肩関節滑膜性骨軟骨腫症の 2 例
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We reported two cases of synovial osteochondromatosis of the shoulder treated by arthroscopic surgery.<BR>The patient was an 18-year-old male who complained of the left shoulder pain. Four years ago, He fell and injured his left shoulder in a high jump competition. Radiological examination revealed no fractures. The shoulder pain had improved with time. But three months before referring to our hospital, he noticed left shoulder pain without any cause. X-ray and CT showed multiple calcified loose bodies in the left shoulder joint. The active forward elevation was 120 degrees, and internal rotation was at the level of L5. JOA score was 62 points. Arthroscopic removal of loose bodies and synovectomy were performed. The pathological findings revealed the loose bodies as synovial osteochondromatosis. Twenty months after the surgery, he had no pain with improvement in range of motion. His JOA score also improved to 98 points. Radiograms showed no sign of recurrence.The patient was a 16-year-old male who complained of the right shoulder pain. Ten months before referring to our hospital, he noticed right shoulder pain without any cause. JOA score was 72 points. MRI showed a mass in the left shoulder joint which had low signal in T1 weighted images and high signal in T2 weighted images. Arthroscopic removal of loose bodies and synovectomy were performed. The pathological findings revealed synovial osteochondromatosis. Twelve months after the surgery, he had no pain with improvement in range of motion. His JOA score also improved to 95 points. MRI showed no sign of recurrence.
- 日本肩関節学会の論文
日本肩関節学会 | 論文
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