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Clinics in diagnostic imaging (122).

S Rasheed¹, W C Peh, T W Chin

¹Department of Diagnostic Radiology, Alexandra Hospital, 378 Alexandra Road, Singapore 159964.

Singapore Medical Journal

|May 10, 2008

Summary

This summary is machine-generated.

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Synovial osteochondromatosis is a rare condition causing hip pain due to loose ossified bodies. Surgical removal of these bodies and affected synovium provided a diagnosis and symptom relief.

Area of Science:

Orthopedics
Radiology
Pathology

Background:

Synovial osteochondromatosis is a benign condition characterized by the formation of cartilaginous and ossified nodules within a joint.
It can cause joint pain, swelling, and limited range of motion.

Observation:

A 37-year-old Indian man presented with a two-year history of right hip pain.
Radiographs revealed small, faint, dense nodules in the inferomedial aspect of the right hip joint.
MR imaging demonstrated multiple ossified loose bodies, joint effusion, and enhancing synovium, consistent with synovial osteochondromatosis.

Findings:

The patient underwent synovectomy and removal of 31 loose bodies.
Histological examination confirmed the diagnosis of synovial osteochondromatosis.

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The patient's hip pain resolved following surgical intervention.

Implications:

This case highlights the importance of considering synovial osteochondromatosis in the differential diagnosis of hip pain, especially when imaging reveals intra-articular loose bodies.
Early diagnosis and surgical management can lead to favorable outcomes and symptom resolution.
Understanding the clinical and imaging features is crucial for accurate diagnosis and effective treatment planning.