Synovial Chondromatosis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Synovial Chondromatosis, Diagnosis and Treatment and Related Diseases
Synovial chondromatosis (termed synovial osteochondromatosis) is a rare, benign (non-cancerous) disorder that involves the synovium, which is the thin layer of tissue that lines the joints.
It is a proliferative disease of the synovium linked with cartilage metaplasia that leads to multiple intra-articular loose bodies and varies from synovial tissue to firm nodules of cartilage
Synovial chondromatosis can begin in any joint in the body, but most often happens in the knee.
While the disorder is not cancerous, it can seriously injure the affected joint and, eventually, cause osteoarthritis.
In synovial chondromatosis, the synovium develops abnormally and forms nodules made of cartilage.
These nodules can occasionally break off from the synovium and become loose inside the joint.
The size of the loose cartilage bodies inside the joint can range from a few millimeters (the size of a small pill) to a few centimeters (the size of a marble).
The synovial fluid nourishes the loose bodies and they may grow, calcify (harden), or ossify (turn into bone).
When this happens, they can move around freely inside the joint space.
As they move around, the loose bodies can injure the smooth articular cartilage that coats the joint, causing osteoarthritis.
In osteoarthritis, injured cartilage will be worn out and torn.
Moving the bones along this unprotected joint surface is painful.
In serious cases of synovial chondromatosis, the loose bodies may become large enough to occupy the complete joint space or penetrate into adjacent tissues.
Synovial chondromatosis most often happens in the knee, accompanied by the hip, elbow, and shoulder.
Cause
The disorder happens spontaneously.
Some research suggests that trauma may play a role in its development because the disorder primarily happens in weight-bearing joints.
Infection has also been indicated as a contributing factor.
Genetics may have a part to play.
Occasional chromosome 6 abnormalities have been found
The most frequent symptoms of synovial chondromatosis are the same as those of osteoarthritis.
There is a slow progression of symptoms.
These are:
1. Joint pain
2. Joint swelling
3. Pain worse with activity
4. Restricted range of motion in the involved joint
5. Mechanical symptoms including stiffness
6. A creaking, grinding, or popping noise during movement (crepitus)
The nodules can occasionally be felt in joints that are close to the skin, such as the knee, ankle, and elbow joints.
The nodules can happen in the bursa overlying an osteochondroma
Imaging studies will also help the doctor differentiate synovial chondromatosis from osteoarthritis.
Loose bodies can normally be seen on both MRI and CT scans.
Treatment
Early treatment is necessary to relieve painful symptoms and prevent further damage to the joint.
Non-surgical Treatment
Observation
Depending on the symptoms, simple observation can occasionally be a treatment method.
Indications for surgery are severe symptoms affecting range of motion of the joint.
The treatment for synovial chondromatosis normally requires surgery to remove the loose bodies of cartilage.
The synovium is also partly or fully removed (synovectomy) during surgery.
In an open surgical intervention, one or two incisions are done to remove a large amount of loose bodies from the joint.
In an arthroscopic procedure, the doctor will perform smaller incisions and utilize miniature surgical instruments to remove the loose bodies.
Arthroscopic removal of loose bodies for mechanical symptoms is still the best surgical treatment.
End results for open and arthroscopic removal are the same.

TABLE OF CONTENT
Introduction
Chapter 1 Synovial Chondromatosis
Chapter 2 Causes
Chapter 3 Symptoms<

• Language: English
• Publisher: Kenneth Kee
• Release date: Oct 1, 2019
• ISBN: 9780463986196

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Synovial Chondromatosis,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2019 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Synovial Chondromatosis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Synovial Chondromatosis)

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If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I