Extra-articular synovial chondromatosis of the foot. Case report and literature review

  • Emilio Carlos Corinaldesi
Keywords: Synovial chondromatosis, pseudotumoral lesions, synovial metaplasia

Abstract

Synovial chondromatosis is a rare condition characterized by synovial metaplasia of the synovial layer affecting large and small joints. Multiple cartilaginous nodules and a variable degree of joint destruction are frequently observed. The clinical presentation varies and depends on the localization and grade of the condition. This patient presented with a painful plantar tumor in the root of the second and third finger. After the correct imaging studies en bloc resection using a double approach was performed. The histopathological exam informed synovial chondromatosis. Absence of joint involvement was confirmed during surgery. This case represents a rare presentation of the synovial chondromatosis not only for the localization on the foot but also for its extra-articular location. According to our literature review, case reports on highgrade extra-articular synovial chondromatosis of the forefoot are lacking, and we think that this entity must be considered in the differential diagnosis of the tumoral cartilaginous lesions in this location.

References

Galat D, Ackerman DB, Spoon D, Turner N, Shives T. 2008. Synovial chondromatosis of the foot and ankle. Foot Ankle Int 2008;9(3):312-7.

Kim RS, Shin SJ, Seo KB, Teong CT, Hyun CL. (2013) Giant extraarticular synovial osteochondromatosis of the sinus tarsi: A

case report. J Foot Ankle Surg 2013;52:227-30.

Milgram JW, Hadesman WM. Synovial osteochondromatosis in the subacromial bursa. Clin Orthop 1998;236:154-9.

de Sa D, Horner N, MacDonald A, Simunovic N, Ghert M, Philippon M, Ayeni O. Arthroscopic surgery of synovial chondromatosis of the hip: a systematic review of rates and predisposing factors of recurrence. Arthroscopy 2014;30(11):1499-1504.

Gulati A, Williamson DM. Synovial chondromatosis: A rare cause of a dislocated metatarso-phalangeal joint. Foot Ankle Surg 2010;16:e21-e23.

Chiang CH, Jou IM, Wang PH, Chern TC, Huang MT. (2011). Synovial osteochondromatosis of the second metatarsophalangeal joint: A case report. J Foot Ankle Surg 2011;50:458-61.

Tania S, Cura M. Primary synovial chondromatosis of the ankle joint presenting as a monoarthritis. BMJ Case Rep doi:10.1136/bcr-2013-202186.

Evans S, Boffano M, Chaudhry S, Jeys L, Grimer R. Synovial chondrosarcoma arising in synovial chondromatosis. Sarcoma 2014;2014:647939.

Osti L, Papalia R, Del Buono A, Denaro V, Maffulli N. Recurrence of synovial chondromatosis of the Hoffa´s body. Knee Surg Sports Traumatol Arthrosc 2009;17:1421-4.

Jeon IH, Ihn JC, Kyung HS. Recurrence synovial chondromatosis of the glenohumeral joint after arthroscopic treatment. Arthroscopy

;20(5):524-7.

Ogilvie-Harris DJ, Saleh K. Generalized synovial chondromatosis of the knee: A comparison of removal of the loose bodies alone with arthroscopic synovectomy. Arthroscopy 1994;10:166-70.

Church JS, Breidahl WH, Janes GC. Recurrent synovial chondromatosis of the knee after radical synovectomy and arthrodesis. J Bone Joint Surg Br 2006;88:673-5.

Published
2016-08-31
Section
Presentación de Casos