Ra. Rogachefsky et al., SYNOVIAL CHONDROMATOSIS OF THE DISTAL RADIOULNAR JOINT - A CASE-REPORT, The Journal of hand surgery, 22A(6), 1997, pp. 1093-1097
The most definitive method for confirming the diagnosis of synovial ch
ondromatosis is the identification of cartilaginous metaplasia within
the synovium on histologic examination. In advanced stages of the dise
ase, plain radiographs and magnetic resonance imaging (MRI) scans demo
nstrate calcified and cartilaginous bodies, respectively, but in earli
er stages, plain radiographic findings may be normal and MRI scans may
reveal only nonspecific increased fluid. Although rare in the wrist,
synovial chondromatosis must be considered in the differential diagnos
is in a patient presenting with pain and swelling of the distal radiou
lnar joint. Surgical exploration of the joint and synovectomy, alone o
r in combination with removal of loose bodies, is the recommended trea
tment.