Tokis Anastasios V, Andrikoula Sofia I, Chouliaras Vassilios T, Vasiliadis Haris S, Georgoulis Anastasios D
Department of Orthopaedic Surgery, University of Ioannina Medical School, Ioannina, Greece.
Arthroscopy. 2007 Sep;23(9):1023.e1-5. doi: 10.1016/j.arthro.2006.07.009. Epub 2006 Nov 21.
Primary synovial chondromatosis of the shoulder is a rare condition. We present the case of a 24-year-old man with a 6-month history of right shoulder pain and decreased range of motion. Computed tomography and magnetic resonance imaging findings led us to the diagnosis of synovial chondromatosis of the shoulder. Arthroscopy revealed loose bodies in the glenohumeral joint, the biceps tendon sheath, and the subscapularis recess. Active intrasynovial proliferation of the axillary pouch was noted. All loose bodies were removed arthroscopically, and partial synovectomy was performed. Histologic examination confirmed the diagnosis of primary synovial chondromatosis. We recommend arthroscopic treatment for synovial chondromatosis of the shoulder because of low morbidity and early functional return.
原发性肩关节滑膜软骨瘤病是一种罕见疾病。我们报告一例24岁男性患者，有6个月右肩疼痛及活动范围减小的病史。计算机断层扫描和磁共振成像结果使我们诊断为肩关节滑膜软骨瘤病。关节镜检查发现肱盂关节、肱二头肌腱鞘及肩胛下隐窝内有游离体。可见腋窝隐窝滑膜有活跃的增殖。所有游离体均经关节镜切除，并进行了部分滑膜切除术。组织学检查证实为原发性滑膜软骨瘤病。由于发病率低且功能恢复早，我们建议对肩关节滑膜软骨瘤病采用关节镜治疗。
