Author(s): WANG Ya-kang, QIN Si-qing, JIANG Ren-qi, ZHANG Yu-min
Pages: 398-400
Year: 2017 Issue:  5
Journal: Chinese Journal of Bone Tumor and Bone Disease
Keyword:  Osteonecrosis; Femur head necrosis; Chondromatosis; synovial; Arthroplasty; replacement; hip; Hip joint;
Abstract: Objective To investigate the clinical, imaging, pathological features and diagnosis and treatment of the femoral head necrosis combined with synovial chondromatosis. Methods A patient with femoral head necrosis complicated with synovial chondromatosis was reported. We reviewed the relevant literatures and conducted an analysis. Results According to the X-rays, CT, MRI findings and clinical manifestations, the patient was diagnosed as femoral head necrosis and was treated with total hip arthroplasty; We found the loose bodies in acetabula with full view. The loose bodies were pathologically diagnosed as synovial chondromatosis. Eventually this patient was diagnosed as femoral head necrosis complicated with synovial chondromatosis. Conclusions Femoral head necrosis can coexist with synovial chondromatosis. Either of these diseases can also exist independently or appear one after another. Clinical diagnosis should be made based on clinical manifestations, imaging and pathological examinations, so that the correct final diagnosis, and appropriate treatment option can be obtained.