J Korean Rheum Assoc.  2008 Sep;15(3):261-267. 10.4078/jkra.2008.15.3.261.

Arthroscopic Synovectomy in a Patient with Primary Hypertrophic Osteoarthropathy

  • 1Division of Rheumatology, Department of Medicine, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea. hoonsuk.cha@samsung.com


No abstract available.


Primary hypertrophic osteoarthropathy; Synovectomy


  • Fig. 1. (A, B) Clubbing of fingers and toes. (C) Plain radiograph shows soft tissue swelling of the fingers. (D) Soft tissue edema and effusion of knees (right > left), and enlarged ankles. (E) Deep furrowing of forehead.

  • Fig. 2. (A) Plain radiograph of lower extremity demonstrates irregular shaggy diaphyseal cortical thickening (arrows). (B) Bone scan shows increased periosteal uptake in the bilateral tibias, radii, and ulnas. Focal active bone lesion in the right patella consistent with previous fracture. (C) Knee radiograph shows periosteal and cortical thickening of tibia and fibula. (D) MRI of the right knee reveals a large effusion and irregular thickening of synovium.

  • Fig. 3. (A) Knee arthroscopy shows proliferative villonodular synovitis. (B) Chronic perivascular inflammatory infiltrates is observed in the synovial tissue (×100, H&E stain).

Cited by  1 articles

A Case of Acroosteolysis in Primary Hypertrophic Osteoarthropathy
Hyun Jeong Lee, Hong Jae Kim, Chul Gu Hwang, Jae Hoon Choi, Eun Jin Kang
J Rheum Dis. 2013;20(4):247-250.    doi: 10.4078/jrd.2013.20.4.247.



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