IRCCS Orthopedic Institute Galeazzi, Milan, Italy.
Section of Legal and Forensic Medicine Clinical Institute San Siro, Milan, Italy.
Clin Ter. 2024 Jul-Aug;175(4):216-218. doi: 10.7417/CT.2024.5066.
Primary synovial chondromatosis of the hip is a rare joint condition characterized by the abnormal proliferation of cartilaginous tissue within the synovial membrane, which leads to the formation of clusters of chondrocytes floating in the joint space. This commentary provides a comprehensive overview of the pathology, including symptoms, diagnosis, treatment options and long-term management. Patients with primary synovial chondromatosis complaint pain and functional impairment, together with a peculiar joint popping sensation during movement, so determining early disability. The early treatment can lead to better clinical outcomes, with increased preservation of joint function and reduced risk of long-term disability, but strictly depend on symptoms acknowledgement and proper imaging interpretation. As a chronic pathology, surgical approach must necessarily be part of a larger medical and rehabilitative care planning, with long period follow-up. Multidisciplinary team management, with the active involvement of the patient is pivotal in improving the clinical outcomes and quality of life.
髋关节原发性滑膜软骨瘤病是一种罕见的关节疾病,其特征是滑膜内软骨组织异常增生,导致软骨细胞簇在关节间隙中漂浮。本评论全面概述了该病的病理学,包括症状、诊断、治疗选择和长期管理。原发性滑膜软骨瘤病患者主诉疼痛和功能障碍,运动时伴有特殊的关节弹响声,因此早期即可出现残疾。早期治疗可以获得更好的临床结果,增加关节功能的保留和降低长期残疾的风险,但这严格依赖于对症状的认识和对适当影像学解释。作为一种慢性疾病,手术方法必然是更广泛的医疗和康复护理计划的一部分,需要长期随访。多学科团队管理,患者的积极参与对于改善临床结果和生活质量至关重要。