Synovial Chondromatosis in an Elite Cyclist

A Case Report

David A. Doward, Megan Troxell, Michael Fredericson

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Doward DA, Troxell ML, Fredericson M. Synovial chondromatosis in an elite cyclist: a case report. Primary synovial chondromatosis is a rare disorder that can present as chronic hip and groin pain. It is characterized by formation of osteocartilaginous nodules arising from the synovium. We report the first case, to our knowledge, of an Olympic-caliber cyclist, in her mid thirties, with primary synovial chondromatosis of the left hip. Clinical examination showed decreased internal rotation, external rotation, forward flexion, and abduction of the left hip. A radiograph of the left hip showed slight hip-joint narrowing centrally. A magnetic resonance imaging arthrogram showed a small anterior labral tear and innumerable small intermediate-intensity filling defects situated diffusely within the joint fluid. Fluoroscopically guided injection of the left hip with local anesthetic and cortisone produced temporary pain relief. Conservative treatment was marginally helpful. Results of a rheumatology workup were unremarkable. Arthroscopic removal of loose bodies and synovectomy were performed. The diagnosis of primary synovial chondromatosis was confirmed by histologic examination. At the 17-month follow-up, our patient was essentially pain free and had returned to her previous athletic activities.

Original languageEnglish (US)
Pages (from-to)860-865
Number of pages6
JournalArchives of Physical Medicine and Rehabilitation
Volume87
Issue number6
DOIs
StatePublished - Jun 2006
Externally publishedYes

Fingerprint

Synovial Chondromatosis
Hip
Pain
Synovial Membrane
Groin
Cortisone
Hip Joint
Rheumatology
Local Anesthetics
Tears
Sports
Joints
Magnetic Resonance Imaging
Injections

Keywords

  • Case report
  • Chondromatosis, synovial
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Synovial Chondromatosis in an Elite Cyclist : A Case Report. / Doward, David A.; Troxell, Megan; Fredericson, Michael.

In: Archives of Physical Medicine and Rehabilitation, Vol. 87, No. 6, 06.2006, p. 860-865.

Research output: Contribution to journalArticle

Doward, David A. ; Troxell, Megan ; Fredericson, Michael. / Synovial Chondromatosis in an Elite Cyclist : A Case Report. In: Archives of Physical Medicine and Rehabilitation. 2006 ; Vol. 87, No. 6. pp. 860-865.
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