BILATERAL SYNOVIAL CHONDROMATOSIS OF SHOULDER – A CASE REPORT

Abstract:
INTRODUCTION:Synovial chondromatosis is a benign disorder characterised by chondrometaplasia of synovial membrane resulting in multiple cartilaginous nodules within the synovium. It is usually monoarticular, with male predilection and involves
large joints. Bilateral osteochondromatosis of knee, ankle joint has been reported in literature. Herewith we present a case of primary, bilateral synovial chondromatosis of shoulder which has not yet been reported in literature. CASE REPORT:A 45-yearmale, farmer presented with pain and partial restriction of
movements of left shoulder for 10 months’ duration. History of surgery for similar complaints in Right shoulder 4 years back. On examination shoulder joint swelling noted with joint line tenderness with crepitus on moving the shoulder. Restriction
more of abduction and external rotation, with pain in the extremes of movement. X ray right shoulder joint was inconclusive. Needle biopsy of the right shoulder on
histopathological examination reported as synovial chondromatosis. Shoulder hemiarthroplasty with removal of loose bodies was done by deltopectoral approach.
Post op functional outcome was excellent with constant score of 83. CONCLUSION:Synovial chondromatosis is not so common in the shoulder joint. Bilateral synovial chondromatosis of the shoulder have not yet been reported in literature. Shoulder hemiarthroplasty gives good pain relief and functional outcome in such patients.