Jacob R A, Campbell W P, Niemann K M
Clin Orthop Relat Res. 1975(109):152-4.
Synovial chondrometaplasia is an uncommon benign lesion most commonly affecting males in the 20 to 60 age range. The youngest heretofore reported patient is 14 years of age. In a male patient of 7 years, 2 months, with a bone age of 5 years with left elbow involvement, there was no history of antecedent trauma. The presenting complaint was enlargement of the elbow with limitation of motion. At surgery 54 osteocartilaginous bodies were removed, some of which were still covered with synovium. Eighteen months following an anterior synovectomy, there was 5 degrees to 128 degrees of pain-free elbow flexion and full painless forearm pronation and supination with no recurrence of the disease.
滑膜软骨化生是一种罕见的良性病变,最常影响20至60岁年龄段的男性。此前报道的最年轻患者为14岁。在一名7岁2个月、骨龄5岁且左肘部受累的男性患者中,无先前创伤史。主要症状为肘部肿大伴活动受限。手术中切除了54个骨软骨体,其中一些仍覆盖有滑膜。在前路滑膜切除术后18个月,肘部无痛屈曲从5度到128度,前臂无痛完全旋前和旋后,疾病无复发。