Synovial chondromatosis of the elbow

Professional paper - Review paper

• Title (croatian): Sinovijalna hondromatoza lakta
• Author: Damjan Dimnjaković
• Author: Ivan Bojanić
• Author: Alan Mahnik
• Author: Tomislav Smoljanović
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

Synovial chondromatosis (SC) is a rare, mostly benign proliferation of the synovium of the joint, tendon or bursa which results in the formation of loose bodies. It can appear in one of 33 described localisations, but it is most common in the knee. In our study we gathered a group of 7 patients (6 male and 1 female) with SC of the elbow, which underwent arthroscopic surgery of the elbow, performing both removal of the loose bodies and complete synovectomy. Mayo Elbow Performance Score (MEPS) was used to evaluate and compare the patients' condition before the operation and at the final follow-up, 31 months, on average, after the operation (range 18-56 months). All patients had poor MEPS before the operation, with an average of 40.7 (range 15-50 points). At the final follow-up, 6 patients had a good or excellent MEPS, while a poor MEPS was present in a single patient. The average MEPS was 85 (range 45-100 points). The one patient who's MEPS remained poor developed heterotopic ossification in the same elbow shortly after arthroscopic surgery. This patient was reoperated 8 months later using an open technique. No other complications occurred in the rest of the operated patients and no recurrence of SC occurred in any of the operated patients. Our results confirm that arthroscopic removal of loose bodies and complete synovectomy should be the treatment of choice for SC of the elbow.

Abstract (croatian)

Sinovijalna hondromatoza (SC) jest rijetka, benigna proliferativna bolest sinovijalne ovojnice zgloba, tetive ili burze koja u konačnici rezultira novostvorenim slobodnim tijelima. Za nju je tipično da zahvaća samo jednu lokalizaciju kod
pojedinog bolesnika i to najčešće koljeno, a do danas su opisane 33 različite lokalizacije SC-a. Ovo je istraživanje provedeno
na skupini od 7 bolesnika (6 muškaraca i 1 žena) kod kojih je poradi SC lakta učinjen artroskopski zahvat tijekom
kojeg su izvađena slobodna zglobna tijela i učinjena potpuna sinoviektomija. Autor koji osobno nije bio involviran u
liječenje bolesnika na završnom je kontrolnom pregledu (prosječno poslijeoperacijsko praćenje iznosilo je 31 mjesec)
evaluirao bolesnike koristeći se standardiziranim upitnikom (Mayo Elbow Performance Score –MEPS). Svi su bolesnici
imali nizak MEPS prije zahvata (između 15 i 50 bodova), s prosjekom od 40,7. Na završnom kontrolnom pregledu 6 je
bolesnika imalo dobar ili odličan rezultat, dok je u jednog bolesnika rezultat bio loš. MEPS se na završnom kontrolnom
pregledu kretao između 45 i 100 bodova, s prosjekom od 85. U bolesnika s lošim rezultatom došlo je do pojave heterotopične osifikacije u području lakta nakon artroskopskog zahvata, zbog čega je bolesnik ponovno operiran 8 mjeseci
nakon prvog zahvata i to otvorenim načinom. U praćenoj skupini bolesnika nisu se pojavile nikakve druge komplikacije
za vrijeme ili nakon artroskopskog zahvata, a valja istaknuti da se tijekom praćenja bolesnika nisu niti uočili znaci
eventualne ponovne pojave SC-a. Rezultati ovog istraživanja upućuju da je artroskopija lakta tijekom koje valja izvaditi
sva slobodna zglobna tijela i učiniti potpunu sinoviektomiju metoda izbora za liječenje SC-a lakta.

• Keywords (english): Adult; Anatomic Landmarks; Arthroscopy; Chondromatosis, Synovial / pathology; Chondromatosis, Synovial / surgery; Elbow Joint / pathology; Elbow Joint / surgery; Female; Follow-Up Studies; Humans; Male; Middle Aged; Young Adult
• Language: english
• Publication type: Professional paper - Review paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Collegium Antropologicum
• Numbering: vol. 37, no. 2, pp. 633-638
• p-ISSN: 0350-6134
• URN:NBN: urn:nbn:hr:105:845647
• Publication: 2013-06
• Document URL: https://hrcak.srce.hr/104762
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-27 19:50:26