eMedicine Specialties > Orthopedic Surgery > Neoplasms

Synovial Chondromatosis: Follow-up

Author: Christopher C Annunziata, MD, Orthopedic Surgeon, Commonwealth Orthopedics and Rehabilitation; Assistant Clinical Professor, Department of Orthopedic Surgery, Georgetown University Medical Center; Team Physician, DC United, Major League Soccer
Coauthor(s): John J Christoforetti II, MD, Board Certified Orthopaedic Surgeon, TriState Orthopaedics and Sports Medicine, Inc., and Clinical Instructor, Department of Orthopaedics, University of Pittsburgh Medical School
Contributor Information and Disclosures

Updated: Nov 2, 2009

Outcome and Prognosis

Dorfmann et al demonstrated that arthroscopic loose-body excision was successful in 25 (78%) of 32 knees.15 Most failures were simple recurrences requiring repeat arthroscopic surgery. Four of 24 patients with prolonged functional impairment had substantial tibiofemoral arthritis at the initial time of treatment.

Given the results of this and other studies, as well as the present authors' experience, patients without concurrent joint degeneration have a high likelihood of returning to symptom-free function. Outcomes for patients with severe, symptomatic arthritis and secondary synovial chondromatosis are less predictable than this.

Future and Controversies

Controversies surrounding the diagnosis and treatment of synovial chondromatosis are few. Fukuhara et al identified elevated levels of chondrocalcin in the synovial fluid of patients with synovial chondromatosis.16 They suggest that this finding may assist in diagnosing the disease, though the utility of this test does not justify its expense at this point. Open synovectomy and loose-body excision remain acceptable treatments. Sufficient evidence supports arthroscopic removal of loose bodies with limited synovectomy as first-line surgical therapy.

 


More on Synovial Chondromatosis

Overview: Synovial Chondromatosis
Workup: Synovial Chondromatosis
Treatment: Synovial Chondromatosis
Follow-up: Synovial Chondromatosis
Multimedia: Synovial Chondromatosis
References
Further Reading
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References

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Further Reading

Related eMedicine topic
Synovial Osteochondromatosis (Radiology)

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Keywords

synovial chondrometaplasia, articular chondromatosis, osteochondromatosis, chondrocalcinosis articularis, tenosynovial chondrometaplasia, joint chondromata, diffuse endochondromatosis

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Contributor Information and Disclosures

Author

Christopher C Annunziata, MD, Orthopedic Surgeon, Commonwealth Orthopedics and Rehabilitation; Assistant Clinical Professor, Department of Orthopedic Surgery, Georgetown University Medical Center; Team Physician, DC United, Major League Soccer
Christopher C Annunziata, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, Arthroscopy Association of North America, Eastern Orthopaedic Association, and Phi Beta Kappa
Disclosure: Nothing to disclose.

Coauthor(s)

John J Christoforetti II, MD, Board Certified Orthopaedic Surgeon, TriState Orthopaedics and Sports Medicine, Inc., and Clinical Instructor, Department of Orthopaedics, University of Pittsburgh Medical School
John J Christoforetti II, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

Medical Editor

Miguel A Schmitz, MD, Consulting Surgeon, Department of Orthopedics, Klamath Orthopedic and Sports Medicine Clinic
Miguel A Schmitz, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Ian D Dickey, MD, FRCSC, Adjunct Professor, Department of Chemical and Biological Engineering, University of Maine; Consulting Staff, Adult Reconstruction, Orthopedic Oncology, Department of Orthopedics, Eastern Maine Medical Center
Ian D Dickey, MD, FRCSC is a member of the following medical societies: American Academy of Orthopaedic Surgeons, British Columbia Medical Association, Canadian Medical Association, and Royal College of Physicians and Surgeons of Canada
Disclosure: Stryker Orthopaedics Consulting fee Consulting; Sanofi-Aventis Honoraria Speaking and teaching

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Harris Gellman, MD, Consulting Surgeon, Broward Hand Center; Voluntary Clinical Professor of Orthopedic Surgery and Plastic Surgery, Departments of Orthopedic Surgery and Surgery, University of Miami School of Medicine
Harris Gellman, MD is a member of the following medical societies: American Academy of Medical Acupuncture, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Surgery of the Hand, and Arkansas Medical Society
Disclosure: Nothing to disclose.

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