients had a good or excellent MEPS, while a poor MEPS was present in a single patient. The average MEPS was 85 (range 45-100 points). The one patient who's MEPS remained poor developed heterotopic ossification in the same elbow shortly after arthroscopic surgery. This patient was reoperated 8 months later using an open technique. No other complications occurred in the rest of the operated patients and no recurrence of SC occurred in any of the operated patients. Our results confirm that arthroscopic removal of loose bodies and complete synovectomy should be the treatment of choice for SC of the elbow.

Abstract in Croatian

Sinovijalna hondromatoza (SC) jest rijetka, benigna proliferativna bolest sinovijalne ovojnice zgloba, tetive ili burze koja u konačnici rezultira novostvorenim slobodnim tijelima. Za nju je tipično da zahvaća samo jednu lokalizaciju kod pojedinog bolesnika i to najčešće koljeno, a do danas su opisane 33 različite lokalizacije SC-a. Ovo je istraživanje provedeno na skupini od 7 bolesnika (6 muškaraca i 1 žena) kod kojih je poradi SC lakta učinjen artroskopski zahvat tijekom kojeg su izvađena slobodna zglobna tijela i učinjena potpuna sinoviektomija. Autor koji osobno nije bio involviran u liječenje bolesnika na završnom je kontrolnom pregledu (prosječno poslijeoperacijsko praćenje iznosilo je 31 mjesec) evaluirao bolesnike koristeći se standardiziranim upitnikom (Mayo Elbow Performance Score –MEPS). Svi su bolesnici imali nizak MEPS prije zahvata (između 15 i 50 bodova), s prosjekom od 40,7. Na završnom kontrolnom pregledu 6 je bolesnika imalo dobar ili odličan rezultat, dok je u jednog bolesnika rezultat bio loš. MEPS se na završnom kontrolnom pregledu kretao između 45 i 100 bodova, s prosjekom od 85. U bolesnika s lošim rezultatom došlo je do pojave heterotopične osifikacije u području lakta nakon artroskopskog zahvata, zbog čega je bolesnik ponovno operiran 8 mjeseci nakon prvog zahvata i to otvorenim načinom. U praćenoj skupini bolesnika nisu se pojavile nikakve druge komplikacije za vrijeme ili nakon artroskopskog zahvata, a valja istaknuti da se tijekom praćenja bolesnika nisu niti uočili znaci eventualne ponovne pojave SC-a. Rezultati ovog istraživanja upućuju da je artroskopija lakta tijekom koje valja izvaditi sva slobodna zglobna tijela i učiniti potpunu sinoviektomiju metoda izbora za liječenje SC-a lakta.

Item Type: Article
MeSH: Adult ; Anatomic Landmarks ; Arthroscopy ; Chondromatosis, Synovial / pathology ; Chondromatosis, Synovial / surgery ; Elbow Joint / pathology ; Elbow Joint / surgery ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Young Adult
Departments: Katedra za ortopediju
Depositing User: Marijan Šember
Status: Published
Creators:
CreatorsEmail
Dimnjaković, DamjanUNSPECIFIED
Bojanić, IvanUNSPECIFIED
Mahnik, AlanUNSPECIFIED
Smoljanović, TomislavUNSPECIFIED
Date: June 2013
Date Deposited: 18 Sep 2013 09:19
Last Modified: 13 Jul 2020 07:59
Subjects: /
Related URLs:
URI: http://medlib.mef.hr/id/eprint/1930

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