Mueller T, Barthel T, Cramer A, Werner A, Gohlke F
Orthopaedic Department, Julius-Maximilians-University, Würzburg, Germany.
J Shoulder Elbow Surg. 2000 Jul-Aug;9(4):319-22. doi: 10.1067/mse.2000.106744.
Very few cases of primary synovial chondromatosis of the elbow have been reported in the literature. This is a study concerning the late outcome of primary synovial chondromatosis in the elbows of 12 patients, 10 men and 2 women, with a mean follow-up of 16 years 10 months. The average age at the time of the initial complaint was 29 years. The histories of 10 patients revealed elbow strain as a consequence of work-related activities. Surgery included removal of loose bodies and partial synovectomy in all patients. A moderate to severe osteoarthritis was found preoperatively in 5 of 12 patients and during follow-up in 7 of 10 patients. The degree of osteoarthritis deteriorated after surgery in 5 of these cases, depending on patient age, length of presurgical history, length of follow-up, and strenuous activities. However, the functional deficiencies were usually moderate and had little significance with respect to the activities of daily living. No recurrence of primary synovial chondromatosis was found.
文献中报道的原发性肘关节滑膜软骨瘤病病例极少。本研究关注12例原发性肘关节滑膜软骨瘤病患者的远期预后，其中男性10例，女性2例，平均随访时间为16年10个月。初次就诊时的平均年龄为29岁。10例患者的病史显示，肘部劳损是由工作相关活动所致。所有患者均接受了手术，包括取出游离体和部分滑膜切除术。12例患者中有5例术前发现中度至重度骨关节炎，10例患者在随访期间发现骨关节炎。其中5例患者术后骨关节炎程度恶化，这取决于患者年龄、术前病史时长、随访时长以及剧烈活动情况。然而，功能缺陷通常为中度，对日常生活活动影响不大。未发现原发性滑膜软骨瘤病复发。
