Bilateral Primary Synovial Chondromatosis:
A Case Report
Shivakumarswamy Udasimath, Vijay P.M., Purushotham R., Kumar Naik H., Nagesha. K.R.
Dr. Shivakumarswamy Udasimath, MD, DNB, (Path)
Assistant Professor, Department of Pathology,
HIMS, HASSAN - 573201
Synovial chondromatosis is a rare, generally benign condition which affects the synovial membranes and commonly involves the large joints such as the knee, hip, and the elbow. It is usually mono-articular and more common in males. Synovial chondromatosis is characterized by the presence of multiple cartilaginous nodules in the joint synovium or cavity. The definitive diagnosis is achieved after the histological examination of the synovial tissue. It can be very destructive and can cause severe osteoarthritis, pain and malignant transformation. Herewith, we are presenting a rare case of bilateral, primary synovial chondromatosis of the knee joint in a female patient. An elderly aged woman presented with a history of pain and swelling of both the knees since six months. The imaging reports of the loose bodies suggested it to be synovial chondromatosis and histopathology studies confirmed this diagnosis. This case highlights the importance of careful clinical assessment, lateral thinking, the appropriate use of investigations, and careful preoperative planning.
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