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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 7, 961-966.
doi: 10.1302/0301-620X.84B7.12766  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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Synovial osteochondromatosis of the elbow

S. Kamineni, FRCS Orth, Consultant Orthopaedic Surgeon; S. W. O’Driscoll, MD, PhD, Consultant Orthopaedic Surgeon; and B. F. Morrey, MD, Professor

Department of Orthopaedic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, Minnesota 55905, USA

Correspondence should be sent to Professor B. F. Morrey.

We present 12 patients with synovial osteochondromatosis of the elbow treated by synovectomy. Histological review showed that seven cases were primary and five secondary osteochondromatosis. The patients with primary disease had a mean improvement in the flexion arc from a preoperative value of 40° to 123° to 5° to 128° when reviewed at a mean of nine years after operation. The secondary group had a mean improvement in the flexion arc from a preoperative value of 21° to 98° to 4° to 131° at a mean of 6.8 years after operation. There was recurrence in two of seven patients in the primary group and three of five in the secondary group. Osteoarthritis developed in six elbows in the primary and in three in the secondary group. Osteoarthritis secondary to synovial osteochondromatosis is progressive. In the established condition, the distinction between primary and secondary disease may be of greater histological than clinical relevance.




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J. V. Lunn, J. Castellanos-Rosas, and G. Walch
Arthroscopic synovectomy, removal of loose bodies and selective biceps tenodesis for synovial chondromatosis of the shoulder
J Bone Joint Surg Br, October 1, 2007; 89-B(10): 1329 - 1335.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General