Synovial Chondromatosis of the Subacromial Bursa Causing a Bursal-Sided Rotator Cuff Tear

Synovial chondromatosis is an uncommon condition, and involvement of the shoulder is even more rare. We report on a 39-year-old female who presented with symptoms, radiographic features, and intraoperative findings consistent with multiple subacromial loose bodies resulting in a partial-thickness, b...

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Main Authors: Julie A. Neumann, Grant E. Garrigues
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/259483
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author Julie A. Neumann
Grant E. Garrigues
author_facet Julie A. Neumann
Grant E. Garrigues
author_sort Julie A. Neumann
collection DOAJ
description Synovial chondromatosis is an uncommon condition, and involvement of the shoulder is even more rare. We report on a 39-year-old female who presented with symptoms, radiographic features, and intraoperative findings consistent with multiple subacromial loose bodies resulting in a partial-thickness, bursal-sided rotator cuff tear of the supraspinatus muscle. She was treated with an arthroscopic removal of loose bodies, complete excision of the subacromial/subdeltoid bursa, acromioplasty, and rotator cuff repair. To our knowledge, this is the first report of arthroscopic treatment for a bursal-sided, partial-thickness rotator cuff tear treated with greater than two-year clinical and radiographic follow-up. We utilized shoulder scores, preoperative and postoperative range of motion, and imaging to assess the results of treatment and surveillance for recurrence in our patient after two-year follow-up.
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spelling doaj-art-e08a11e06c0f414c89295f8b97f83de62025-02-03T06:48:29ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/259483259483Synovial Chondromatosis of the Subacromial Bursa Causing a Bursal-Sided Rotator Cuff TearJulie A. Neumann0Grant E. Garrigues1Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC 27710, USADepartment of Orthopaedic Surgery, Duke University Medical Center, Durham, NC 27710, USASynovial chondromatosis is an uncommon condition, and involvement of the shoulder is even more rare. We report on a 39-year-old female who presented with symptoms, radiographic features, and intraoperative findings consistent with multiple subacromial loose bodies resulting in a partial-thickness, bursal-sided rotator cuff tear of the supraspinatus muscle. She was treated with an arthroscopic removal of loose bodies, complete excision of the subacromial/subdeltoid bursa, acromioplasty, and rotator cuff repair. To our knowledge, this is the first report of arthroscopic treatment for a bursal-sided, partial-thickness rotator cuff tear treated with greater than two-year clinical and radiographic follow-up. We utilized shoulder scores, preoperative and postoperative range of motion, and imaging to assess the results of treatment and surveillance for recurrence in our patient after two-year follow-up.http://dx.doi.org/10.1155/2015/259483
spellingShingle Julie A. Neumann
Grant E. Garrigues
Synovial Chondromatosis of the Subacromial Bursa Causing a Bursal-Sided Rotator Cuff Tear
Case Reports in Orthopedics
title Synovial Chondromatosis of the Subacromial Bursa Causing a Bursal-Sided Rotator Cuff Tear
title_full Synovial Chondromatosis of the Subacromial Bursa Causing a Bursal-Sided Rotator Cuff Tear
title_fullStr Synovial Chondromatosis of the Subacromial Bursa Causing a Bursal-Sided Rotator Cuff Tear
title_full_unstemmed Synovial Chondromatosis of the Subacromial Bursa Causing a Bursal-Sided Rotator Cuff Tear
title_short Synovial Chondromatosis of the Subacromial Bursa Causing a Bursal-Sided Rotator Cuff Tear
title_sort synovial chondromatosis of the subacromial bursa causing a bursal sided rotator cuff tear
url http://dx.doi.org/10.1155/2015/259483
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