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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Three cases of chronic hip pain with radiographic periarticular osteopenia and normal joint spaces are reported. The articular nature of symptomatology, periarticular demineralization, and radionuclide localization suggested intraarticular disease. Computed tomography did not disclose the cause of hip pain when utilized in two instances. Positive contrast hip arthrography was the only diagnostic modality which demonstrated the chondromatosis or adhesive capsulitis responsible for pain. Differential diagnosis and pathophysiologic mechanisms are briefly reviewed.
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PMID:Arthrography in the diagnosis of unexplained chronic hip pain with regional osteopenia. 40 64

Isolated diseases of the os pisiforme is seldom described in the literature. Since 1973 wehave seen 7 patients with typical signs: pain at the region of pisiform, increased by dorsiflexion and radial deviations of the wrist and by compressing the pisiform in the palmar-dorsal plane. The diagnosis of pisiform disease is based on clinical and X-ray examination and followed by histological study after operation. Five of the seven patients came to operation for the following disorder: local, circumscribed chondrosis, chondromatosis of flexor carpi ulnaris with osteochondromatosis, atrophy of the pisiform and in the two cases aseptic osteonecrosis. After partial resection of the pisiform, once combined with Z-shaped lengthening of the tendon of Flexor carpi ulnaris or complete enucleation of the bone all patients were free of discomfort and remained so.
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PMID:[Diseases of the pisiform bone]. 61 82

A case of synovial chondromatosis affecting the temporomandibular joint is reported and the literature is reviewed. Chondromatosis occurs most frequently in this joint in middle-aged women, and it presents with pain and tenderness over the joint. Radiologically, the condition is detected by widening of the joint space with variable presence of radiodense loose bodies. Pathologically, the loose bodies in the case presented were demonstrated arise from cartilaginous metaplasia of the synovial lining. The stimulus for synovial chondrometaplasia at this site is unknown.
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PMID:Synovial chondromatosis affecting the temporomandibular joint. Case report and literature review. 84 67

A patient with synovial chondromatosis involving both posterior compartments of the right knee and proximal tibiofibular joint had continued pain and weakness after partial synovectomy. The "Helfet Test" for proximal tibiofibular joint instability was positive; the fibular head was prominent and tender. Following excision of the proximal fibula, the patient was symptom free. This case demonstrates that it is essential to evaluate all joints involved with a disease process prior to surgical intervention.
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PMID:Synovial chondromatosis and instability of the proximal tibiofibular joint. 113 25

Synovitis of the iliopectineal bursa have been described in pigmented villanodular synovitis, synovial chondromatosis, rheumatoid arthritis, osteoarthritis and necrosis of the femoral head. We report a case of enlargement of such a cyst in necrosis of femoral head and consecutive osteoarthritis, leading to entrapment of the femoral nerve. Simple drainage of the cyst did resolve pain for a short period and only elimination of the primum pathologicum agens did definitively release pain, irradiating to the ipsilateral leg.
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PMID:[Nerve compression syndrome caused by synovial cyst of the hip joint]. 159 69

Synovial chondromatosis is a rare monarticular condition in which cartilaginous masses are formed by metaplasia of the synovial membrane. These masses may calcify and ossify. The disease most commonly affects the knee, and the symptoms include pain, swelling, locking and palpable loose bodies. Although the clinical features are usually non-specific, the roentgenograms often provide important diagnostic information. Synovial chondromatosis is rarely a difficult diagnostic problem, but should not be confused with other disorders that give rise to loose bodies, such as degenerative joint disease and osteochondritis dissecans. Two cases are described and synovial chondromatosis is discussed in some detail, including radiological features and treatment.
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PMID:[Synovial chondromatosis]. 163 18

We present a case of rheumatoid arthritis that affected the right shoulder and was associated with chondromatosis and multiple loose body formation. The arthritis was treated arthroscopically with satisfactory results after a follow-up period of 15 months. In our case, arthroscopic debridement and partial synovectomy not only relieved the pain but also improved the range of motion the night after surgery. The multiple loose bodies irritating the synovium and causing effusion, crepitus, and locking were also removed. One may need to change portals of the scope and suction cannula to remove loose bodies in different joint spaces. The subacromial space must be searched for loose bodies. Thorough cleaning, lavage, and synovectomy are important parts of this surgery. The continuous passive motion (CPM) machine in the immediate postoperative period was helpful.
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PMID:Shoulder rheumatoid arthritis associated with chondromatosis, treated by arthroscopy. 206 36

Synovial osteochondromatosis of the hand is uncommon, except for tenosynovial chondromatosis of the digits. It is even more rare in the wrist joint. A patient with synovial osteochondromatosis of the distal radioulnar joint that involved the triangular fibrocartilage complex is described. At operation, synovectomy, excision of osteochondral bodies, and removal of the entire triangular fibrocartilage complex was done. The triangular fibrocartilage complex was reconstructed using part of the extensor carpi ulnaris tendon. One year after operation, the patient had regained almost full range of motion and is without pain.
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PMID:Reconstruction of the triangular fibrocartilage complex after surgery for treatment of synovial osteochondromatosis of the distal radioulnar joint. 226 84

Synovial chondromatosis of the temporomandibular joint is an uncommon disease of cartilaginous transformation of synovial membrane with formation of loose bodies within the joint space. The stimulus for synovial chondromatosis at this site is unknown. Symptoms frequently include pain and preauricular swelling with occasional snapping during jaw movements. Radiographs of the TMJ may be normal or show multiple, partially calcified loose bodies within the joint. Treatment consists of removal of the loose bodies together with all affected synovium. In this paper a case of synovial chondromatosis affecting the temporomandibular joint is reported and the literature of 38 cases is reviewed.
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PMID:[Synovial chondromatosis of the temporomandibular joint--a differential diagnosis to parotid gland tumor]. 274 44

An illustrative case of synovial chondromatosis in the temporomandibular joint (TMJ) region is presented, and 36 cases reported earlier are reviewed. The present patient, a 35-year-old woman, had been suffering from swelling and pain in the TMJ area as well as limited mandibular movements for 7 years. The condition had been treated with various conservative methods without any relief of the symptoms. Finally, radiological examination revealed calcified nodules within the joint space and a surgical exploration was performed. In all, 27 loose particles were removed from the joint in connection with the extirpation of the perforated and deformed disk. The result of surgical therapy has been favourable during the follow-up period of 18 months. Although synovial chondromatosis is rare in the TMJ, it should be kept in mind as one possible disease when treating patients suffering from symptoms similar to those of mandibular dysfunction syndrome.
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PMID:Synovial chondromatosis of the temporomandibular joint. Report of a case and review of the literature. 313 94


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