切换至 "中华医学电子期刊资源库"

中华关节外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (04) : 517 -520. doi: 10.3877/cma.j.issn.1674-134X.2025.04.016

个案报道

罕见1例晚期髋关节原发性滑膜软骨瘤病
杨丰华1,2, 肖晓3, 戴世友3, 赵海波1, 张珀1, 刘洋1, 朱雪赛3, 姚羿志1, 江帆1, 范筱3, 于腾波3,()   
  1. 1266000 青岛大学
    2266000 青岛康复大学
    3266000 青岛市市立医院(康复大学青岛医院)
  • 收稿日期:2024-11-21 出版日期:2025-08-01
  • 通信作者: 于腾波
  • 基金资助:
    国家自然科学基金委员会(82472431); 山东省自然科学基金项目(ZR2023MH205); 山东省重点研发计划(科技示范项目)(2021SFGC0502); 青岛市科技计划项目"科技惠民示范与指导项目"(22-3-7-smjk-5-nsh)

Case report of late-stage primary synovial chondromatosis of hip joint

Fenghua Yang, Xiao Xiao, Shiyou Dai   

  • Received:2024-11-21 Published:2025-08-01
引用本文:

杨丰华, 肖晓, 戴世友, 赵海波, 张珀, 刘洋, 朱雪赛, 姚羿志, 江帆, 范筱, 于腾波. 罕见1例晚期髋关节原发性滑膜软骨瘤病[J/OL]. 中华关节外科杂志(电子版), 2025, 19(04): 517-520.

Fenghua Yang, Xiao Xiao, Shiyou Dai. Case report of late-stage primary synovial chondromatosis of hip joint[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2025, 19(04): 517-520.

图1 术前骨盆负重正位X线片,红圈示右髋部骨赘和关节炎
图2 术前髋关节T1加权相冠状面MRI,示骨赘和部分游离体
图3 术前双侧髋关节CT三维成像图,示右侧髋关节明显的骨赘、游离体和髋关节炎
图4 术中清除的骨赘和游离体组织
图5 原发性滑膜软骨瘤的游离体组织病理苏木素-伊红染色(×40),示许多双核、饱满的软骨细胞和斑片状弥漫性钙化
图6 继发性滑膜软骨瘤的游离体组织病理苏木素-伊红染色(×40),示未脱钙的板层骨的碎片,钙化的模式呈带状和环状
图7 术后床旁骨盆正位X线片,示关节间隙较前恢复,骨赘和游离体切除
[1]
Murphey MD, Vidal JA, Fanburg-Smith JC, et al. Imaging of synovial chondromatosiswith radiologic-pathologic correlation[J]. Radiographics, 2007, 27(5): 1465-1488.
[2]
Ko E, Mortimer E, Fraire AE. Extraarticular synovial chondromatosis: review of epidemiology, imaging studies, microscopy and pathogenesis, with a report of an additional case in a child[J]. Int J Surg Pathol, 2004, 12(3): 273-280.
[3]
McKenzie G, Raby N, Ritchie D. A pictorial review of primary synovial osteochondromatosis[J]. Eur Radiol, 2008, 18(11): 2662-2669.
[4]
Bassir RA, Ismael F, Elbardouni A, et al. Bilateral synovial chondromatosis in the knee joint with both intra and extra-articular diseases[J/OL]. Pan Afr Med J, 2014, 19: 57. DOI:10.11604/pamj.2014.19.57.4054.
[5]
Buess E, Friedrich B. Synovial chondromatosis of the glenohumeral joint: a rare condition[J]. Arch Orthop Trauma Surg, 2001, 121(1-2): 109-111.
[6]
Lim SJ, Chung HW, Choi YL, et al. Operative treatment of primary synovial osteochondromatosis of the hip[J]. J Bone Joint Surg Am, 2006, 88(11): 2456-2464.
[7]
Jiang W, Chen H, Lin Y, et al. Mechanical stress abnormalities promote chondrocyte senescence-the pathogenesis of knee osteoarthritis[J/OL]. Biomed Pharmacother, 2023, 167: 115552. DOI:10.1016/j.biopha.2023.115552.
[8]
Wuisman PIJM, Noorda RJP, Jutte PC. Chondrosarcoma secondary to synovial chondromatosis[J]. Arch Orthop Trauma Surg, 1997, 116(5): 307-311.
[9]
Villacin AB, Brigham LN, Bullough PG. Primary and secondary synovial chondrometaplasia: histopathologic and clinic oradiologic differences[J]. Hum Pathol, 1979, 10(4): 439-451.
[10]
Maurice H, Crone M, Watt I. Synovialchondromatosis[J]. J Bone JointSurg Br, 1988, 70(5): 807-811.
[11]
Abolghasemian M, Gharanizadeh K, Kuzyk P, et al. Hips with synovial chondromatosis may display the features of femoroacetabular impingement[J/OL]. J Bone Joint Surg Am, 2014, 96(2): e11. DOI:10.2106/JBJS.L.01550.
[12]
Nakamura Y, Echigoya N, Toh S. Synovial osteochondromatosis of the hip treated through a surgical dislocation[J]. J Arthroplasty, 2009, 24(7): 1143.e15-1143.e19.
[13]
曾春, 卢华定, 蔡道章. 关节镜下肘关节滑膜软骨瘤病的诊断和治疗[J/OL]. 中华关节外科杂志(电子版), 2010, 4(4): 471-476.
[14]
Hamada J, Tamai K, Koguchi Y, et al. Case report: a rare condition of secondary synovial osteochondromatosis of the shoulder joint in a young female patient[J]. J Shoulder Elbow Surg, 2005, 14(6): 653-656.
[15]
Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases[J]. J Bone Joint Surg Am, 1977, 59(6): 792-801.
[16]
Dworak DP, McGuire MH. Primary synovial osteochondromatosis in the ankle: a case report[J]. Am J Orthop, 2011, 40(5): E96-E98.
[17]
Wittkop B, Davies AM, Mangham DC. Primary synovial chondromatosis and synovial chondrosarcoma: a pictorial review[J]. Eur Radiol, 2002, 12(8): 2112-2119.
No related articles found!
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?