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CASE REPORT
Year : 2010  |  Volume : 44  |  Issue : 1  |  Page : 104-107

Primary synovial osteochondromatosis of a subdeltoid bursa


Department of Orthopedics, Maharaja Agrasen Hospital, Punjabi Bagh, New Delhi, India

Correspondence Address:
Anil Kumar
Flat No. 103, Block No.-2, Punjabi Bagh Enclave, DDA MIG Flat, Shiv Mandir Road, Madipur, New Delhi - 110 063
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.58613

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Primary synovial osteochondromatosis (SOC) is known to be intra-articular and wherever it is observed outside a synovial joint, it is associated with the involvement of the nearby joint. Primary SOC has not been reported to involve a subdeltoid bursa. We present a case of a 52-year-old woman having a large number of loose bodies in a large tumor in the subdeltoid bursa. The swelling was first noticed by the patient 2 years back. Plain roentgenogram revealed soft tissue swelling only with no areas of calcification. On MRI, multiple nonosseous loose bodies were visualized in the bursa deep to the deltoid muscle. A surgical excision of subdeltoid bursa was done. A biopsy confirmed it to be cartilaginous loose bodies in synovial lining sugestive of metaplastic transformation of the synovial tissue.


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