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Co-existence of Parkinson's disease and knee synovial chondromatosis

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Written by   41
11 months ago


Synovial chondromatosis (SC),

seen in synovial joints and

to secondary proliferation that breaks off

cartilagenous nodules that can cause

It is a rare arthropathy characterized by the formation of

Synovial chondromatosis is mostly knee, hip,

large, such as elbows, shoulders, and ankles

seen in the joints.

1 Definitive etiology

unknown and a kind of synovial

thought to be metaplasia.

Chondromas enlarge in the synovium and

then falling and forming free bodies

some of the chondromas

called osteochondroma.

form calcified nodules. Typical

The appearance is mostly mono-articular. Each

how much joint like bursa and tenosynovium

Although exclusions have been reported, often

occurs within the joint.2

Parkinson's disease (PD), mainly

affecting people later in life

It is a progressive neurodegenerative disease.

PH prevalence in industrialized countries

generally between 0.3% and 60% of the entire population

about 1% of people over age

It is estimated that 3 PH

symptoms: tremor, stiffness, movement

slowing, postural instability, and gait

is the difficulty. More disease symptoms

As it becomes more evident, the patient is more likely to walk.

experience difficulties and therefore patients tend to fall.

they tend.


In this case, we have two factors affecting walking.

PH, which is a separate problem, and a rare

We presented the SK association.

Case Presentation

Sixty-six-year-old male patient with PH

increased left during the rehabilitation program

He applied to the outpatient clinic with the complaint of knee pain.

The patient has been present for the past few months.

The mechanical pain has been so bad for the past few days.

had intensified. The patient's pain is also at rest

unable to relax and have difficulty walking

was causing. Left knee on physical examination

range of motion flexion 110 degrees,

extension is the last 10 seconds of the range of motion.

was severely limited and range of motion was

Left knee was painful throughout. suprapatellar

There was minimal swelling in the area. redness, heat

There was no increase, but there was crepitation. patient short

He was walking antalgic with broad strides. of PH

bradymimia with cardinal signs,

there was bradykinesia, slowed movements

but there was no rigidity. proprioceptive

no obvious pathology

was not found. rasagiline for PH, pramipexole,

He was using levodopa, amantadine sulfate.

Hemogram and basic biochemistry

tests were normal. Planned for your knees

in the left knee on direct radiographic examination

narrowing of the medial joint space, osteophytic

changes and 10×11 mm radiopaque lesion

observed (Fig. 1). From patient to left knee

magnetic resonance (MR) imaging

was planned. Suprapatellar MR findings

in the left knee, the largest of which is 12 mm in the bursa.

There were many bone fragments. MRI synovial

grade 3 gonarthrosis with chondromatosis,

Findings compatible with chondromalacia patella

reported as (Figure 2). The patient's

The rehabilitation program was suspended.

Analgesic therapy was reorganized.

Surgery by contacting the orthopedic specialist

patient orthopedics for treatment planning

was referred to the clinic.

Information to the patient about the case study

given and written consent form from the participant


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Written by   41
11 months ago
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