Cargando…
A rare case report of tenosynovial chondromatosis of the semimembranosus-medial collateral ligament bursa
BACKGROUND: Synovial chondromatosis is an uncommon metaplastic process of the synovial lining that results in the formation of cartilaginous nodules within joints or their associated bursae or tendon sheaths. Radiologic evidence of mineralized bodies within these structures is typically pathognomoni...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10067226/ https://www.ncbi.nlm.nih.gov/pubmed/37005684 http://dx.doi.org/10.1186/s12891-023-06337-6 |
_version_ | 1785018421703868416 |
---|---|
author | Peterson, Cornelia Le, Minh Quan McClain, Nathan D. Ghotbi, Elena Demehri, Shadpour Gross, John M. Emam, Mohammed Wilckens, John H. |
author_facet | Peterson, Cornelia Le, Minh Quan McClain, Nathan D. Ghotbi, Elena Demehri, Shadpour Gross, John M. Emam, Mohammed Wilckens, John H. |
author_sort | Peterson, Cornelia |
collection | PubMed |
description | BACKGROUND: Synovial chondromatosis is an uncommon metaplastic process of the synovial lining that results in the formation of cartilaginous nodules within joints or their associated bursae or tendon sheaths. Radiologic evidence of mineralized bodies within these structures is typically pathognomonic for this condition. Extraarticular chondromatosis is rarer than intraarticular chondromatosis, and the knee is affected less frequently than the smaller joints of the hands and feet. To our knowledge, no reports describing this condition in the semimembranosus-medial collateral ligament (SM-MCL) bursa have been published. CASE PRESENTATION: We describe a case of tenosynovial chondromatosis in a 37-year-old woman. The case was atypical for both the location within the SM-MCL bursa and the paucity of radiodense or hypointense changes to support a clinical suspicion of chondroid metaplasia on radiographs and T2-weighted MRI, respectively. Recreational weightlifting and swimming by the patient were impaired by chronic pain, and restricted range of motion of the ipsilateral knee persisted despite extensive skilled physical therapy and injections of both corticosteroids and platelet-rich plasma. Thirteen months after a diagnostic and therapeutic knee arthroscopy, open surgical excision of the SM-MCL bursal body was performed, and knee pain and range of motion improved by the 6-week postoperative reevaluation. Pathologic evaluation of the excised tissue was consistent with tenosynovial chondromatosis. CONCLUSIONS: Synovial chondromatosis should be considered in the differential diagnosis for recalcitrant bursitis, even in the absence of classic imaging findings. LEVEL OF EVIDENCE: 4. |
format | Online Article Text |
id | pubmed-10067226 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-100672262023-04-03 A rare case report of tenosynovial chondromatosis of the semimembranosus-medial collateral ligament bursa Peterson, Cornelia Le, Minh Quan McClain, Nathan D. Ghotbi, Elena Demehri, Shadpour Gross, John M. Emam, Mohammed Wilckens, John H. BMC Musculoskelet Disord Case Report BACKGROUND: Synovial chondromatosis is an uncommon metaplastic process of the synovial lining that results in the formation of cartilaginous nodules within joints or their associated bursae or tendon sheaths. Radiologic evidence of mineralized bodies within these structures is typically pathognomonic for this condition. Extraarticular chondromatosis is rarer than intraarticular chondromatosis, and the knee is affected less frequently than the smaller joints of the hands and feet. To our knowledge, no reports describing this condition in the semimembranosus-medial collateral ligament (SM-MCL) bursa have been published. CASE PRESENTATION: We describe a case of tenosynovial chondromatosis in a 37-year-old woman. The case was atypical for both the location within the SM-MCL bursa and the paucity of radiodense or hypointense changes to support a clinical suspicion of chondroid metaplasia on radiographs and T2-weighted MRI, respectively. Recreational weightlifting and swimming by the patient were impaired by chronic pain, and restricted range of motion of the ipsilateral knee persisted despite extensive skilled physical therapy and injections of both corticosteroids and platelet-rich plasma. Thirteen months after a diagnostic and therapeutic knee arthroscopy, open surgical excision of the SM-MCL bursal body was performed, and knee pain and range of motion improved by the 6-week postoperative reevaluation. Pathologic evaluation of the excised tissue was consistent with tenosynovial chondromatosis. CONCLUSIONS: Synovial chondromatosis should be considered in the differential diagnosis for recalcitrant bursitis, even in the absence of classic imaging findings. LEVEL OF EVIDENCE: 4. BioMed Central 2023-04-01 /pmc/articles/PMC10067226/ /pubmed/37005684 http://dx.doi.org/10.1186/s12891-023-06337-6 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Peterson, Cornelia Le, Minh Quan McClain, Nathan D. Ghotbi, Elena Demehri, Shadpour Gross, John M. Emam, Mohammed Wilckens, John H. A rare case report of tenosynovial chondromatosis of the semimembranosus-medial collateral ligament bursa |
title | A rare case report of tenosynovial chondromatosis of the semimembranosus-medial collateral ligament bursa |
title_full | A rare case report of tenosynovial chondromatosis of the semimembranosus-medial collateral ligament bursa |
title_fullStr | A rare case report of tenosynovial chondromatosis of the semimembranosus-medial collateral ligament bursa |
title_full_unstemmed | A rare case report of tenosynovial chondromatosis of the semimembranosus-medial collateral ligament bursa |
title_short | A rare case report of tenosynovial chondromatosis of the semimembranosus-medial collateral ligament bursa |
title_sort | rare case report of tenosynovial chondromatosis of the semimembranosus-medial collateral ligament bursa |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10067226/ https://www.ncbi.nlm.nih.gov/pubmed/37005684 http://dx.doi.org/10.1186/s12891-023-06337-6 |
work_keys_str_mv | AT petersoncornelia ararecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT leminhquan ararecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT mcclainnathand ararecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT ghotbielena ararecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT demehrishadpour ararecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT grossjohnm ararecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT emammohammed ararecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT wilckensjohnh ararecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT petersoncornelia rarecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT leminhquan rarecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT mcclainnathand rarecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT ghotbielena rarecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT demehrishadpour rarecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT grossjohnm rarecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT emammohammed rarecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa AT wilckensjohnh rarecasereportoftenosynovialchondromatosisofthesemimembranosusmedialcollateralligamentbursa |