Joint Loose Bodies (Subscribe)  

Synovial Chondromatosis, The Alfred I. duPont Institute

Arthroscopy has advanced considerably in recent years, but is not often used for the hip. This is probably because of the shape and depth of the joint and the relatively small size of its capsule. We report our experience in the last four years, and in particular a successful arthroscopic...

We describe six knees in five patients, referred to us after accidental irrigation with chlorhexidine 1% in aqueous solution during arthroscopy. All six knees developed persisting pain, swelling and crepitus with loss of range of movement. Radiographs showed loss of joint space in all three compartments due to extensive chondrolysis,...

AJR 2003; 181:761-769 Hypointense Synovial Lesions on T2-Weighted Images: Differential Diagnosis with Pathologic Correlation José A. Narváez, Javier Narváez, Raúl Ortega1, Eugenia De Lama1, Yolanda Roca1 and Noemí Vidal
Synovial tissue that lines joint cavities, bursae, and tendinous sheaths is generally too thin to be shown on MRI. However, as synovial tissue thickens...

We describe a simple and useful technique for removal of loose bodies during arthroscopy.
We use standard antero-lateral, antero-medial and supero-lateral arthroscopic portals. The technique is applicable to both pump-assisted and gravity-assisted irrigation. The key to this new technique is reversing the direction of irrigation flow.
The commonest direction of flow is...

Heather Shearer , Paula Stern , Andrew Brubacher and Tania Pringle
Chiropractic & Osteopathy 2007, 15:18
Conclusions The clinical and imaging findings, along with potential differential diagnoses, are described. Since this condition tends to be progressive but self-limiting, indications for surgery depend on the level of symptomatic presentation in addition to...

We report the results of arthroscopic removal of loose bodies and abnormal synovium from 18 knees with primary synovial chondromatosis. After a mean of three years, six months (range one to 10 years), 14 knees were either symptom-free or had only minor symptoms. Three of these had required two arthroscopic...

This retrospective study confirms the benefit of arthroscopic removal of loose bodies from the elbow, and documents the accuracy of history and plain radiographs. In contrast to previous reports, patients with a diagnosis of osteoarthritis had a similar outcome to those with an alternative diagnosis.
Arthroscopy of the elbow for loose...

In synovial chondromatosis, foci of metaplastic cartilage form in the synovial membrane of a joint. These foci may grow, become detached from the synovial membrane and enter the joint cavity as loose bodies. Calcification or ossification of the cartilage masses may occur. As far as we know no cases of...

On reviewing the literature, we found only four cases of hips with loose bodies from osteochondritis dissecans. These were lying in the inferomedial capsule and were also asymptomatic. Treatment of osteochondritis dissecans after Legg-Calvé-Perthes' disease should therefore be conservative unless the fragment interferes with the mechanics of the hip.
Fate of...

Locking of the knee by a loose osteochondral fragment following acute dislocation of the patella, though rare, should be considered as a possible cause of true locking.
Knee locking secondary to osteochondral fracture of the patella: an unusual presentation. Goh SK, Koh JS, Tan MH. Singapore Med J. 2008 Jun;49(6):505-6.

Osteochondritis dissecans (OCD), by definition, is a disorder of one or more ossification centers, characterized by sequential degeneration or aseptic necrosis and recalcification. OCD lesions involve both bone and cartilage. These lesions differ from acute traumatic osteochondral fractures; however, they may manifest in a similar fashion. OCD lesions also must...

A case of a 26-year-old male with symptoms resulting from loose bodies residing in a sublabral recess is presented. Operative intervention using the standard arthroscopic portals in addition to an accessory posterior portal was successful in removing the loose bodies and approximating the edges of the sublabral foramen.
Loose bodies...

We describe a case of primary articular synovial chondromatosis in a metacarpophalangeal (MCP) joint of a 48-year-old male. The patient initially presented with MCP joint swelling and pain with normal plain radiographs. Following a fourteen month course of conservative management, surgical debridement of the joint revealed multiple loose bodies consistent...

Contents - Introduction Indications Relevant Anatomy And Contraindications Workup Treatment Complications Outcome And Prognosis Future And Controversies Pictures Bibliography
Synonyms and related keywords: OCD, osteochondral fragments, juvenile osteochondritis dissecans, adult osteochondritis dissecans, OCD of the knee, OCD of the elbow, OCD of the ankle, knee OCD, ankle OCD, lower extremity OCD,...