Synovial Chondromatosis | Differential Diagnosis скачать в хорошем качестве

Synovial Chondromatosis | Differential Diagnosis

In today's Orthopaedic Surgery lecture, we will be delving into the fascinating and complex world of synovial chondromatosis, a rare but intriguing condition affecting the synovial joints. Our discussion will encompass a comprehensive overview of pathophysiology, clinical presentation, and diagnostic challenges associated with synovial chondromatosis, as well as the latest advancements in surgical treatments and postoperative care. ▬ 📌 Synovial Chondromatosis Introduction Synovial chondromatosis is a rare, benign condition characterized by the presence of cartilaginous nodules or loose bodies within the synovial joints, tendon sheaths, or bursae. These nodules are formed due to metaplastic transformation of the synovial membrane. The condition is typically monoarticular, affecting one joint at a time, and is most seen in the knee, hip, and elbow joints. Although it is benign, synovial chondromatosis can cause pain, swelling, and reduced range of motion in the affected joint. ▬ 📌 Synovial Chondromatosis Differential Diagnosis When considering synovial chondromatosis, differential diagnoses include other conditions that can cause joint pain, swelling, or limited range of motion. Some of these include: 🟠 Osteoarthritis 🟠 Rheumatoid arthritis 🟠 Gout or pseudogout 🟠 Pigmented villonodular synovitis (PVNS) 🟠 Synovial osteochondromatosis 🟠 Infection (septic arthritis) 🟠 Tumors (benign or malignant) ▬ 📌 Synovial Chondromatosis Loose Bodies Loose bodies in synovial chondromatosis are fragments of cartilage that have detached from the synovial membrane and are free-floating within the joint space. They can range in size from a few millimeters to several centimeters. These loose bodies may cause mechanical symptoms, such as locking or clicking, and can contribute to joint degeneration over time. ▬ 📌 Synovial Chondromatosis Diagnosis Diagnosing synovial chondromatosis involves a combination of clinical examination, imaging studies, and histopathological examination. A thorough medical history and physical examination are crucial for identifying the symptoms and signs associated with the condition. Imaging studies such as X-rays, MRI, and CT scans can be used to visualize loose bodies, joint effusion, and any associated joint damage. Ultimately, a definitive diagnosis is made through a histopathological examination of the synovial tissue and loose bodies obtained during surgery or biopsy. ▬ 📌 Synovial Chondromatosis Operative Treatment The primary goal of operative treatment for synovial chondromatosis is to relieve pain, improve joint function, and prevent further joint degeneration. Surgical options include: Arthroscopic removal of loose bodies This minimally invasive procedure allows the surgeon to remove loose bodies and debride the affected synovium using an arthroscope, small instruments, and a camera. Open synovectomy In cases with extensive involvement or if arthroscopy is not feasible, an open synovectomy may be performed. This involves making a larger incision and removing the affected synovium and loose bodies. Joint replacement In cases where significant joint damage has occurred due to synovial chondromatosis, joint replacement may be necessary to restore function and relieve pain. After surgery, rehabilitation and physical therapy are typically recommended to improve joint function and strength. Additionally, regular follow-ups are essential to monitor for any recurrence of the condition. ▬ 🎬 5500+ sqadia.com Medical Videos ▬▬▬▬▬▬▬▬▬▬ 👩🏻‍⚕️ Accessible Medical Student Education 24/7/365 💡 Simplifying Medical Learning 💪 Study Hard, Dream Big, Achieve More