Jeon In-Ho, Ihn Joo-Chul, Kyung Hee-Soo
Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University, Daegu, South Korea.
Arthroscopy. 2004 May;20(5):524-7. doi: 10.1016/j.arthro.2004.03.014.
A case of primary synovial chondromatosis of the shoulder in a 15-year-old girl is presented. Plain radiographs revealed findings characteristic of synovial chondromatosis. The patient was treated by arthroscopic loose body removal and arthroscopic partial synovectomy of the glenohumeral joint. Although immediate postoperative radiographs showed no calcification in the joint, repeated radiographs at 18 months after surgery revealed recurrence of calcification in the subacromial space. Arthroscopic removal of all loose bodies and partial synovectomy appears to be a good method of giving symptomatic relief and early return to work. However, late recurrence should be anticipated.
本文报告一例15岁女孩肩部原发性滑膜软骨瘤病。X线平片显示出滑膜软骨瘤病的典型表现。患者接受了关节镜下游离体摘除术及肩关节镜下滑膜部分切除术。尽管术后即刻X线片显示关节内无钙化，但术后18个月复查X线片时发现肩峰下间隙钙化复发。关节镜下摘除所有游离体及滑膜部分切除术似乎是缓解症状并能使患者早日恢复工作的良好方法。然而，应预料到会有晚期复发。
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