Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Conventional total hip arthroplasty
4%
105/2664
Total hip resurfacing with synovectomy
8%
213/2664
Arthroscopic removal of loose bodies
66%
1760/2664
Femoral CAM lesion osteoplasty
10%
272/2664
600cGy radiation once to affected hip joint
11%
306/2664
Select Answer to see Preferred Response
Synovial chondromatosis of the hip when symptomatic is treated by removal of the loose bodies with synovectomy, chondroplasty, and labral debridement as needed. Synovial chondromatosis is a painful synovial proliferative disorder that is associated with cartilage metaplasia that results in multiple intra-articular loose bodies. It most often occurs in young adults who present with pain, stiffness, and swelling. Radiographs usually show fine, stippled, intra-articular calcifications, as we see here, characteristic of partially calcified cartilage granules. In a young adult with preserved joint space an arthroplasty is not recommended. A case series by Marchie et al of 29 patients with synovial chondromatosis treated by hip arthroscopy found benefit especially in cases with early grade cartilage changes. Illustration A demonstrates arthroscopic evaluation and removal of loose bodies associated with synovial chondromatosis.
2.7
(35)
Please Login to add comment