Giant Solitary Synovial Osteochondromatosis of The Knee in a Young Female
|Lorenzo Franco de la Torre3, Mercedes Gonzalez-Hita1,2, Juan Luis Alcala-Zermeno2, Ana Teresa Montes-Leyva2, Martin Vargas-Magana1,2, Abraham Zepeda-Moreno4,Jose Rafael Villafan-Bernal1,2 and Sergio Sánchez-Enríquez1,2*|
|1University Center for Health Science, Department of Molecular Biology and Genomics, University of Guadalajara, Mexico|
|2Academic Group UDG-CA 533 Multidisciplinary Study of Chronic Degenerative Disease, Department of Molecular Biology and Genomics, University of Guadalajara, Mexico|
|3“Los Altos” University Center, Department for Clinics, University of Guadalajara, Mexico|
|4Child and Youth Cancer Research Institute, University Center for Health Science, University of Guadalajara, Mexico|
|Corresponding Author :||Sergio Sanchez Enriquez
Centro University of Health Sciences
Department of Molecular Biology and Genomics
University of Guadalajara Sierra, Mexico
E-mail: [email protected]
|Received July 28, 2014; Accepted August 27, 2014; Published August 29, 2014|
|Citation: Franco-de la Torre L, Gonzalez-Hita M, Alcala-Zermeno JL, Montes-Leyva AT, Vargas-Magana M, et al. (2014) Giant Solitary Synovial Osteochondromatosis of The Knee in a Young Female. J Clin Case Rep 4:408. doi:10.4172/2165-7920.1000408|
|Copyright: © 2014 Franco-de la Torre L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Introduction: Giant Synovial osteochondromatosis of Hoffa’s body is very uncommon. Although described as a benign disease, it can be destructive and can cause severe osteoarthritis and pain.
Case report: We report an 18 year old female patient presented with a calcified mass inside the Hoffa’s body. Clinically, patient presented with eight-month history of progressively worsening left knee pain with associated swelling. The bony mass in the Hoffa’s body was evident on the X-ray. MRI showed synovial affectation. During the arthroscopy, all pathological synovial was removed and the bony mass was extirpated through a mini-arthrotomy. Diagnosis of a giant synovial osteochondromatosis was confirmed by histology and malignancy was ruled out. Five years after surgery the patient has been asymptomatic and motion range is complete.
Conclusion: This case of primary synovial chondromatosis is interesting because it was presented in an age, gender and unusual location. At 5 years of postoperative follow-up the patient has had no recurrence and has showed excellent performance of the knee joint.