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Reichel Syndrome in Children: A Case Report.

Hanene Lassoued Ferjani^1,2, Hiba Bettaib¹, Ben Nessib Dorra^1,2

¹Departamento de Reumatologia, Kassab Orthopedics Institute, Ksar Saïd, Tunísia.

Revista Brasileira De Ortopedia

|December 30, 2024

Summary

Primary synovial chondromatosis (PSC) is a rare condition affecting joints. This case highlights successful arthroscopic removal of cartilaginous nodules in a pediatric shoulder, with no recurrence.

Keywords:

chondromatosis pediatrics shoulder synovial

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Area of Science:

Orthopedics
Pathology

Background:

Primary synovial chondromatosis (PSC) is a rare benign metaplastic condition, typically affecting large joints.
Shoulder involvement is uncommon, especially in the pediatric population.

Purpose of the Study:

To present a case of primary synovial chondromatosis in a pediatric patient's shoulder.
To illustrate the clinical, imaging, histological, and therapeutic aspects of this condition in a young patient.

Main Methods:

A 14-year-old boy presented with chronic shoulder pain.
Imaging revealed multiple loose bodies in the glenohumeral joint.
Arthroscopic removal of cartilaginous nodules was performed, followed by histopathologic confirmation of PSC.

Main Results:

Arthroscopic excision successfully removed all cartilaginous nodules.
Histopathology confirmed the diagnosis of primary synovial chondromatosis.
The patient remained symptom-free post-surgery with no radiographic signs of recurrence at follow-up.

Conclusions:

Shoulder primary synovial chondromatosis can occur in pediatric patients.
Arthroscopic management is effective for symptomatic cases.
Early diagnosis and treatment lead to favorable outcomes.