Synovial Chondromatosis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Synovial Chondromatosis, Diagnosis and Treatment and Related Diseases
Synovial chondromatosis (termed synovial osteochondromatosis) is a rare, benign (non-cancerous) disorder that involves the synovium, which is the thin layer of tissue that lines the joints.
It is a proliferative disease of the synovium linked with cartilage metaplasia that leads to multiple intra-articular loose bodies and varies from synovial tissue to firm nodules of cartilage
Synovial chondromatosis can begin in any joint in the body, but most often happens in the knee.
While the disorder is not cancerous, it can seriously injure the affected joint and, eventually, cause osteoarthritis.
In synovial chondromatosis, the synovium develops abnormally and forms nodules made of cartilage.
These nodules can occasionally break off from the synovium and become loose inside the joint.
The size of the loose cartilage bodies inside the joint can range from a few millimeters (the size of a small pill) to a few centimeters (the size of a marble).
The synovial fluid nourishes the loose bodies and they may grow, calcify (harden), or ossify (turn into bone).
When this happens, they can move around freely inside the joint space.
As they move around, the loose bodies can injure the smooth articular cartilage that coats the joint, causing osteoarthritis.
In osteoarthritis, injured cartilage will be worn out and torn.
Moving the bones along this unprotected joint surface is painful.
In serious cases of synovial chondromatosis, the loose bodies may become large enough to occupy the complete joint space or penetrate into adjacent tissues.
Synovial chondromatosis most often happens in the knee, accompanied by the hip, elbow, and shoulder.
Cause
The disorder happens spontaneously.
Some research suggests that trauma may play a role in its development because the disorder primarily happens in weight-bearing joints.
Infection has also been indicated as a contributing factor.
Genetics may have a part to play.
Occasional chromosome 6 abnormalities have been found
The most frequent symptoms of synovial chondromatosis are the same as those of osteoarthritis.
There is a slow progression of symptoms.
These are:
1. Joint pain
2. Joint swelling
3. Pain worse with activity
4. Restricted range of motion in the involved joint
5. Mechanical symptoms including stiffness
6. A creaking, grinding, or popping noise during movement (crepitus)
The nodules can occasionally be felt in joints that are close to the skin, such as the knee, ankle, and elbow joints.
The nodules can happen in the bursa overlying an osteochondroma
Imaging studies will also help the doctor differentiate synovial chondromatosis from osteoarthritis.
Loose bodies can normally be seen on both MRI and CT scans.
Treatment
Early treatment is necessary to relieve painful symptoms and prevent further damage to the joint.
Non-surgical Treatment
Observation
Depending on the symptoms, simple observation can occasionally be a treatment method.
Indications for surgery are severe symptoms affecting range of motion of the joint.
The treatment for synovial chondromatosis normally requires surgery to remove the loose bodies of cartilage.
The synovium is also partly or fully removed (synovectomy) during surgery.
In an open surgical intervention, one or two incisions are done to remove a large amount of loose bodies from the joint.
In an arthroscopic procedure, the doctor will perform smaller incisions and utilize miniature surgical instruments to remove the loose bodies.
Arthroscopic removal of loose bodies for mechanical symptoms is still the best surgical treatment.
End results for open and arthroscopic removal are the same.
TABLE OF CONTENT
Introduction
Chapter 1 Synovial Chondromatosis
Chapter 2 Causes
Chapter 3 Symptoms<
Kenneth Kee
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.Beyond his medical career, Dr. Kee is also an author.He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.Over time, he published various books, many of which provide simple and accessible guides to different health conditions.His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:"A Family Doctor's Tale"This book is a blend of Dr. Kee’s personal experiences and his reflections on being a family doctor in Singapore. It’s a great choice if you're looking for a narrative that combines both medical knowledge and human stories.“Specialized Medical Conditions”Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-depth information about diagnosis, treatment options, and patient management.“Healthcare Management”Some of his works touch on broader aspects of healthcare, discussing patient care, medical ethics, and the role of the family doctor in the healthcare system“Medical Case Studies”“Case Notes from a Family Doctor": This book provides insights into real-life medical cases that Dr. Kee has encountered in his practice, offering readers a behind-the-scenes look at diagnostic processes and patient care.“Health Education”His writings aim to educate the public on maintaining health and preventing diseases, covering topics like healthy living, nutrition, and fitness“Life and death of different Cell”“Life and death of Red Blood Cell” This book describes the beginning of a red blood cell (named Red Bull) from its origin from the bone marrow and its journey around the body before its death in the spleen. Other stories told are Sperm cell, Ovum, Cancer cell etc."Singapore's Medical and Social History"**"My Personal Singapore History":** This book reflects on Singapore's development from a medical perspective, interwoven with personal stories and observations about healthcare in the country.His works are known for simplifying complex medical information, making it accessible to the general public.Dr. Kenneth Kee's books cover a wide range of health and medical topics.He is known for writing in a clear and straightforward manner, making complex medical information accessible to the general public.His works are known for simplifying complex medical information, making it accessible to the general public.If you are looking for a good starting point, "A Family Doctor's Tale" offers a well-rounded introduction to Dr. Kee’s experiences and insights.It is engaging and provides a mix of personal stories and medical knowledge, making it a good entry into his work.One of the best health tips, supported by both medical professionals like Dr. Kenneth Kee and health research, is to focus on preventive care.This means taking steps to maintain your health before problems arise.There are books on Psychological conditions (PTSD) and disorders (Depression, dementia etc) and children books on Time travelMany of his books are available on platforms like Amazon and Smashwords.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Synovial Chondromatosis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Synovial Chondromatosis,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2019 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Synovial Chondromatosis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Synovial Chondromatosis)
This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.
This autobiography account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I