Botros David, Ford Ken, Holderread Brendan, Mollabashy Al, Rizkalla James
Department of Neurological Surgery, The Johns Hopkins University School of Medicine , Baltimore , Maryland.
Department of Orthopedic Surgery, Coptic Medical Association of North America Research Institute , Dallas , Texas.
Proc (Bayl Univ Med Cent). 2021 Aug 12;34(6):701-702. doi: 10.1080/08998280.2021.1953877. eCollection 2021.
Synovial chondromatosis (SC) is a benign metaplastic proliferation of cartilaginous nodules within the synovial membrane. Primary SC, though a rare monoarticular disease, significantly impacts patients' functional and pain-related outcomes. We outline the case of a 52-year-old man who presented with a large mass on the volar-ulnar aspect of his left wrist. Biopsy and workup revealed SC of the distal radio-ulnar joint. Though most cases of SC can be managed with arthroscopic or intralesional resection of the mass, a subset of extremely aggressive cases of SC may ultimately fail intralesional resection. Patients must be counseled about the possibility of amputation as an ultimate treatment option for the resolution of their pain and symptoms.
滑膜软骨瘤病（SC）是滑膜内软骨结节的一种良性化生增殖。原发性SC虽是一种罕见的单关节疾病，但会显著影响患者的功能及与疼痛相关的预后。我们概述了一名52岁男性的病例，他的左手腕掌尺侧出现了一个大肿块。活检及检查显示为桡尺远侧关节的滑膜软骨瘤病。尽管大多数滑膜软骨瘤病病例可通过关节镜或病灶内切除肿块来治疗，但一小部分侵袭性极强的滑膜软骨瘤病病例最终可能病灶内切除失败。必须告知患者截肢作为最终治疗选择以缓解疼痛和症状的可能性。
