Evidence map›Paper›PMID 37005684›Full record

ArticleBMC musculoskeletal disorders2023

A rare case report of tenosynovial chondromatosis of the semimembranosus-medial collateral ligament bursa.

Cornelia Peterson, Minh Quan Le, Nathan D McClain, Elena Ghotbi, Shadpour Demehri, John M Gross, Mohammed Emam, John H Wilckens

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Cornelia PetersonDepartment of Molecular & Comparative Pathobiology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Minh Quan LeDepartment of Physical Medicine & Rehabilitation, The Johns Hopkins Hospital, Baltimore, MD, USA.
Nathan D McClainDepartment of Physical Therapy, The Johns Hopkins Hospital, Baltimore, MD, USA.
Elena GhotbiDepartment of Radiology & Radiological Science, The Johns Hopkins Hospital, Baltimore, MD, USA.
Shadpour DemehriDepartment of Radiology & Radiological Science, The Johns Hopkins Hospital, Baltimore, MD, USA.
John M GrossDepartment of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Mohammed EmamDepartment of Physical Medicine & Rehabilitation, The Johns Hopkins Hospital, Baltimore, MD, USA.
John H WilckensDepartment of Orthopaedic Surgery, The Johns Hopkins Hospital University School of Medicine, 4924 Campbell Boulevard, White Marsh, Baltimore, MD, USA. jwilcke1@jhmi.edu.
Johns Hopkins Hospital · USJohns Hopkins Medicine · USTufts University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSynovial chondromatosis is an uncommon metaplastic process of the synovial lining that results in the formation of cartilaginous nodules within joints or their associated bursae or tendon sheaths. Radiologic evidence of mineralized bodies within these structures is typically pathognomonic for this condition. Extraarticular chondromatosis is rarer than intraarticular chondromatosis, and the knee is affected less frequently than the smaller joints of the hands and feet. To our knowledge, no reports describing this condition in the semimembranosus-medial collateral ligament (SM-MCL) bursa have been published. CASE PRESENTATION: We describe a case of tenosynovial chondromatosis in a 37-year-old woman. The case was atypical for both the location within the SM-MCL bursa and the paucity of radiodense or hypointense changes to support a clinical suspicion of chondroid metaplasia on radiographs and T2-weighted MRI, respectively. Recreational weightlifting and swimming by the patient were impaired by chronic pain, and restricted range of motion of the ipsilateral knee persisted despite extensive skilled physical therapy and injections of both corticosteroids and platelet-rich plasma. Thirteen months after a diagnostic and therapeutic knee arthroscopy, open surgical excision of the SM-MCL bursal body was performed, and knee pain and range of motion improved by the 6-week postoperative reevaluation. Pathologic evaluation of the excised tissue was consistent with tenosynovial chondromatosis.

conclusionsSynovial chondromatosis should be considered in the differential diagnosis for recalcitrant bursitis, even in the absence of classic imaging findings. LEVEL OF EVIDENCE: 4:

Indexed as

ChondromatosisChondromatosis, SynovialCollateral LigamentsHamstring MusclesAdultFemaleHumansMagnetic Resonance ImagingKneeSemimembranosus-medial collateral ligament bursaTenosynovial chondromatosis

Identifiers

PMID37005684
PMCPMC10067226
OpenAlexW4362522507

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.