Elbow synovial fold syndrome

Case contributed by Dr Mohamed Saber

Presentation

Right elbow pain and swelling 2 months ago.

Patient Data

Age: 30 years
Gender: Male
MRI

Thickened synovial fold at the postero-lateral aspect of elbow joint namely radio-capitellar articulation measures about 10 length and 6mm thickness. Associated bone marrow edema of the radial head and neck with focal osteochondral erosion of the antero-lateral aspect of radial head (chondromalacia). Bone marrow edema of the capitellum with articular surface irregularity . Moderate elbow joint effusion

Annotated image

Arrows on the sagittal T2 image points to thickened synovial fold and on the coronal STIR image point to bone marrow edema.

Case Discussion

Elbow synovial fold syndrome is the condition in which there is thickened synovial fold creating mechanical snapping with subsequent bony and cartilage changes. Patients tend to present with snapping pain and/or elbow locking during elbow flexion and extension.

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Case information

rID: 74469
Published: 27th Feb 2020
Last edited: 28th Feb 2020
Inclusion in quiz mode: Included
Institution: Al-Azhar University

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