This paper is only available as a PDF. To read, Please Download here.
Summary
Thirteen patients with generalized synovial chondromatosis of the knee were treated
by either removal of the loose bodies alone (n = 5) or arthroscopic synovectomy (n
= 8). The average follow-up was 38 months (range 23–61). There were three recurrences
in the loose body removal group, which were subsequently treated by arthroscopic synovectomy.
Statistical analysis of the results shows a significant improvement in pain, synovitis
and effusion, range of movement, and function after either treatment. The group treated
by arthroscopic synovectomy had significantly lower recurrence rates (p = 0.02). We
recommend arthroscopic synovectomy for patients with generalized synovial chondromatosis.
However, if loose bodies alone are removed, a recurrence can be successfully treated
by an arthroscopic synovectomy.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ArthroscopyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Synovial proliferative disorders: role of synovectomy.Arthroscopy. 1985; 1: 198-201
- Long term results of synovectomy of the knee in rheumatoid patients.J Bone Joint Surg [Am]. 1974; 56: 521-531
- Synovial chondromatosis.J Bone Joint Surg [Br]. 1967; 49: 530-534
- Arthroscopic treatment of synovial chondromatosis of the knee.Arthroscopy. 1989; 5: 48-51
- Surgery for synovial chondromatosis.Acta Orthop Scand. 1990; 61: 567-569
- Synovial chondromatosis.Acta Orthop Scand. 1975; 46: 919-925
- Synovial chondromatosis.J Bone Joint Surg [Br]. 1988; 70B: 807-811
- Articular synovial chondromatosis.J Bone Joint Surg [Am]. 1962; 44: 77-86
- Osteochondromatosis.J Bone Joint Surg [Am]. 1949; 31: 619-627
- Synovial osteochondromatosis: a histopathological study of thirty cases.J Bone Joint Surg [Am]. 1977; 59: 792-801
- Arthroscopic synovectomy of the knee joint: indication, technique, and follow-up results.Arthroscopy. 1988; 4: 63-71
- Pigmented villonodular synovitis of the Knee.J Bone Joint Surg [Am]. 1992; 74: 119-123
- Arthroscopic synovectomy of the knee for rheumatoid arthritis.Arthroscopy. 1991; 7: 91-97
- Arthroscopic management of synovial chondromatosis of the knee.J Bone Joint Surg [Br]. 1989; 71: 498-500
Article Info
Identification
Copyright
© 1994 Arthroscopy Association of North America. All rights reserved. Published by Elsevier Inc.