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Generalized synovial chondromatosis of the knee: A comparison of removal of the loose bodies alone with arthroscopic synovectomy

  • D.J. Ogilvie-Harris
    Correspondence
    Address correspondence and reprint requests to D.J. Ogilvie-Harris, Department of Orthopaedic Surgery, University of Toronto, The Toronto Hospital, Toronto Western Division, 399 Bathurst Street, Toronto, Ontario, MST 2S8 Canada.
    Affiliations
    Department of Orthopaedic Surgery, University of Toronto, The Toronto Hospital, Toronto Western Division, Toronto, Ontario, Canada
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  • K. Saleh
    Affiliations
    Department of Orthopaedic Surgery, University of Toronto, The Toronto Hospital, Toronto Western Division, Toronto, Ontario, Canada
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      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.

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      References

        • Sim FH
        Synovial proliferative disorders: role of synovectomy.
        Arthroscopy. 1985; 1: 198-201
        • Laurin CA
        • Desmarchais J
        • Dazino L
        • Gariepy R
        • Drome A
        Long term results of synovectomy of the knee in rheumatoid patients.
        J Bone Joint Surg [Am]. 1974; 56: 521-531
        • Jeffreys TE
        Synovial chondromatosis.
        J Bone Joint Surg [Br]. 1967; 49: 530-534
        • Dorfmann H
        • DeBie B
        • Bonvarlet JP
        • Boyer TH
        Arthroscopic treatment of synovial chondromatosis of the knee.
        Arthroscopy. 1989; 5: 48-51
        • Shpitzer T
        • Ganel A
        • Engelberg S
        Surgery for synovial chondromatosis.
        Acta Orthop Scand. 1990; 61: 567-569
        • Christensen JH
        • Poulsen JO
        Synovial chondromatosis.
        Acta Orthop Scand. 1975; 46: 919-925
        • Maurice H
        • Crone M
        • Watt I
        Synovial chondromatosis.
        J Bone Joint Surg [Br]. 1988; 70B: 807-811
        • Murphy FP
        • Dahlin DC
        • Sullivan CR
        Articular synovial chondromatosis.
        J Bone Joint Surg [Am]. 1962; 44: 77-86
        • Mussey RP
        • Henderson MS
        Osteochondromatosis.
        J Bone Joint Surg [Am]. 1949; 31: 619-627
        • Milligan JW
        Synovial osteochondromatosis: a histopathological study of thirty cases.
        J Bone Joint Surg [Am]. 1977; 59: 792-801
        • Klein W
        • Jensen KU
        Arthroscopic synovectomy of the knee joint: indication, technique, and follow-up results.
        Arthroscopy. 1988; 4: 63-71
        • Ogilvie-Harris DJ
        • McLean J
        • Zarnett ME
        Pigmented villonodular synovitis of the Knee.
        J Bone Joint Surg [Am]. 1992; 74: 119-123
        • Ogilvie-Harris DJ
        • Basinski A
        Arthroscopic synovectomy of the knee for rheumatoid arthritis.
        Arthroscopy. 1991; 7: 91-97
        • Coolican MR
        • Dandy DJ
        Arthroscopic management of synovial chondromatosis of the knee.
        J Bone Joint Surg [Br]. 1989; 71: 498-500