SYNOVIAL OSTEOCHONDROMATOSIS

SECONDARY SYNOVIAL OSTEOCHONDROMATOSIS (SOC) OF SHOULDER JOINT

  • M. Zakir The University of Lahore
  • Javed Tauqir The University of Lahore.
  • Faiza Munawar The University of Lahore.
  • Saman Munawar The University of Lahore.
  • Nadir Rasool The University of Lahore.
  • Syed Amir Gilani Allied Health Sciences
  • Tauqir Ahmad Islam Medical College, Pasrur Road, Sialkot.
Keywords: Synovial Chondromatosis, Loose Bodies, Multiple Cartilaginous Nodules Shoulder Joint; MRI, Ultrasonogram Image Findings.

Abstract

The shoulder joint trauma after one to two years usually induces growth of
its traumatic separated articular cartilage pieces, which sometime further deteriorates into
an uncommon condition termed as SOC (Secondary synovial osteo-chondromatosis).
Objectives: Is to determine the secondary osteochondromatosis of shoulder joint by its
specific differentiating features in history, skiagram, sonogram, MRI and microscopic findings
of tissue of the affected joint. Methods: A male of 34 years with complaint of pain, stiffness and
decreased range of movement in left shoulder joint came to an adult orthopedic outdoor unit,
Shalimar Hospital, Lahore, Pakistan and admitted in the orthopedic unit 3 for treatment. After
physical /clinical examination, Skiagram, sonogram and MRI of the patient’s affected shoulder
joint were performed by the Radiology department and diagnosed as secondary variety of
osteochondromatosis of the shoulder joint. Its nodules excised through arthroscopy were
examined histopathologically and found to contain fragments of articular cartilage with ring
of calcification. Conclusion: MRI imaging as compared to other medical imaging modalities
is more precise in estimating diagnosis of secondary osteochondromatosis. However the
diagnosis of this disorder is counter confirmed by presence of loose bodies of hyaline cartilage
encircled by calcification lamellae on histopathological examination.

Author Biographies

M. Zakir, The University of Lahore

Doctor of Medical Imaging
Department of Radiology

Javed Tauqir, The University of Lahore.

Doctor of Medical Imaging
Department of Radiology

Faiza Munawar, The University of Lahore.

Doctor of Medical Imaging
Department of Radiology

Saman Munawar, The University of Lahore.

Doctor of Medical Imaging
Department of Radiology

Nadir Rasool, The University of Lahore.

Doctor of Medical Imaging
Department of Radiology

Syed Amir Gilani, Allied Health Sciences

MBBS (Pb.), Ph.D Ultrasound
(Sudan, Lugano, Swizerland etc).
Dean of Allied Health Sciences &
Head of Radiology Department UOL.

Tauqir Ahmad, Islam Medical College, Pasrur Road, Sialkot.

MBBS (Pb), M.Phil Anatomy (Pb),
Ph.D Anatomy (GCU, Lhr).
Professor & HOD Anatomy/
Research cell

Published
2018-09-10