Year: 2024 | Month: February | Volume: 11 | Issue: 2 | Pages: 11-17
DOI: https://doi.org/10.52403/ijrr.20240203
Synovial Chondromatosis of Wrist Joint: A Rare Case Report
I Gusti Ngurah Indra Wiguna1, I Gede Eka Wiratnaya1, Febyan1, Nyoman Gede Grenata Nanda Ustriyana1
1Orthopaedics and Traumatology Department, Faculty of Medicine Udayana University, Prof I G N G Ngoerah General Hospital, Indonesia
Corresponding Author: I Gusti Ngurah Indra Wiguna
ABSTRACT
Synovial chondromatosis is an uncommon and non-malignant transformation of the synovial membrane which leads to development of numerous cartilaginous bodies within the joint. Synovial chondromatosis occurs rarely in the wrist, and there have been a lack of reports of this occurrence in the literature. Hereby we reported a case of synovial chondromatosis occurred in the wrist joint treated with marginal excision.
A 52-year-old male complained lump on his right wrist accompanied by mild pain. On physical examination, there was lump on ulnar side of the right wrist with normal underlying skin, palpable hard and immobile. There was slight limitation on wrist flexion and extension, whereas radial – and ulnar deviation and pronation – supination range of motion were within normal limit. The plain x-ray of the right wrist showed multiple calcified intra-articular cartilaginous loose bodies in the distal radioulnar joint. Biopsy showed multilobulated cartilage tissue that contained chondrocytes without atypia, and some cartilage tissue accompanied with mild atypia. We diagnosed the patient as primary benign soft tissue tumor at right distal radio-ulnar joint due to synovial chondromatosis and we performed marginal excision. The clinical result was reported good, but complete data could not be obtained because the patient refused to do routine follow up.
The rarity of synovial chondromatosis involving the wrist joint could be an obstacle in performing diagnostic procedures and treatment for the case, but with the thoughtful application of resources and surgical principles, synovial chondromatosis of the wrist joint can be safely and effectively managed.
Keywords: Synovial chondromatosis, Wrist joint, Marginal excision
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