1/4. Synovial chondromatosis of the temporomandibular joint: varying presentation in 4 cases.Synovial chondromatosis is a rare condition in which cartilage is formed in the synovial membrane of a joint. The manifestations of this benign neoplastic process can mimic many common temporomandibular joint and parotid diseases. Four cases of synovial chondromatosis are presented. In each case, atypical presentation, coexisting joint disease, or both caused diagnostic confusion. The histories and physical examinations were initially consistent with more common joint diseases in each case. Imaging provided some insight into diagnosis and was a definitive indication for surgical treatment. Treatment by subtotal synovectomy and by removal of chondromatous nodules were undertaken in each case. No patient in our series has had recurrence of disease or symptoms after surgical treatment.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
2/4. The results of operative treatment of osteochondritis dissecans of the patella.The course of osteochondritis dissecans (OCD) of the patella and the results of operative treatment are analyzed retrospectively in a review of 31 operatively treated cases in 25 patients. Followup was obtained for 21 cases, with an average of 73 months (range, 15 months to 20 years). These 25 patients were predominantly males, and averaged 18 years of age at the time of surgery. A history of trauma was associated with the lesion in 38% of the cases, and the lesion was bilateral in one out of four patients. The most common presenting complaints were subpatellar pain and swelling. The most common initial physical findings were patellofemoral crepitus and joint effusion. Forty-four operations were performed on 31 knees. The most commonly performed procedures were curettage of the patella and removal of loose bodies, in combination or as part of another procedure. A new patellofemoral rating scale was used to evaluate results. Thirty-eight percent of the knees had a good or excellent result, while 62% had a fair or poor result. Persistent pain with restricted function and residual patellofemoral crepitus were common findings. In general, the patients who come to surgery for OCD of the patella have a guarded prognosis for full recovery of knee function.- - - - - - - - - - ranking = 0.069730514867612keywords = physical (Clic here for more details about this article) |
3/4. Loose body of the elbow mimicking tumor.Distinguishing between calcific soft-tissue masses and intra-articular loose bodies about the elbow can be difficult. We present the case of a 59-year-old woman with a slowly enlarging soft-tissue mass about the elbow. history, physical examination, and diagnostic studies did not establish a definite diagnosis, nor did they rule out the possibility of a neoplastic process. Excisional biopsy revealed a loose body contained in a cystic mass with elbow joint communication.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
4/4. Synovial chondromatosis: a case study and brief review.Synovial chondromatosis is a benign synovial neoplasm, most often monoarticular. A case involving a 25-year-old Hispanic woman with a 2-year history of joint stiffness, locking, and recurrent effusion is presented. The diagnostic evaluation included standard roentgenograms, magnetic resonance imaging, arthrocentesis, and arthrography. She underwent arthrotomy and synovectomy. Multiple small cartilaginous bodies were removed during the procedure. At 3-year follow-up, the patient has not reported any residual problems, except for mild joint stiffness. This paper will discuss the physical findings, diagnostic studies, and management of intra- or extra-articular synovial chondromatosis.- - - - - - - - - - ranking = 0.069730514867612keywords = physical (Clic here for more details about this article) |