Xu Caiqi, Yang Xingguang
Department of Sports Medicine, Shanghai Sixth People's Hospital, Shanghai, China.
SAGE Open Med Case Rep. 2020 Aug 18;8:2050313X20951340. doi: 10.1177/2050313X20951340. eCollection 2020.
It is extremely rare for ipsilateral shoulder and elbow synovial chondromatosis to occur simultaneously. We report a very rare case of simultaneous shoulder and elbow synovial chondromatosis in a 53-year-old woman who was treated through staged surgeries. Shoulder arthroscopic synovectomy, debridement, biceps tenodesis, and subacromial decompression were conducted first, followed by elbow arthroscopy 2 months later. Post surgery, there was no recurrence either clinically or radiologically at 2 years follow-up. Despite some loss of the range of motion of the shoulder and muscle strength, the elbow functions recovered fully, and the patient was extremely satisfied with the clinical outcome. We recommend a staged arthroscopic procedure consisting of a thorough synovectomy and joint debridement for this condition.
同侧肩关节和肘关节滑膜软骨瘤病同时发生极为罕见。我们报告了一例非常罕见的53岁女性同时患有肩关节和肘关节滑膜软骨瘤病的病例，该患者接受了分期手术治疗。首先进行了肩关节镜下滑膜切除术、清创术、肱二头肌固定术和肩峰下减压术，2个月后进行了肘关节镜检查。术后2年随访，临床和影像学均无复发。尽管肩关节活动范围和肌肉力量有所下降，但肘关节功能完全恢复，患者对临床结果非常满意。对于这种情况，我们建议采用分期关节镜手术，包括彻底的滑膜切除术和关节清创术。
