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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2009 August;60(4):369-74
Coxarthrosis secondary to synovial osteochondromatosis: a case report
Testa E. A., Sellitti L., Stucchi A., Governale G., Alluto C., Massè G.
1 Clinica Cellini, Torino, Italia
2 Istituto Scientifico San Giuseppe di Piancavallo, Verbania, Italia
3 Azienda Ospedaliero-Universitaria, San Luigi Gonzaga, Orbassano, Torino, Italia
A 50-year-old woman presented with a history of severe coxalgia and right hip flexion deficit. Radiographic, diagnostic, clinical and anatomopathologic findings indicated coxarthrosis secondary to synovial osteochondromatosis, an infrequent neoplastic benign process characterized by the presence of hyaline cartilage nodules in subsynovial tissue. Management of this rare case was carried out according to recommendations published in the literature: osteochondromatosis was treated by synoviectomy and removal of the cartilage nodules and coxarthrosis by removal and total hip arthroplasty. Clinical and radiologic controls were performed during the immediate postoperative period and at 2, 6 and 12 months post-operative.