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Synovial chondrometaplasia. A case report.

R A Jacob, W P Campbell, K M Niemann

    Clinical Orthopaedics and Related Research
    |January 1, 1975
    PubMed
    Summary
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    Synovial chondrometaplasia, a rare benign lesion, was treated in a young male patient. Surgical removal of osteocartilaginous bodies and synovectomy resulted in a pain-free, fully functional elbow with no recurrence.

    Area of Science:

    • Orthopedics
    • Pediatric Orthopedics
    • Musculoskeletal Pathologies

    Background:

    • Synovial chondrometaplasia is a rare, benign condition typically affecting adult males aged 20-60.
    • The youngest previously reported case involved a 14-year-old patient.
    • This report details an exceptionally young patient presenting with this condition.

    Purpose of the Study:

    • To report a case of synovial chondrometaplasia in a significantly younger patient than previously documented.
    • To describe the clinical presentation, surgical management, and outcomes of this rare condition in a pediatric case.

    Main Methods:

    • A 7-year-old male with a bone age of 5 presented with left elbow enlargement and limited motion.
    • Surgical intervention involved the removal of 54 osteocartilaginous bodies.

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  • An anterior synovectomy was performed.

    • Main Results:

    • The patient experienced significant improvement in elbow function post-surgery.
    • Post-operative range of motion included 5 to 128 degrees of pain-free flexion.
    • Full, painless forearm pronation and supination were achieved.
    • No recurrence of the synovial chondrometaplasia was observed at 18 months follow-up.

    Conclusions:

    • Synovial chondrometaplasia can occur in very young children, challenging the typical age demographic.
    • Surgical management, including osteocartilaginous body removal and synovectomy, can be effective in restoring function and preventing recurrence.
    • This case highlights the importance of considering rare diagnoses even in pediatric patients with atypical presentations.