Synovial osteochondromatosis

Case contributed by Paresh K Desai
Diagnosis almost certain

Presentation

Knee pain

Patient Data

Age: 13 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

x-ray

Multiple ill-defined calcifications are seen around the knee joint. The articular margins are normal. No erosions see. No sclerotic/ lytic lesions in bone.

Case Discussion

Synovial osteochondromatosis is abnormal proliferation of the synovium where multiple osteochondral lesions are seen adherent to synovium. Large joints like knee and shoulder are most commonly affected. Smaller joints of hands and feet are rarely involved.

Final diagnosis: Synovial osteochondromatosis.

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