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肱二头肌长头肌腱滑膜软骨瘤病罕见病例

Unusual Case of Long Head of Biceps Tendon Synovial Chondromatosis.

作者信息

Kumar C Yashavantha, Patil Vishal M, Prajwal Kumar, Reddy B M Santhan Kumar

机构信息

Department of Orthopaedic Surgery, Ramaiah Medical College and Hospital, Bengaluru, Karnataka, India.

Department of Orthopaedics, KIMS, Hubli, Karnataka, India.

出版信息

J Orthop Case Rep. 2023 Aug;13(8):11-14. doi: 10.13107/jocr.2023.v13.i08.3794.

Abstract

INTRODUCTION

Synovial chondromatosis is a rare benign tumor involving the major joints. This condition results from metaplasia of synovium into chondrocytes leading to formation of multiple loose bodies. Extra articular glenohumeral joint synovial chondromatosis involving long head of biceps is very rare.

CASE REPORT

A 38-year-old male presented with history of insidious onset, dull aching pain in right shoulder for 6 months. Clinicoradiological examination revealed calcific mass around the long head of biceps tendon. The calcific mass and loose bodies were removed en bloc. Histopathological examination concurred to be synovial chondromatosis.

CONCLUSION

We hereby report a rare case of long head biceps tendon synovial chondromatosis of shoulder which was successfully treated by combined arthroscopic and open method. The results of surgical excision are excellent.

摘要

引言

滑膜软骨瘤病是一种累及主要关节的罕见良性肿瘤。这种情况是由于滑膜化生为软骨细胞,导致形成多个游离体。涉及肱二头肌长头的关节外盂肱关节滑膜软骨瘤病非常罕见。

病例报告

一名38岁男性,有隐匿性起病史,右肩部钝痛6个月。临床放射学检查发现肱二头肌长头肌腱周围有钙化肿块。钙化肿块和游离体被整块切除。组织病理学检查确诊为滑膜软骨瘤病。

结论

我们在此报告一例罕见的肩部肱二头肌长头肌腱滑膜软骨瘤病,通过关节镜和开放联合方法成功治疗。手术切除效果极佳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8d/10465756/3c76b0e4e5ac/JOCR-13-11-g001.jpg

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