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Synovial Chondromatosis in an Elite Cyclist: A Case Report

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Presentation on theme: "Synovial Chondromatosis in an Elite Cyclist: A Case Report"— Presentation transcript:

1 Synovial Chondromatosis in an Elite Cyclist: A Case Report
David A. Doward, MD, Megan L. Troxell, MD, Michael Fredericson, MD  Archives of Physical Medicine and Rehabilitation  Volume 87, Issue 6, Pages (June 2006) DOI: /j.apmr Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

2 Fig 1 Anterior radiographic view showing mild left-hip narrowing centrally. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

3 Fig 2 (A) Axial T1 gadolinium hip arthrogram showing multiple filling defects in synovium. (B) Axial T2 fat-suppressed image showing intermediate filling defects in bright joint fluid lower in the hip joint. Fluid anteriorly is anesthetic related to the hip. (C) Sagittal T1 fat-suppressed gadolinium arthrogram showing normal anterior labrum. (D) Sagittal T2-weighted image showing a small anterior labral tear and intermediate low-signal filling defects in the hip fluid. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

4 Fig 3 (A–D) Arthroscopic view of cartilaginous loose bodies in hip joint. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

5 Fig 4 Specimen consists of hyaline cartilage and has typical nodular architecture. Nodules are surrounded by fibrous tissue and an overlying synovial layer. Fragments measure 3×2×0.8cm in aggregate and vary in size from 0.1 to 0.8cm in the greatest dimension. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

6 Fig 5 (A) Histology slide showing clustered chondrocytes with pyknotic dark-staining nuclei. (B) Magnified view showing some atypical features including large nuclei with dispersed chromatin and nucleoli. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions


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