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Chapter-013 Synovial Disorders

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Bhan Surya
2. Dua Aman
ISBN
9789385891052
DOI
10.5005/jp/books/12869_14
Edition
3/e
Publishing Year
2016
Pages
7
Author Affiliations
1. Primus Ortho and Spine Hospital, Chanakyapuri, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India, Primus Hospital, Chanakya Puri, New Delhi, India; All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, Ansari Nagar, New Delihi, Primus Ortho and Spine Hospital, Chandragupt Marg, Chanakyapuri, New Delhi, India, All India Institute of Medical Sciences (AIIMS), New Delhi, India, Primus Superspecialty Hospital, New Delhi, India
2. Dayanand Medical College and Hospital, Ludhiana, India, Association of Hair Restoration Surgeons of India; ISHRS, AAHRS; AK Clinics, New Delhi and Ludhiana, Ludhiana, Punjab, India, Primus Superspecialty Hospital, New Delhi, India, Ludhiana, Punjab, India, AK Clinics Pvt Ltd, Ludhiana, Punjab, India, AK Clinics, Ludhiana, Punjab, India
Chapter keywords
Synovial disorder, pigmented villonodular synovitis, PVNS, synovial chondromatosis, synovial hemangiomas, synovial lipomatosis, pathogenesis

Abstract

This chapter discusses synovial disorder. Synovial membrane forms the lining of joints, tendons, and bursae. Its cells synthesize hyaluronate and facilitate exchange of substance between blood and synovial fluid. Majority of the disorders affecting synovial membrane are systemic disorders but occasionally synovial membrane can be the site of primary disorders and usually in such cases single joint is affected. Pigmented villonodular synovitis is the most common disorder of synovium. Subsequent other names as synovial xanthomas, giant cell tumor of tendon sheath (GCTTS), giant cell fibro hemangioma, benign synovioma, villous arthritis, villous synovitis, benign synovial histiocytoma only underscore the lack of agreement concerning its basic nature and line of differentiation. Synovial Chondromatosis is a benign condition with metaplasia and hyperplasia of synovium of joints and tendon sheath. It is also known as synovial osteochondromatosis and synovial chondrometaplasia and is characterized by formation of hyaline cartilage nodules in synovial membrane. Classification and feature of synovial disorder are also discussed in this chapter.

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