Karahan Huseyin Gokhan, Cetin Onur, Kurtulmuş Ahmet, Kayali Cemil
Orthopaedic Surgeon, Bozyaka Education and Research Hospital, Izmir, Turkey.
Ortop Traumatol Rehabil. 2017 May 10;19(3):293-296.
Synovial chondromatosis has an unknown aetiology and is a benign lesion especially seen in joints like the knee and hip. However, it is extremely rare in the ankle joint. A review of the literature shows that ankle joint chondromatosis is usually treated by arthrotomy. However, excision of loose bodies by arthroscopy in the ankle joint is not common. Arthroscopic surgery provides a wide visualisation area for excision of loose bodies, allowing for synovectomy and microfracture. Our patient was a 60-year-old female who presented to our clinic with primary osteochondromatosis and osteochondral defect. Our patient underwent arthroscopic excision of loose bodies, microfracture and synovectomy. Arthroscopic management can be successful in selected patients with synovial osteochondromatosis localized to the ankle joint.
滑膜软骨瘤病病因不明，是一种良性病变，尤其常见于膝关节和髋关节等关节。然而，在踝关节极为罕见。文献回顾显示，踝关节软骨瘤病通常通过关节切开术治疗。然而，踝关节镜下切除游离体并不常见。关节镜手术为切除游离体提供了广阔的视野范围，还能进行滑膜切除术和微骨折术。我们的患者是一名60岁女性，因原发性骨软骨瘤病和骨软骨缺损前来我院就诊。我们的患者接受了关节镜下游离体切除、微骨折术和滑膜切除术。对于局限于踝关节的滑膜骨软骨瘤病患者，关节镜治疗可能会取得成功。
