Chillemi Claudio, Marinelli Mario, de Cupis Vincenzo
Istituto Chirurgico Ortopedico Traumatologico, Via del Lido 110, 04100 Latina, Italy.
Knee Surg Sports Traumatol Arthrosc. 2005 Sep;13(6):483-8. doi: 10.1007/s00167-004-0608-3. Epub 2005 Feb 22.
Primary synovial chondromatosis is an uncommon condition, and involvement of the glenohumeral joint is rare. Currently, the recommended treatment is arthroscope-assisted synovectomy and removal of the loose bodies. We report a case with the clinical findings, radiographic features, arthroscopic technique for treatment of this disease and the main histological appearance of the removed loose bodies. We believe this is an easy and safe method for management of this disorder and that the support of an experienced pathologist is necessary to avoid differential diagnostic problems with the uncommon malignant transformation.
原发性滑膜软骨瘤病是一种罕见疾病，累及肩肱关节的情况更为少见。目前，推荐的治疗方法是关节镜辅助下的滑膜切除术及游离体摘除术。我们报告了一例该疾病的临床症状、影像学特征、关节镜治疗技术以及摘除的游离体的主要组织学表现。我们认为这是一种治疗该疾病的简便且安全的方法，并且需要经验丰富的病理学家提供支持以避免与罕见的恶性转化产生鉴别诊断问题。
