Synovial Chondromatosis of the Hip Joint / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 1047-105, 1999.
Article
Dans Coréen
| WPRIM
| ID: wpr-647640
ABSTRACT
PURPOSE:
To evaluate the effectiveness of MRI in diagnostic studies and management of synovial chondromatosis involving the hip joint. MATERIALS ANDMETHODS:
From November 1995 to September 1998, 6 patients from 6 cases of synovial chondromatosis involving the hip joint, underwent complete removal of loose bodies and subtotal excision of the synovial membrane.RESULTS:
Preoperatively, all cases had hip pain and 5 cases had limited hip motion. Preoperative MRI revealed target-like lesion in T2 images and synovial hypertrophy. MRI findings revealed lesions in the inferomedial capsular portion in all cases and invading the intrapelvic portion in 2 cases. Pathologic findings revealed Milgram stage II in 5 cases and Milgram stage III in 1 case. It also showed 15 to 350 loose bodies in the diameter of 1 mm to 40 mm. Two cases received reoperations due to recurred lesions with pain 3 to 4 months after the operation. Average Harris Hip Score was 37.8 points preoperatively and 90.8 points in the last follow-up.CONCLUSION:
For synovial chondromatosis involving the hip joint, MRI contributed to a faster and more accurate diagnosis and aided in surgical planning for complete removal. There was also a need for a radical synovectomy and loose body removal for prevention of recurrence.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Récidive
/
Membrane synoviale
/
Imagerie par résonance magnétique
/
Chondromatose synoviale
/
Études de suivi
/
Diagnostic
/
Hanche
/
Articulation de la hanche
/
Hypertrophie
Type d'étude:
Etude diagnostique
/
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
The Journal of the Korean Orthopaedic Association
Année:
1999
Type:
Article
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