Arthroscopic treatment of synovial chondromatosis of the ankle: a case report
Hüseyin S Yercan, Güvenir Okcu, Aziz Vatansever
Celal Bayar Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, Manisa
Keywords: Ankle joint; arthroscopy; chondromatosis, synovial/ complications/surgery; joint loose bodies/surgery.
Abstract
A fifty-five-year-old woman presented with complaints of pain, swelling, limitation of motion, and frequent sprains in her left ankle. Despite increased severity of her complaints for a year, she had been prescribed nonsteroidal anti-inflammatory treatment. Radiographs and computed tomography scans showed calcific lesions in both the anterior and lateral parts of the ankle joint. Following an initial diagnosis of anterior impingement syndrome secondary to stage III synovial chondromatosis, arthroscopic surgery was performed, during which a dense synovitis was observed, 14 loose bodies were removed, and a partial synovectomy was carried out. On gross examination, the largest loose body measured 1.3x1x0.7 cm. At the end of a three-year follow-up, the patient’s complaints completely disappeared and ankle movements were normal.