12:45

Excision of synovial chondromatosis using a posterior approach to the knee surgical technique

Overview

Subscribe to get full access to this operation and the extensive Bone & Soft Tissue Tumour Surgery Atlas.

SUBSCRIBE


Learn the Excision of synovial chondromatosis using a posterior approach to the knee surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Excision of synovial chondromatosis using a posterior approach to the knee surgical procedure.

Primary synovial chondromatosis is a benign, metaplastic and chondrogenic disorder of the synovium most commonly involving the knee, in two-thirds of cases, of middle aged patients. Extra-articular synovial chondromatosis may occasionally be encountered in hand and feet. Symptoms include firm articular swellings, which my be painful or associated with mechanical locking, restriction or crepitus. Radiographs and CT  highlight small rounded calcifications at the periphery of the joint. The standard initial treatment for symptomatic patients includes joint-preserving arthroscopic or open resection by way of synovectomy. Incomplete removal will likely result in local recurrence, reported in up-to 25% cases. If asymptomatic, clinical and radiological surveillance may be acceptable to both patient and surgeon.

Secondary synovial chondromatosis, characterised by loose bodies within degenerative synovial joints, is associated with degenerative joint disease for which the management is the same as the primary aetiology i.e. non-operative management of osteoarthritis prior to joint replacement surgery.

Rarely, secondary synovial chondrosarcoma has been reported to arise in primary synovial chondromatosis; symptom progression over several months (82%), rapid recurrence after complete resection (30%), and medullary canal invasion (43%) are associated with malignant change (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5481616/).

When there is anxiety regarding diagnosis, disease extent or malignant transformation, referral to a specialist orthopaedic oncology centre may be preferred, but the majority of cases can be managed in non-oncology units.

 

Author : Mr Jonathan Stevenson FRCS (Tr & Orth).

Institution: The Royal Orthopaedic hospital, Birmingham, UK.

Feedback

  • Each operation and the questions associated become a named course in the CPD section
  • The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
  • You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
  • The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
  • There are four possible answers of which one is correct (or on occasion more correct) than the others.
  • There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
  • The course is completed once all the lessons are read and quizzes submitted and passed.
  • On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
  • Your dashboard also will contain a record of the time you have spent logged onto and using the site.
  • The timer suspends after 5 minutes though if there is no activity.
  • When you restart you will resume at the same point in the module.
  • Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
    The pass mark is 75%.
  • If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
  • Once these have been read you can re-do just the questions you failed on.
  • Once you have passed the quiz you can return at a future stage & resit .

CPD Points:

  • Operation Quiz – 1 CPD point
  • Surgical steps Quiz – 1/4 CPD point
  • Implants Quiz – 1/4 CPD point
  • Problem case Quiz – 1/2 CPD point

One CPD point equates to one hour of academic activity

COURSE

Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.

Our content is designed for both Surgeons in independent practice and Surgeons in training.

COURSE PROGRESS

Lessons Status
QuizzesStatus

Accreditations

Logo Logo Logo Logo Logo

Associates & Partners

Logo Logo Logo Logo Logo