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The Journal of Bone and Joint Surgery 79:1085-88 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.


Case Report

Bursal Osteochondromatosis Overlying an Osteochondroma of a Rib. A Case Report*

JOHN M. WRIGHT, M.D.{dagger}, ERIC MATAYOSHI, M.D.{ddagger} and ALAN P. GOLDSTEIN, M.D.{ddagger}, HONOLULU, HAWAII

Investigation performed at Kaiser Permanente, Honolulu


    Introduction
 
Synovial chondromatosis is a rare, benign, pathological condition characterized by the production and intra-articular extrusion of cartilaginous nodules by metaplastic synovial tissue. These bodies often undergo endochondral ossification—hence the term synovial osteochondromatosis. The disease is idiopathic and appears as a monoarticular arthropathy of a diarthrodial joint, particularly the knee8.

Extra-articular lesions have been reported, but they are even rarer than their intra-articular counterparts. In these instances, the chondrometaplasia occurs in tenosynovial or bursal tissue and almost exclusively in the hands and feet9,11,14,16,20,22,26,27.

This report describes a case of bursal osteochondromatosis arising within an adventitious bursa over an osteochondroma of a rib. This phenomenon can mimic a malignant tumor and cause clinical confusion.


    Case Report
 
A twenty-eight-year-old, right-hand-dominant male construction worker had a mass on the posterior portion of the right shoulder. The mass was painless and had gradually increased in size over a two-year period. The medical history was unremarkable . . . [Full Text of this Article]


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K. Ishida, R. Kuroda, K. Sato, T. Iguchi, M. Doita, M. Kurosaka, and T. Yamamoto
Infrapatellar Bursal Osteochondromatosis Associated with Unresolved Osgood-Schlatter Disease. A Case Report
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