2020, Number 1
<< Back Next >>
An Med Asoc Med Hosp ABC 2020; 65 (1)
Ulnar nerve compression at the elbow by primary synovial chondromatosis
Arroyo BC, Hernández MVE, Espinosa GA
Language: Spanish
References: 16
Page: 57-62
PDF size: 1085.87 Kb.
ABSTRACT
Ulnar nerve compression in the cubital tunnel is the second most frequent compressive neuropathy in the upper extremity after median nerve compression in the carpal tunnel. Primary synovial chondromatosis is a benign lesion consisting on nodular masses of calcified hyaline cartilage inside the synovial membrane of a specific joint. It is more common on diarthroideal, weight bearing joints, and the most common site of presentation is the knee. Primary synovial chondromatosis has been reported around the elbow, but it is considered a rare location. We present the case of a 72 year old woman with a history of left elbow dislocation, who presented with ulnar nerve compression symptoms at the elbow and wrist. The elbow compression turned out to be caused by primary synovial chondromatosis that was diagnosed with pathology. We initially believed the synovial chondromatosis was heterotopic calcification.
REFERENCES
Eberlin KR, Marjoua Y, Jupiter JB. Compressive neuropathy of the ulnar nerve: a perspective on history and current controversies. J Hand Surg Am. 2017; 42 (6): 464-469.
Earp BE, Floyd WE, Louie D, Koris M, Protomastro P. Ulnar nerve entrapment at the wrist. J Am Acad Orthop Surg. 2014; 22 (11): 699-706.
Neumann JA, Garrigues GE, Brigman BE, Eward WC. Synovial chondromatosis. JBJS Rev. 2016; 4 (5). pii: 01874474-201605000-00005.
Andrews K, Rowland A, Pranjal A, Ebraheim N. Cubital tunnel syndrome: anatomy, clinical presentation, and management. J Orthop. 2018; 15 (3): 832-836. doi: 10.1016/j.jor.2018.08.010.
Boone S, Gelberman RH, Calfee RP. The management of cubital tunnel syndrome. J Hand Surg Am. 2015; 40 (9): 1897-1904; quiz 1904.
Cheng CJ, Mackinnon-Patterson B, Beck JL, Mackinnon SE. Scratch collapse test for evaluation of carpal and cubital tunnel syndrome. J Hand Surg Am. 2008; 33 (9): 1518-1524.
Davidge KM, Gontre G, Tang D, Boyd KU, Yee A, Damiano MS et al. The “hierarchical” Scratch Collapse Test for identifying multilevel ulnar nerve compression. Hand (N Y). 2015; 10 (3): 388-395.
Molinari WJ 3rd, Elfar JC. The double crush syndrome. J Hand Surg Am. 2013; 38 (4): 799-801; quiz 801.
Chung KC. Treatment of ulnar nerve compression at the elbow. J Hand Surg Am. 2008; 33 (9): 1625-1627.
Foruria AM, Augustin S, Morrey BF, Sánchez-Sotelo J. Heterotopic ossification after surgery for fractures and fracture-dislocations involving the proximal aspect of the radius or ulna. J Bone Joint Surg Am. 2013; 95 (10): e66.
Firenstein-Gary S, Budd-Ralph C, Sherine G. Capítulo 128: Tumores y lesiones seudotumorales de las articulaciones y estructuras relacionadas. En: Kelley y Firenstein Tratado de reumatología en dos volúmenes. 10ª edición. Barcelona, España: Ed. Elsevier; 2018. pp. 2073-2075.
Milgram JW. J Synovial osteochondromatosis: a histopathological study of thirty cases. Bone Joint Surg Am. 1977; 59 (6): 792-801.
de Sa D, Horner NS, MacDonald A, Simunovic N, Ghert MA, Philippon MJ et al. Arthroscopic surgery for synovial chondromatosis of the hip: a systematic review of rates and predisposing factors for recurrence. Arthroscopy. 2014; 30 (11): 1499-1504.e2.
Mueller T, Barthel T, Cramer A, Werner A, Gohlke F. Primary synovial chondromatosis of the elbow. J Shoulder Elbow Surg. 2000; 9 (4): 319-322.
Sachinis NP, Sinopidis C, Baliaka A, Givissis P. Odyssey of an elbow synovial chondromatosis. Orthopedics. 2015; 38 (1): e62-e67.
Muramatsu K, Miyoshi T, Moriya A, Onaka H, Shigetomi M, Nakashima D et al. Extremely rare synovial chondrosarcoma arising from the elbow joint: case report and review of the literature. J Shoulder Elbow Surg. 2012; 21 (2): e7-e11.