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一例采用滑膜切除术治疗的“肘关节滑膜软骨瘤病”病例报告

A Case Report Of "Synovial Chondromatosis Of Elbow" Treated With Synovectomy.

作者信息

Reddy Rajlaxmi, Reddy Vijay Narasimman, Kiran Venkat

机构信息

Department of Orthopaedics, Sree Balaji Medical College, Chennai, Tamil Nadu, India.

出版信息

J Orthop Case Rep. 2023 Aug;13(8):28-31. doi: 10.13107/jocr.2023.v13.i08.3802.

Abstract

INTRODUCTION

Synovial chondromatosis is a rare non- malignant bone tumor. Most commonly middle aged people are affected . This condition most commonly occurs in knee joints, and rarely, it may occur in other joints. Patient usually complaints of pain, swelling and restrictions of movements at the affected joint. Diagnosis is made through thorough clinical examination and Radiological investigation. Condition is treated with open synovectomy with the removal of loose bodies. If not treated in time the patient might develop early osteoarthritic changes and rarely develop into malignancy in few cases.

CASE REPORT

A 43 year old female came with complaints of pain and stiffness over the right elbow which aggravates on movements without alleged history of trauma. The patient was diagnosed with synovial chondromatosis after appropriate radiological investigation. The patient underwent open synovectomy and post operatively adequate physiotherapy was initiated at the operated elbow. After 6 months of follow-up, the patient improved clinically and functionally.

CONCLUSION

Synovial chondromatosis of the elbow is a rare benign orthopedic condition that appears as multiple hyaline cartilage nodules within sub synovial connective tissue. Complete excision of synovium is necessary to prevent the recurrence and for better clinical outcome.

摘要

引言

滑膜软骨瘤病是一种罕见的非恶性骨肿瘤。最常累及中年人。这种疾病最常发生于膝关节,很少发生于其他关节。患者通常主诉受累关节疼痛、肿胀及活动受限。通过全面的临床检查和影像学检查进行诊断。治疗方法为开放性滑膜切除术并清除游离体。若不及时治疗,患者可能会出现早期骨关节炎改变,少数情况下极少发展为恶性肿瘤。

病例报告

一名43岁女性因右肘部疼痛和僵硬前来就诊,活动时疼痛加重,无外伤史。经适当的影像学检查后,该患者被诊断为滑膜软骨瘤病。患者接受了开放性滑膜切除术,术后对手术肘部进行了充分的物理治疗。经过6个月的随访,患者在临床和功能方面均有改善。

结论

肘部滑膜软骨瘤病是一种罕见的良性骨科疾病,表现为滑膜下结缔组织内多个透明软骨结节。彻底切除滑膜对于预防复发和获得更好的临床疗效是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa40/10465752/ec9667360c42/JOCR-13-28-g001.jpg

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