Salgarelli A, Panigatti S, Persia M, Collini M
Divisione di Chirurgia Maxillo-Facciale, Ospedale Carlo Poma, Mantova.
Minerva Stomatol. 2000 Jan-Feb;49(1-2):51-7.
Synovial chondromatosis is an uncommon monoarticular proliferative disease of the synovium characterized by loose bodies developed in the synovial membrane. The literature is reviewed and two cases of synovial chondromatosis of the temporomandibular joint characterized by swelling, pain and limitation of mandibular movement are reported. Radiographic evidence of loose bodies may or may not be present. Computed tomography (CT) or magnetic resonance (MR) might be helpful in the diagnosis of synovial chondromatosis. The treatment of choice of synovial chondromatosis is surgical and the loose bodies should be removed by arthrotomy with examination of the joint cavity. In our patients, no recurrence had occurred according to other authors' experience.
滑膜软骨瘤病是一种罕见的滑膜单关节增生性疾病,其特征是滑膜内形成游离体。本文回顾了相关文献,并报告了两例颞下颌关节滑膜软骨瘤病,表现为肿胀、疼痛和下颌运动受限。游离体的影像学证据可能存在也可能不存在。计算机断层扫描(CT)或磁共振成像(MR)可能有助于滑膜软骨瘤病的诊断。滑膜软骨瘤病的首选治疗方法是手术,应通过关节切开术切除游离体并检查关节腔。根据其他作者的经验,我们的患者未出现复发情况。