Giant intraarticular loose bodies of the knee. Cases demonstrate spectrum of the lesion.

Title

Giant intraarticular loose bodies of the knee. Cases demonstrate spectrum of the lesion.

Creator

Leeson M C; Wilcox P; Greenberg B; Ewing J W

Publisher

Orthopaedic review

Date

1986
1986-06

Description

Synovial chondromatosis is a well-known, well-described clinical and histopathologic entity. Occasionally, loose bodies in the knee joint can continue to grow and become large enough to impinge on joint motion. Extremely large synovial chondromata are relatively rare in the knee joint and have only been described in singular case reports in the orthopaedic literature. We describe two cases representing the spectrum of this disease process occurring in the popliteal fossa, simulating bony and/or soft tissue neoplasm. Case 1 demonstrates a large ossified chondroma, while Case 2 demonstrates a large chondroma without much calcification and with no ossification present. Because of the rarity of these lesions, preoperative staging studies, including CT scan, bone scan, and angiography, are usually warranted to help in the preoperative planning. Open biopsy with adequate tissue sampling is necessary to make an accurate histopathologic diagnosis. Once diagnosis is made, local excision for removal of the mechanical block to motion results in "cure"; local recurrence has not been noted.

Subject

Female; Humans; Male; Aged; *Knee Joint; Chondroma/*diagnosis/surgery; Joint Diseases/*diagnosis; Joint Loose Bodies/*diagnosis/surgery; Diagnosis; Differential

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

393–397

Issue

6

Volume

15

Citation

Leeson M C; Wilcox P; Greenberg B; Ewing J W, “Giant intraarticular loose bodies of the knee. Cases demonstrate spectrum of the lesion.,” NEOMED Bibliography Database, accessed May 9, 2021, https://neomed.omeka.net/items/show/5506.

Social Bookmarking