Secondary synovial osteochondromatosis

Case contributed by Alborz Jahangiri
Diagnosis certain

Presentation

Chronic pain and decreased ROM in the left knee. pain and swelling flared up after a minor trauma 2 weeks ago.

Patient Data

Age: 67
Gender: Male

There is medial and lateral tibial femoral joint space narrowing with associated subchondral sclerosis and marginal osteophytes.There is a large joint effusion. The articular surfaces are eburnated. 

There are multiple ossific fragments in the knee joint predominantly in the suprapatellar region indicative of synovial osteochondromatosis. There is also chondrocalcinosis of the menisci.

Case Discussion

Features of secondary osteochondromatosis and also chondrocalcinosis secodnary to severe osteoarthritis in the knee joint.

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