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IP International Journal of Orthopaedic Rheumatology


Synovial chondromatosis of the hip - A Case Report


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Author Details: Pranav Kothiyal, Gyaneshwar Tank, Amit Gupta

Volume : 2

Issue : 1

Online ISSN : 2581-9151

Print ISSN : 2581-8112

Article First Page : 52

Article End Page : 54


Abstract

Background: Synovial chondromatosis is a benign, relatively rare condition arising from synovial membrane of joints. It usually affects middle aged individuals arising in large joints. The treatment is surgical by removal of the loose bodies and hyperactive synovium. This case report documents this rare synovial pathology in the hip joint and its management by open synovectomy and loose body excision.
Case Report: A thirty one year old female presented with the complaint of insidiously increasing swelling in the right groin with pain and progressively increasing restriction of movements at right hip. After clinical and radiological examination the patient was diagnosed as stage three synovial chondromatosis of hip and was managed by open synovectomy with loose body excision. The histopathology of the excised specimens confirmed the diagnosis.
Conclusion: Surgical management is most often required in patients with symptomatic and progressive disease as in this case. Loose body excision and complete synovectomy offers reliable cure in young patients where replacement arthroplasty can be considered later on.

Keywords:
Hip joint, Synovium, Chondromatosis, Arthritis, Synovectomy