Long-term Results After Arthroscopic Treatment of Synovial Chondromatosis of the Shoulder

• Published in: Arthroscopy Vol. 24; no. 3; pp. 318 - 323
• Main Authors: Urbach, Dietmar, M.D., Ph.D, McGuigan, Francis X., M.D, John, Michael, M.D, Neumann, Wolfram, M.D, Ender, Stephan A., M.D
• Format: Journal Article
• Language: English
• Published: Philadelphia, PA Elsevier Inc 01-03-2008; Elsevier
• Subjects: Adult; Arthroscopy; Biological and medical sciences; Chondromatosis; Chondromatosis, Synovial - surgery; Diseases of the osteoarticular system; Endoscopy; Female; Follow-Up Studies; Humans; Impingement syndrome; Investigative techniques, diagnostic techniques (general aspects); Male; Medical sciences; Orthopedic surgery; Orthopedics; Osteochondral loose bodies; Shoulder; Shoulder Joint - surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Synovectomy; Treatment Outcome; Tumors of striated muscle and skeleton; Impingement syndrome; Arthroscopy; Chondromatosis; Synovectomy; Shoulder; Osteochondral loose bodies; Synovial chondromatosis; Orthopedic surgery; Treatment; Diseases of the osteoarticular system; Arthropathy; Endoscopy; Long term; Arthroscopy-Chondromatosis-Impinge- ment syndrome-Osteochondral loose bodies-Shoulder-Synovectomy
• ISSN: 0749-8063; 1526-3231
• DOI: 10.1016/j.arthro.2007.08.034

Purpose: The purpose of this study was to document the results of arthroscopic treatment for synovial chondromatosis of the shoulder with loose body removal and partial synovectomy. Methods: Five cases of shoulder arthroscopy performed for synovial chondromatosis were reviewed. Removal of loose bodies and partial synovectomy was performed in all cases. Follow-up of 4 to 9 years was obtained on these 5 patients. Results: The clinical result was very good for all patients. Radiologic signs of chondroma were observed in two patients. Revision surgery was not necessary in either case. Conclusions: The clinical results referring to the Constant and Murley score and subjective assessment were very good at 4 to 9 years following surgery. However, in two out of five subjects, radiographs revealed evidence of persisting or recurrent synovial chondroma at follow-up. Level of Evidence: Level IV, therapeutic case series.