Synovial chondromatosis of the distal radio-ulnar joint

David Botros; Ken Ford; Brendan Holderread; Al Mollabashy; James Rizkalla

doi:10.1080/08998280.2021.1953877

Synovial chondromatosis of the distal radio-ulnar joint

Proc (Bayl Univ Med Cent). 2021 Aug 12;34(6):701-702. doi: 10.1080/08998280.2021.1953877. eCollection 2021.

Authors

David Botros^{1

2}, Ken Ford³, Brendan Holderread³, Al Mollabashy³, James Rizkalla^{2

3}

Affiliations

¹ Department of Neurological Surgery, The Johns Hopkins University School of Medicine , Baltimore , Maryland.
² Department of Orthopedic Surgery, Coptic Medical Association of North America Research Institute , Dallas , Texas.
³ Department of Orthopedic Surgery, Baylor University Medical Center , Dallas , Texas.

Abstract

Synovial chondromatosis (SC) is a benign metaplastic proliferation of cartilaginous nodules within the synovial membrane. Primary SC, though a rare monoarticular disease, significantly impacts patients' functional and pain-related outcomes. We outline the case of a 52-year-old man who presented with a large mass on the volar-ulnar aspect of his left wrist. Biopsy and workup revealed SC of the distal radio-ulnar joint. Though most cases of SC can be managed with arthroscopic or intralesional resection of the mass, a subset of extremely aggressive cases of SC may ultimately fail intralesional resection. Patients must be counseled about the possibility of amputation as an ultimate treatment option for the resolution of their pain and symptoms.

Keywords: Amputation; mass; orthopedic oncology; resection; synovial chondromatosis; tumor.

Publication types

Case Reports