Co-existence of Parkinson's disease and knee synovial chondromatosis
Entry
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.
4
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
receipt.