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1.
J Orthop Case Rep ; 13(4): 21-24, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37193388

RESUMO

Introduction: Many loose bodies are present in the joint due to the uncommon benign neoplastic disorder known as synovial chondromatosis, which causes the production of intra-articular nodular cartilaginous lesions from the synovium. Synovial chondromatosis of the ankle joint is an uncommon condition. Here, we present a case of synovial chondromatosis of the ankle joint treated by surgical excision. Case Report: A 42-year-old woman who had been experiencing discomfort and edema in her left ankle for 8 years and had gotten worse during the previous 2 years visited our outpatient department. Clinical and radiological examination revealed synovial chondromatosis of the left ankle joint. Conclusion: Synovial chondromatosis of the ankle is an uncommon synovial neoplasm in an unlikely anatomic location. The diagnosis should be considered when evaluating monoarticular synovitis.

2.
J Orthop Case Rep ; 12(11): 91-94, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37013226

RESUMO

Introduction: Synovial hemangioma is a rare benign condition that is seen predominantly in the adolescent age group. Patients commonly present with pain and swelling of the involved joint. Here, we report a case of recurrent synovial hemangioma in a 10-year-old girl. Case Report: A 10-year old presented with complaints of recurrent swelling in her right knee of 3 years duration. She had complaints of pain, swelling, and deformity of her right knee. She had undergone a surgery to excise the swelling earlier for similar complaints elsewhere. She remained asymptomatic for a year, after which swelling reappeared. Conclusion: Synovial hemangioma is a rare benign condition that is often missed and needs to be promptly addressed to prevent damage to the articular cartilage. The chance of recurrence is high.

3.
J Orthop Case Rep ; 12(10): 66-69, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36874883

RESUMO

Introduction: Enchondromas are predominantly seen in short tubular bones and are usually symptomless and the onset of pain may indicate a pathological fracture in most cases or malignant transformation in rare instances. Here, we report a case of proximal phalanx enchondroma with pathological fracture treated with synthetic bone substitute placement. Case Report: A 19-year-old girl presented to the outpatient department with complaints of swelling over the right little finger. She was evaluated for the same and a roentgenogram revealed a well-defined lytic lesion in the right little finger proximal phalanx. She was planned for conservative management, but she presented 2 weeks later with an increase in pain following trivial trauma. Conclusion: Synthetic bone substitutes are excellent materials for filling the void in benign conditions as they form resorbable scaffolds which have good osteoconductive properties and are associated with no donor site morbidity.

4.
J Orthop Case Rep ; 12(10): 14-17, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36874893

RESUMO

Introduction: Ochronotic arthropathy is a rapidly progressive sequelae of alkaptonuria. This is a rare autosomal recessive condition caused by a mutation in the homogentisate 1,2 dioxygenase (HGD) gene leading to HGD enzyme deficiency. Here, we report a case of neck femur fracture in a patient with ochronotic arthropathy managed by primary hip arthroplasty. Case Report: A 62-year-old gentleman presented with complaints of pain in his left groin area and difficulty in weight bearing on his left lower limb for 3 weeks. The pain was sudden in onset and started while he was on his morning walk. He did not have any problems with his left hip before this episode and he did not give a history of any significant trauma. History, radiological, and intraoperative findings revealed ochronotic hip arthropathy. Conclusion: Ochronotic arthropathy is relatively rare and is seen in isolated communities. The treatment options are similar to primary osteoarthritis and the outcome is comparable to arthroplasty done for osteoarthritis.

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