Acharya Balakrishnan M, Devkota Pramod, Shrestha Suman K, Pradhan Nabeesman S, Ahmad Shiraz
Department of Orthopaedic Surgery, Patan Hospital, Lalitpur, Nepal.
Department of Orthopaedic Surgery, Suri Seri Begawan Hospital, Kuala Belait, Brunei.
Rev Bras Ortop. 2017 May 17;53(5):647-650. doi: 10.1016/j.rboe.2017.05.009. eCollection 2018 Sep-Oct.
Synovial chondromatosis is a benign arthropathy rarely seen in diarthrodial joints. Extra-articular bilateral symmetrical synovial chondromatosis of shoulder is the rarest variety. The diagnosis is established with the help of imaging modalities and histopathological examinations. This report describes a case of a 39-year-old woman who presented with symmetrical, progressively increasing swelling over the bilateral shoulder region, of 12-18 months duration, with dull ache and restricted movements of the shoulder joints. Magnetic resonance imaging (MRI) and ultrasonography (USG) revealed large bilateral subacromial-subdeltoid bursal swelling with loose floating bodies. Surgical excision of extensive bilateral bursa was performed at four weeks of interval. Histopathological examination revealed synovial chondromatosis on either side. Postoperative recovery occurred without complications.
滑膜软骨瘤病是一种在滑膜关节中罕见的良性关节病。肩关节的关节外双侧对称性滑膜软骨瘤病是最罕见的类型。诊断需借助影像学检查和组织病理学检查来确立。本报告描述了一例39岁女性患者,其双侧肩部区域出现对称性、进行性增大的肿胀,病程为12至18个月,伴有肩部钝痛和活动受限。磁共振成像(MRI)和超声检查(USG)显示双侧肩峰下 - 三角肌下滑囊巨大肿胀,内有游离的松散体。间隔四周对双侧广泛的滑囊进行了手术切除。组织病理学检查显示两侧均为滑膜软骨瘤病。术后恢复顺利,无并发症发生。