Zacharia Balaji, Inassi Jojo, Paulose Sanoj
Department of Orthopedics, Government Medical College, Kozhikkode, Kerala, India.
Department of Orthopedics, Jubilee Mission Medical College, Trichur, Kerala, India.
Eur J Rheumatol. 2021 Jan;8(1):40-45. doi: 10.5152/eurjrheum.2020.20132. Epub 2020 Nov 19.
Synovial osteochondromatosis (SOC) is a rare benign neoplasm. It is caused by the metaplasia of the synovium into the bone. The knee, hip, elbow, shoulder, and ankle are the common sites. Our objective was to retrospectively assess the clinical and radiological features of a few cases of SOC resembling some rheumatological conditions and describe it along with a literature review. A retrospective analysis of the clinical and radiological features of a few cases of SOC mimicking some rheumatological conditions was performed. There were 4 cases: 3 adult men and a young boy. Three cases presented in the elbow and 1 case in the hip. There was a case mimicking osteoarthritis of the elbow in a young individual, another case presented like myositis ossificans of the elbow, and another case was similar to neuropathic arthritis of the elbow. The case in the hip presented as painful limping in the child. SOC can sometimes mimic various conditions affecting the synovial joints. A careful evaluation of the clinical and radiological features can be helpful in the correct diagnosis.
滑膜骨软骨瘤病(SOC)是一种罕见的良性肿瘤。它是由滑膜化生为骨所致。膝关节、髋关节、肘关节、肩关节和踝关节是常见发病部位。我们的目的是回顾性评估几例类似某些风湿性疾病的SOC病例的临床和放射学特征,并结合文献综述进行描述。对几例类似某些风湿性疾病的SOC病例的临床和放射学特征进行了回顾性分析。共有4例:3名成年男性和1名小男孩。3例发生在肘关节,1例发生在髋关节。有1例年轻个体表现类似肘关节骨关节炎,另1例表现类似肘关节骨化性肌炎,还有1例类似肘关节神经性关节炎。髋关节的病例表现为儿童疼痛性跛行。SOC有时可模仿影响滑膜关节的各种病症。仔细评估临床和放射学特征有助于正确诊断。