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KMID : 0361620080430010131
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Journal of the Korean Orthopaedic Association
2008 Volume.43 No. 1 p.131 ~ p.134
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Synovial Chondromatosis of the Metacarpophalangeal Joint
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Kim Jeong-Woo
Kweon Seok-Hyun
Kim Dong-Chul
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Abstract
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Synovial chondromatosis is an uncommon lesion, which is characterized by cartilaginous and osseous metaplasia of the joint synovium. Synovial chondromatosis usually involves a large joint and rarely occurs in the hand. Intra-articular synovial chondromatosis during the hand should be considered in the differential diagnosis of swollen, stiff or painful joints. Other possible diagnoses include osteoarthritis, rheumatoid arthritis, gout, trauma and chronic infection. Moreover, if enchondral ossification of loose bodies is not seen a diagnosis of synovial chondromatosis can not be made preoperatively. Intra-articular synovial chondromatosis is a benign condition and surgical synovectomy remains the most effective treatment. The authors report a case of synovial chondromatosis of the fifth metacarpophalangeal joint.
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KEYWORD
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Fifth metacarpophalangeal joint, Synovial chondromatosis
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