Covall D J, Fowble C D
Department of Orthopaedic Surgery, Boston City Hospital, Massachusetts 02118.
Arthroscopy. 1993;9(5):602-4. doi: 10.1016/s0749-8063(05)80414-1.
We present a case of synovial chondromatosis of the shoulder in a 22-year-old man. The patient was initially treated with arthroscopic debridement and partial synovectomy of the shoulder joint. Eighteen months later, the patient returned with similar symptoms. However, repeat radiographic studies showed involvement of both the shoulder and biceps tendon sheath. The patient was taken back to the operating room for an arthroscopic debridement of the shoulder joint and debridement of the biceps tendon sheath through an open approach. Use of the arthroscope to evaluate and treat this patient allowed him to return to normal activities much sooner than a formal open synovectomy would have allowed. Additionally, the morbidity associated with arthroscopic techniques is much lower than that of open procedures. In cases of synovial chondromatosis, the results in terms of efficacy and recurrence rates of each method appear comparable.
我们报告一例22岁男性肩部滑膜软骨瘤病的病例。该患者最初接受了肩关节镜下清创术和部分滑膜切除术。18个月后，患者因类似症状复诊。然而，重复影像学检查显示肩关节和肱二头肌腱鞘均受累。患者再次接受手术，通过开放入路进行肩关节镜下清创术和肱二头肌腱鞘清创术。使用关节镜评估和治疗该患者，使其比进行传统开放性滑膜切除术能更快恢复正常活动。此外，关节镜技术相关的发病率远低于开放手术。在滑膜软骨瘤病的病例中，每种方法在疗效和复发率方面的结果似乎相当。
