Chaudhary Aashutosh, Dahal Amartya, Shrestha Rohit, Khadka Sushant Kumar, Maharjan Sagar, Basi Ashkal, Acharya Shreedhar Prasad
Kathmandu University School of Medical Sciences.
Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel.
Ann Med Surg (Lond). 2023 Jun 28;85(8):4071-4074. doi: 10.1097/MS9.0000000000000999. eCollection 2023 Aug.
Synovial chondromatosis is a rare condition characterized by the chondral proliferation of synovium forming loose bodies which can lead to pain, swelling, and decreased range of movement of the affected joint.
Here the authors report a case of eighteen years lady with recurrent hip synovial chondromatosis who was treated previously with hip arthrotomy and loose bodies removal and now she underwent arthroscopic loose bodies removal with partial synovectomy.
In comparison to arthrotomy of the hip, arthroscopic management is a minimally invasive surgery that is associated with decreased postoperative pain, earlier improvement in range of motion, a shorter course of rehabilitation, and overall lower morbidity.
Thus, the authors recommend arthroscopic removal of the loose bodies and partial synovectomy for the management of synovial chondromatosis of the hip.
滑膜软骨瘤病是一种罕见疾病,其特征为滑膜软骨增生形成游离体,可导致受累关节疼痛、肿胀及活动范围减小。
本文作者报告一例18岁患有复发性髋关节滑膜软骨瘤病的女性病例,该患者曾接受髋关节切开术及游离体切除术,现接受关节镜下游离体切除术及部分滑膜切除术。
与髋关节切开术相比,关节镜治疗是一种微创手术,具有术后疼痛减轻、活动范围更早改善、康复疗程更短及总体发病率更低的特点。
因此,作者推荐采用关节镜下游离体切除术及部分滑膜切除术治疗髋关节滑膜软骨瘤病。