Paediatric Post-Traumatic Tenosynovial Chondromatosis of the Foot: A Case Report
Abstract
Tenosynovial chondromatosis (TC) is a rare benign condition characterised by the formation of cartilaginous nodules from tendon sheaths or articular membranes. It primarily affects the hand and wrist structures. The condition predominantly affects individuals in their thirties to fifties. The post-traumatic TC is not reported in a paediatric patient, to the best of our knowledge. The purpose of this case was to describe a five-year-old girl's case of TC, which had a highly unusual localisation in the foot following a post-traumatic event. In order to handle this challenging lesion, the clinical presentation, imaging modalities, histopathology and surgical treatment is presented. Performing surgery with wide margins is the gold standard.
References
Hamada J, Tamai K, Koguchi Y, Ono W, Saotome K. Case report: A rare condition of secondary synovial osteochondromatosis of the shoulder joint in a young female patient. J Shoulder Elbow Surg. 2005 Nov-Dec;14(6):653-6. doi: 10.1016/j.jse.2004.12.004.
Mangual D, Olivella G, Ramirez N, Astacio E, Bibiloni J, Foy-Parrilla C. Post-traumatic tenosynovial chondromatosis following a triquetrum fracture: a case report. Oxf Med Case Reports. 2021 Apr 28;2021(4):omab007. doi: 10.1093/omcr/omab007.
Gottschalk HP, Newbury R, Wallace CD. Synovial chondromatosis in a child's thumb: a case report and review of the literature. Hand (N Y). 2012 Mar;7(1):98-102. doi: 10.1007/s11552-011-9376-y.
Fetsch JF, Vinh TN, Remotti F, Walker EA, Murphey MD, Sweet DE. Tenosynovial (extraarticular) chondromatosis: an analysis of 37 cases of an underrecognized clinicopathologic entity with a strong predilection for the hands and feet and a high local recurrence rate. Am J Surg Pathol. 2003 Sep;27(9):1260-8. doi: 10.1097/00000478-200309000-00010.
Armin A, Blair SJ, Demos TC. Benign soft tissue chondromatous lesion of the hand. J Hand Surg Am. 1985 Nov;10(6 Pt 1):895-9. doi: 10.1016/s0363-5023(85)80169-6.
Gil-Albarova J, Morales-Andaluz J, Castiella T, Seral F. Tenosynovial chondromatosis of the third finger. Arch Orthop Trauma Surg. 2000;120(3-4):239-40. doi: 10.1007/s004020050056.
Mahoney JL. Soft tissue chondromas in the hand. J Hand Surg Am. 1987 Mar;12(2):317-20. doi: 10.1016/s0363-5023(87)80300-3.
Momberger TS, Levick JR, Mason RM. Hyaluronan secretion by synoviocytes is mechanosensitive. Matrix Biol. 2005 Dec;24(8):510-9. doi: 10.1016/j.matbio.2005.08.006.
Rompen JC, Ham SJ, Molenaar WM, van Horn JR. Synovial chondromatosis of the wrist and hand--a case report. Acta Orthop Scand. 1999 Dec;70(6):627-9. doi: 10.3109/17453679908997854.
Ozyurek S, Atik A, Sivrioglu AK, Ege T. Primary synovial osteochondromatosis of the ankle. BMJ Case Rep. 2013 Mar 25;2013:bcr2013009046. doi: 10.1136/bcr-2013-009046.
Cebesoy O, Isik M, Subasi M, Karsli B, Pamukcu U. Extra-articular tenosynovial chondromatosis mimicking a neoplastic disease in the first web space of the hand. Oman Med J. 2012 Jul;27(4):316-8. doi: 10.5001/omj.2012.78.
Roulot E, Le Viet D. Primary synovial osteochondromatosis of the hand and wrist. Report of a series of 21 cases and literature review. Rev Rhum Engl Ed. 1999 May;66(5):256-66. PMID: 10380257.
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).