Guillen Botaya Enrique, Pino Almero Laura, Molini Menchón María O, Silvestre Muñoz Antonio, Moscardó-Navarro Anais, Minguez Rey M Fe
Servicio de Cirugía Ortopédica y Traumatología. Hospital Clínico Universitario-Malvarrosa, Valencia, España.
Servicio de Pediatría. Hospital Clínico Universitario-Malvarrosa, Valencia, España.
Arch Argent Pediatr. 2020 Feb;118(1):e34-e40. doi: 10.5546/aap.2020.e34.
Synovial osteochondromatosis consists of a synovial metaplasia which affects 1 per 100 000 people. It is a very rare disease among children. It typically affects large joints of the body, especially the knee. Due to the lack of specificity of the signs and symptoms and X-Ray images, imaging tests such as nuclear magnetic resonance or computerized tomography are frequently needed for diagnosis. We report a case of a ten-year-old female patient with a six months history of pain and deformity of left patella which was diagnosed with synovial osteochondromatosis. This case highlights the importance of clinical suspicion, not only because it is an extremely rare disease in children, but also because it needs a surgical treatment as soon as possible in order to avoid consequences it might have in pediatric age, as joint destruction or malignization to chondrosarcoma.
滑膜骨软骨瘤病是一种滑膜化生疾病,每10万人中就有1人患病。在儿童中,这是一种非常罕见的疾病。它通常影响身体的大关节,尤其是膝关节。由于体征、症状及X线图像缺乏特异性,诊断时经常需要进行核磁共振或计算机断层扫描等影像学检查。我们报告一例10岁女性患者,有6个月左髌骨疼痛及畸形病史,被诊断为滑膜骨软骨瘤病。该病例凸显了临床怀疑的重要性,不仅因为它在儿童中极为罕见,还因为需要尽快进行手术治疗,以避免其在儿童期可能产生的后果,如关节破坏或恶变为软骨肉瘤。