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Intraligamentous synovial chondromatosis of the anterior cruciate ligament

  • Aria Ashir
  • Wei-Xian Li
  • Hoda Shirazian
  • Douglas G. Chang
  • Eric Y. ChangEmail author
Case Report
  • 33 Downloads

Abstract

Synovial chondromatosis is a rare disease that causes disability and dysfunction of the involved synovial joint. We describe the second case in the literature of intraligamentous synovial chondromatosis involving the anterior cruciate ligament, confirmed by pathology after arthroscopic removal of the chondral bodies. We also describe associated magnetic resonance imaging findings which may be helpful for diagnosis of this very rare entity.

Keywords

Synovial chondromatosis Anterior cruciate ligament MRI 

Notes

Funding information

The authors acknowledge support from the VA (I01CX001388 and I01RX002604) and NIH (R01AR075825 and R21AR073496)

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Sciot R, Bridge JA. Synovial chondromatosis. In: CDM F, Bridge JA, Hogendoorn PC, editors. WHO classification of tumours of soft tissue and bone, vol. 261. Lyon: IARC Press; 2013.Google Scholar
  2. 2.
    Agaram NP, Zhang L, Dickson BC, Swanson D, Sung YS, Panicek DM, et al. A molecular study of synovial chondromatosis. Genes Chromosom Cancer. 2019.Google Scholar
  3. 3.
    Bassir RA, Ismael F, Elbardouni A, Mahfoud M, Berrada MS, Elyaacoubi M. Bilateral synovial chondromatosis in the knee joint with both intra and extra-articular diseases. Pan Afr Med J. 2014;19:57.CrossRefGoogle Scholar
  4. 4.
    Alaqeel MA, Al-Ahaideb A. Synovial osteochondroma originating from the synovium of the anterior cruciate ligament. BMJ Case Rep. 2013;2013.Google Scholar
  5. 5.
    Chung JW, Lee SH, Han SB, Hwang HJ, Lee DH. A synovial osteochondroma replacing the anterior cruciate ligament at the intercondylar notch. Orthopedics. 2011;34(2):136.PubMedGoogle Scholar
  6. 6.
    Majima T, Kamishima T, Susuda K. Synovial chondromatosis originating from the synovium of the anterior cruciate ligament: a case report. Sports Med Arthrosc Rehabil Ther Technol. 2009;1(1):6.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Mio K, Tamura K, Nemoto K. Intraligamentous synovial chondromatosis of the anterior cruciate ligament: a case report. JBJS Case Connect. 2014;4(1):1–3.CrossRefGoogle Scholar
  8. 8.
    Murphey MD, Vidal JA, Fanburg-Smith JC, Gajewski DA. Imaging of synovial chondromatosis with radiologic-pathologic correlation. Radiographics. 2007;27(5):1465–88.CrossRefGoogle Scholar
  9. 9.
    McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. Skelet Radiol. 2001;30(6):312–5.CrossRefGoogle Scholar
  10. 10.
    Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. AJR Am J Roentgenol. 2004;182(5):1283–7.CrossRefGoogle Scholar
  11. 11.
    Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Arthroscopy. 2008;24(6):642–9.CrossRefGoogle Scholar
  12. 12.
    Kwee RM, Ahlawat S, Kompel AJ, Morelli JN, Fayad LM, Zikria BA, et al. Association of mucoid degeneration of anterior cruciate ligament with knee meniscal and cartilage damage. Osteoarthr Cartil. 2015;23(9):1543–50.CrossRefGoogle Scholar
  13. 13.
    Jung KH, Cho SD, Park KB, Youm YS. Relation between mucoid degeneration of the anterior cruciate ligament and posterior tibial slope. Arthroscopy. 2012;28(4):502–6.CrossRefGoogle Scholar
  14. 14.
    Gottschalk HP, Newbury R, Wallace CD. Synovial chondromatosis in a child's thumb: a case report and review of the literature. Hand (N Y). 2012;7(1):98–102.CrossRefGoogle Scholar
  15. 15.
    Do-Dai DD, Youngberg RA, Lanchbury FD, Pitcher JD Jr, Garver TH. Intraligamentous ganglion cysts of the anterior cruciate ligament: MR findings with clinical and arthroscopic correlations. J Comput Assist Tomogr. 1996;20(1):80–4.CrossRefGoogle Scholar
  16. 16.
    Kakutani K, Yoshiya S, Matsui N, Yamamoto T, Kurosaka M. An intraligamentous ganglion cyst of the anterior cruciate ligament after a traumatic event. Arthroscopy. 2003;19(9):1019–22.CrossRefGoogle Scholar
  17. 17.
    Kanoun ML, Chebil M, Ayadi H, Ghamgui A, Hadded N, Ben Maitig M, et al. Intraligamentous ganglion cyst of the anterior cruciate ligament (about a case). Tunis Med. 2007;85(12):1065–7.PubMedGoogle Scholar
  18. 18.
    Mao Y, Dong Q, Wang Y. Ganglion cysts of the cruciate ligaments: a series of 31 cases and review of the literature. BMC Musculoskelet Disord. 2012;13:137.CrossRefGoogle Scholar
  19. 19.
    Kang CN, Kim DW, Kim DJ, Kim SJ. Intra-articular ganglion cysts of the knee. Arthroscopy. 1999;15(4):373–8.CrossRefGoogle Scholar
  20. 20.
    Matsumoto T, Ingham SM, Mifune Y, Osawa A, Logar A, Usas A, et al. Isolation and characterization of human anterior cruciate ligament-derived vascular stem cells. Stem Cells Dev. 2012;21(6):859–72.CrossRefGoogle Scholar

Copyright information

© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply  2019

Authors and Affiliations

  1. 1.Department of RadiologyUniversity of California San DiegoSan DiegoUSA
  2. 2.Research ServiceVeterans Affairs San Diego Healthcare SystemSan DiegoUSA
  3. 3.Drexel University College of MedicinePhiladelphiaUSA
  4. 4.School of MedicineLoma Linda UniversityLoma LindaUSA
  5. 5.Department of Orthopaedic SurgeryUniversity of California San DiegoSan DiegoUSA

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