Autopsy and Case Reports
https://autopsyandcasereports.org/article/doi/10.4322/acr.2020.183
Autopsy and Case Reports
Clinical Case Report

Surgical treatment of a rare bilateral synovial chondromatosis

Matheus Dantas de Araújo Barretto; Shajadi Carlos Pardo Kaba; Fernando Melhem Elias; Maria Cristina Zindel Deboni

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Abstract

Synovial chondromatosis (SC) in the temporomandibular joint (TMJ) is an uncommon entity, mostly when the involvement is bilateral. The authors report a rare case of bilateral SC, with a follow-up of 13 months, and a literature review. A 60-year-old Caucasian woman, with the chief complaint of pain for 6 years in the bilateral pre-auricular region, had a progressive clacking and discomfort on the left side during mouth opening. The panoramic image was suggestive of SC. The bilateral lesion was surgically removed by direct access. Histopathological examination confirmed the clinical diagnosis of bilateral SC. This article shows the importance of a multidisciplinary approach for the early diagnosis and appropriate treatment. Also, it encourages the referral of such cases to professionals with a greater familiarity with this entity.

Keywords

Chondromatosis, Synovial, Osteochondromatosis, Pathology, Oral, Temporomandibular Joint, Temporomandibular Joint Disorders, Review

References

Shah SB, Ramanojam S, Gadre PK, Gadre KS. Synovial chondromatosis of temporomandibular joint: journey through 25 decades and a case report.

J Oral Maxillofac Surg. 2011;69(11):2795-814. [https://doi.org/10.1016/j.joms.2010.12.029]. [PMID:21470750]

Guijarro-Martínez R, Puche Torres M, Marqués Mateo M, et al. Bilateral synovial chondromatosis of the temporomandibular joint.

J Craniomaxillofac Surg. 2011;39(4):261-5. [https://doi.org/10.1016/j.jcms.2010.04.016]. [PMID:20605727]

Pau M, Bicsa’k A, Reinbacher KE, Feichtinger M, Ka¨rcher H. Surgical treatment of synovial chondromatosis of the temporomandibular joint with erosion of the skull base: a case report and review of the literature.

Int J Oral Maxillofac Surg. 2014;43(5):600-5. [https://doi.org/10.1016/j.ijom.2013.10.019]. [PMID:24314559]

Balasundaram A, Geist JR, Gordon SC, Klasser GD. Radiographic diagnosis of synovial chondromatosis of the temporomandibular joint: a case report.

J Can Dent Assoc. 2009;75(10):711-4. [PMID:20003756]

Pinto AAC Jr, Costa RF, Sousa SF, Chagas MRP, Carmo MAV, Lacerda JCT. Synovial chondromatosis of the temporomandibular joint successfully treated by surgery.

Head Neck Pathol. 2015;9(4):525-9. [https://doi.org/10.1007/s12105-015-0626-0]. [PMID:25912648]

Liu X, Wan S, Shen P, et al. Diagnostic accuracy of synovial chondromatosis of the temporomandibular joint on magnetic resonance imaging.

PLoS One. 2019;14(1):1-9. [https://doi.org/10.1371/journal.pone.0209739]. [PMID:30605460]

Startzman A, Collins D, Carreira D. A systematic literature review of synovial chondromatosis and pigmented villonodular synovitis of the hip.

Phys Sportsmed. 2016;44(4):425-31. [https://doi.org/10.1080/00913847.2016.1216238]. [PMID:27462929]

Poole CA, Matsuoka A, Schofield JR. Chondrons from articular cartilage. III. morphologic changes in the cellular microenvironment of chondrons isolated from osteoarthritic cartilage.

Arthritis Rheum. 1991;34(1):22-35. [https://doi.org/10.1002/art.1780340105]. [PMID:1984777]

Efrima B, Safran N, Amar E, Avnieli IB, Kollander Y, Rath E. Simultaneous pigmented villonodular synovitis and synovial chondromatosis of the hip: case report.

J Hip Preserv Surg. 2018;5(4):1-5. [https://doi.org/10.1093/jhps/hny034]. [PMID:30647936]

Okeson JP. Joint intracapsular disorders: diagnostic and nonsurgical management considerations.

Dent Clin North Am. 2007;51(1):85-103, vi. [https://doi.org/10.1016/j.cden.2006.09.009]. [PMID:17185061]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Submitted date:
03/10/2020

Accepted date:
05/18/2020

Publication date:
09/02/2020

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