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The Journal of Bone and Joint Surgery 78:1741-5 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Synovial Osteochondromatosis of the Retrocalcaneal Bursa. A Case Report*

NOBUYUKI HASHIMOTO, M.D.{dagger} and KOZO OKADA, M.D., PH.D.{ddagger}, HIROSHIMA, JAPAN

Investigation performed at the Department of Orthopaedic Surgery, Kure National Hospital, Hiroshima


    Introduction
 
Synovial osteochondromatosis is characterized by the formation of multiple osteochondral nodules arising from metaplasia of the synovial tissue. The most prevalent sites are the knee, elbow, and hip3,9,11,18,19. The disorder rarely occurs in the ankle or the foot2,17,22,27. Trauma has been implicated but has never been confirmed as a precipitating factor in the development of this condition4,6,10,18,24.

We report the rare case of a patient who had previous trauma and in whom synovial osteochondromatosis developed in the retrocalcaneal bursa in association with intraosseous lesions of the calcaneus. Magnetic resonance imaging and computed tomography scanning were useful in guiding the decisions regarding the operative approach in this patient who had atypical synovial osteochondromatosis.


    Case Report
 
A twenty-year-old male sailor sprained the left ankle in a fall down stairs in May 1989. The whole foot with the exception of the toes was swollen and severely painful, especially on weight-bearing. The patient . . . [Full Text of this Article]


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