EURORAD ESR

Case 14230

Rare case of Primary synovial chondromatosis of the Shoulder joint with suspected traumatic etiology

Author(s)
Dr A Janjua, Dr K Rana

Sandwell General Hospital, SWBH NHS Trust, Radiology; Lyndon, West Bromwich B71 4HJ Birmingham; Email:khizerrana@yahoo.co.uk
 
Patient
male, 40 year(s)
 
 
  • Figure 1
    X ray left shoulder AP view

    Calcification in the acromiohumeral space and subtle Loose body inferior to the Glenoid

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 2
    MRI left shoulder (Saggital view PDFS)

    Multiple osteochondral loose bodies (Green arrows) along the supraspinatus tendon and in the anterior axillary recess (Green arrow)

     
    Area of Interest: Musculoskeletal bone; Musculoskeletal joint; Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Arthritides; Inflammation;
     
     
  • Figure 3
    MRI left shoulder (Coronal view PDFS)

    Large osteochondral loose bodies (green arrow) along the supraspinatus tendon and intraosseous cystic changes in greater tuberosity (Orange arrow).

     
    Area of Interest: Musculoskeletal bone; Musculoskeletal joint; Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation; Trauma;
     
     
  • Figure 4
    X- ray left shoulder AP view

    Multiple large loose bodies above humeral head (green arrows) and anterior to the humeral shaft as if within the biceps tendon sheath (orange arrows)

     
    Area of Interest: Musculoskeletal bone; Musculoskeletal joint; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 5
    MRI left shoulder ( Axial view, PDFS)

    Anterior supraspinatus tendon tear (Red arrow) and multiple large loose bodies within supraspinatus muscle along the tendon (Green arrows)

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 6
    MRI left shoulder (Sagittal view, PD weighted)
     

    Loose bodies (Green arrows) in the biceps tendon sheath

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Trauma;

    Intrasubstance loose bodies(green arrow) within the supraspinatus tendon

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 7
    MRI left shoulder (coronal view PDFS)
     

    Coronal view showing osteochondral loose bodies (green arrow) within the supraspinatus tendon, intraosseous cystic changes in the greater tuberosity (blue arrow)

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Trauma;

    Coronal view demonstrating multiple large loose bodies (green arrow) within the biceps tendon sheath

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
Calcification in the acromiohumeral space and subtle Loose body inferior to the Glenoid
 
Multiple osteochondral loose bodies (Green arrows) along the supraspinatus tendon and in the anterior axillary recess (Green arrow)
 
Large osteochondral loose bodies (green arrow) along the supraspinatus tendon and intraosseous cystic changes in greater tuberosity (Orange arrow).
 
Multiple large loose bodies above humeral head (green arrows) and anterior to the humeral shaft as if within the biceps tendon sheath (orange arrows)
 
Anterior supraspinatus tendon tear (Red arrow) and multiple large loose bodies within supraspinatus muscle along the tendon (Green arrows)
 
Loose bodies (Green arrows) in the biceps tendon sheath
 
Intrasubstance loose bodies(green arrow) within the supraspinatus tendon
 
Coronal view showing osteochondral loose bodies (green arrow) within the supraspinatus tendon, intraosseous cystic changes in the greater tuberosity (blue arrow)
 
Coronal view demonstrating multiple large loose bodies (green arrow) within the biceps tendon sheath
 
 
 
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