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synovial chondromatosis; Reichel's syndrome; Reichel-Jones-Henderson syndrome
Clinical manifestations:
- arthralgia for months to years
- no relief with exercise, steroid injection or heat
- restriction of joint movement
- 3 defined stages:
- early: no joint mice, active synovial disease
- transitional: active synovial disease, joint mice
- late: joint mice, no synovial disease;
Radiology:
- shows nothing on X-ray, until joint mice appear
Differential diagnosis:
- tendonitis
- arthritis
Management:
- surgical removal of joint mice
- partial or total synovectomy
Related
chondroma; enchondroma
General
joint disease; articular disease; arthropathy
chronic disease
syndrome
References
- Wikipedia: Synovial Chondromatosis
http://en.wikipedia.org/wiki/Synovial_chondromatosis
- Baecher NB and Gellman H
eMedicine: Synovial Chondromatosis
http://emedicine.medscape.com/article/1254671-overview