The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Primary Synovial Osteochondromatosis of the Shoulder in Pediatric Patient: Case Report and Review of the Literature

Document Type : CASE REPORT

Authors
Ali Etemad-Rezaie
Magdalena Tarchala
Andrew Howard
Hospital for Sick Children, Division of Orthopaedic Surgery, University of Toronto, Toronto, Canada
10.22038/abjs.2022.65716.3174
Abstract
We report a primary synovial osteochondromatosis in a 6-year-old male with a 1-year history of shoulder pain and
stiffness. The patient underwent surgical treatment, resulting in significant improvement in range of motion and
functional status. Primary synovial osteochondromatosis of the shoulder is a rare benign condition that can result in
shoulder pain, stiffness, and locking. MRI helps identify these lesions within the affected joint. Removal of loose bodies
often alleviates symptoms and allows for improved range of motion with satisfactory results.
Level of evidence: IV
Keywords
Pediatric
Shoulder
Synovial osteochondromatosis
Subjects
  1. Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases. J Bone Joint Surg Am 1977; 59(6):792-801.
  2. Murphy FP, Dahlin DC, Sullivan CR. Articular synovial chondromatosis. JBJS. 1962; 44:77–86.
  3. Murphey MD, Vidal JA, Fanburg-Smith JC, et al. Imaging of synovial chondromatosis with radiologic-pathologic correlation. Radiographics 2007; 27(5):1465-1488. doi:10.1148/rg.275075116
  4. Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases. JBJS Am 1977; 59(6):792-801.
  5. Sinikumpu JJ, Sinikumpu SP, Sirniö K, et al. Pediatric primary synovial chondromatosis of the shoulder, biceps tendon sheath and subcoracoid bursa. J Clin Orthop Trauma 2020; 11(2):317-320. doi:10.1016/j.jcot.2019.12.005
  6. Miranda JJ, Hooker S, Baechler MF, et al. Synovial chondromatosis of the shoulder and biceps tendon sheath in a 10-year-old child. Orthopedics 2004; 27(3):321-323. doi:10.3928/0147-7447-20040301-17
  7. Nashi M, Manjunath B, Banerjee B, et al. Synovial chondromatosis in a child: an unusual cause of shoulder pain case report. J Shoulder Elbow Surg 1998; 7(6):642-643. doi:10.1016/s1058-2746(98)90015-5
  8. Buess E, Friedrich B. Synovial chondromatosis of the glenohumeral joint: a rare condition. Arch Orthop Trauma Surg 2001; 121(1-2):109-111. doi:10.1007/s004020000168
  9. Covall DJ, Fowble CD. Arthroscopic treatment of synovial chondromatosis of the shoulder and biceps tendon sheath. Arthroscopy 1993; 9(5):602-604. doi:10.1016/s0749-8063(05)80414-1
  10. Raval P, Vijayan A, Jariwala A. Arthroscopic Retrieval of over 100 Loose Bodies in Shoulder Synovial Chondromatosis: A Case Report and Review of Literature. Orthop Surg 2016; 8(4):511-515. doi:10.1111/os.12294
  11. Davis RI, Hamilton A, Biggart JD. Primary synovial chondromatosis: a clinicopathologic review and assessment of malignant potential. Hum Pathol 1998; 29(7):683-688. doi:10.1016/s0046-8177 (98)90276-3
The Archives of Bone and Joint Surgery
Volume 10, Issue 12
December 2022
Pages 1060-1064

  • Receive Date 30 June 2022
  • Revise Date 21 September 2022
  • Accept Date 22 September 2022