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[Synovial chondromatosis of the hip]
E Mechelany1, F Haddad, E Bitar
1Service de Chirurgie Orthopédique et Traumatologique, Hôtel-Dieu de France, Beyrouth, Liban.
Insights
Synovial chondromatosis of the hip requires histological confirmation for diagnosis. Early surgical intervention with complete synovial membrane excision and acetabular curettage ensures an excellent prognosis and prevents secondary arthrosis.
Area of Science:
- Orthopedic Surgery
- Radiology
- Pathology
Background:
- Synovial chondromatosis is a rare condition characterized by the formation of cartilaginous nodules within a joint.
- Hip involvement can lead to significant pain and functional limitation, particularly in active individuals.
- Accurate diagnosis and timely treatment are crucial for optimal outcomes.
Abstract:
The authors report a case of synovial chondromatosis of the hip in physically active male adult operated on three years ago and apparently cured. Review of the literature shows that the diagnosis, essentially based on X-ray examination, bone-scan and arthrography, needs to be confirmed by histological examination. Treatment must be surgical and must be carried out as soon as possible to prevent arthrosis. Surgery should include thorough excision of the synovial membrane and a curettage of the acetabular fossa to avoid recurrence. Under these conditions, prognosis appears to be excellent.