1. Surgical Complications in Management of Primary Synovial Chondromatosis in the Distal Interphalangeal Joint: A Case Report.
- Author
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Munn A, Steckle V, and Kadar A
- Subjects
- Humans, Female, Middle Aged, Postoperative Complications etiology, Postoperative Complications diagnostic imaging, Arthrodesis methods, Synovectomy, Chondromatosis, Synovial surgery, Chondromatosis, Synovial diagnostic imaging, Chondromatosis, Synovial complications, Finger Joint diagnostic imaging, Finger Joint surgery
- Abstract
Case: A 60-year-old right-hand-dominant woman experienced progressive enlargement of a mass over the index distal interphalangeal (DIP) joint over 5 years, leading to joint destruction and swan neck deformity. Radiography showed arthritis, erosion, and calcific deposition. Surgical intervention included mass excision, synovectomy, and DIP joint arthrodesis. After initial fixation failure, revision surgery achieved DIP joint fusion, with histology confirming synovial chondromatosis., Conclusion: This case highlights the diagnostic and treatment challenges of treating rare presentations of synovial chondromatosis in small hand joints, emphasizing early recognition, synovial excision, and joint stabilization in the presence of poor bone quality to prevent recurrence and preserve function., Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C544)., (Copyright © 2025 by The Journal of Bone and Joint Surgery, Incorporated.)
- Published
- 2025
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