Synovial Chondromatosis of the Ankle Joint.
- Author:
Jin Soo SUH
1
;
Ji Hoon KIM
;
Jong In KIM
;
Han Seong KIM
Author Information
1. Department of Orthopedic Surgery, Inje University, Ilsan Paik Hospital, Goyang, Korea. sjs0506@paik.ac.kr
- Publication Type:Original Article
- Keywords:
Ankle joint;
Synovial chondromatosis;
Synovectomy
- MeSH:
Animals;
Ankle;
Ankle Joint;
Arthrodesis;
Arthroscopy;
Chondromatosis, Synovial;
Female;
Follow-Up Studies;
Humans;
Male;
Recurrence;
Reoperation
- From:Journal of Korean Foot and Ankle Society
2009;13(1):14-18
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We evaluated the results of treatment and clinical symptoms of 11 cases of synovial chondromatosis in the ankle joint. Material and Method: From February 2001 to May 2008, 11 cases with synovial chondromatosis involving ankle joint underwent surgical treatment. There were 5 males and 6 females. The average age at surgery was 51 years. The average follow-up period was 42 months. Duration from onset of symptom to treatment was 117 months. Chief complaints of patients, 9 cases were pain and 1 case was mass like lesion, 1 case was found on x-ray. Preoperatively, all cases were evaluated on simple x-ray, 4 cases on CT, 4 cases on MRI and 1 case on ultrasonogram. 10 cases underwent synovectomy and loose body removal. 5 cases of 10 cases underwent open synovectomy and loose body removal and arthrosocpic surgery. 4 cases of 10 cases underwent only open synovectomy and loose body removal and 1 case of 10 cases underwent only arthroscopic surgery. 1 case underwent tibiotalar arthrodesis. RESULTS:The location of loose bodies was 7 cases on posterior and 4 cases on anterior and 4 case on lateral and 3 cases on multiple site. Postoperatively, all patients showed marked clinical improvement and had subjective satisfaction except reoperation 2 cases and arthrodesis 1 case. AOFAS score of all patients was average 82.2. CONCLUSION: Clinical results of the synovial chondromatosis of ankle joint were satisfactory. More accurate preoperative evaluation is required to achieve prevention of postoperative recurrence and better outcome.