PMC8046479_01
X-ray pelvis with both hips showing loose bodies in the left hip with reduced joint space.
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F1
X-ray of the pelvis with both hips anteroposterior and lateral view revealed calcified nodular mass over superior, inferior part of the femoral head, and anterior part of the neck with decreased joint space (Fig. 1).
Three-dimensional computed tomography pelvis with both hips showing the exact location of the loose bodies.
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F2
Computed tomography (CT) pelvis showed multiple intra-articular loose bodies with largest measuring 3*2.2 cm with early changes of secondary osteoarthritis and no evidence of joint effusion and erosion (Fig. 2, 3).
Three-dimensional computed tomography left hip (lateral view) showing the location of the superior loose body.
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F3
Computed tomography (CT) pelvis showed multiple intra-articular loose bodies with largest measuring 3*2.2 cm with early changes of secondary osteoarthritis and no evidence of joint effusion and erosion (Fig. 2, 3).
Intraoperative image showing the superior loose body.
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F4
Superior loose bodies were approached through gluteus medius and removed (Fig. 4).
Excised specimen of synovial chondromatosis loose bodies.
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F5
Capsule was closed using ethibond suture, the wound was closed in layers, and the removed loose bodies were sent for histopathological examination (Fig. 5).
Immediate post-operative X-ray pelvis with both hips showing complete removal of loose bodies.
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F6
Post-operative X-rays revealed the complete removal of the loose bodies (Fig. 6), the patient was started with a hip range of motion from the 2nd post-operative day.
Follow-up X-ray (2 years) pelvis with both hips showing no recurrence.
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F7
At present 2-year follow-up, the patient is having full hip range of motion with no difficulty squatting, sitting cross-legged and radiological examination showed no evidence of recurrence, and there is no significant progression of arthritis (Fig. 7, 8, 9).
Follow-up 2-year X-ray hip (lateral view).
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F8
At present 2-year follow-up, the patient is having full hip range of motion with no difficulty squatting, sitting cross-legged and radiological examination showed no evidence of recurrence, and there is no significant progression of arthritis (Fig. 7, 8, 9).
Post-operative functional outcome of the patient.
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F9
At present 2-year follow-up, the patient is having full hip range of motion with no difficulty squatting, sitting cross-legged and radiological examination showed no evidence of recurrence, and there is no significant progression of arthritis (Fig. 7, 8, 9).