# Management of Synovial Chondromatosis of the Elbow With Ulnar Nerve Palsy by Open Approach: A Case Report

## TL;DR

This case report describes the successful surgical treatment of a rare elbow condition combined with nerve issues in a 58-year-old woman.

## Contribution

The paper presents a detailed case of managing synovial chondromatosis with ulnar nerve palsy using an open surgical approach.

## Key findings

- Open synovectomy effectively treated synovial chondromatosis and relieved symptoms.
- Ulnar nerve palsy was resolved with careful surgical decompression.
- Postoperative care improved joint function and reduced pain.

## Abstract

Synovial chondromatosis is a rare condition characterized by benign metaplasia of the synovial membrane, leading to nodular growths within the joint space.

We present the case of a 58-year-old woman with persistent pain and stiffness in her right elbow, ultimately diagnosed with synovial chondromatosis. Examination revealed joint effusion, tenderness, and restricted range of motion, with palpable loose bodies and ulnar nerve symptomatology. X-ray confirmed the diagnosis. Open synovectomy was performed, with meticulous attention to ulnar nerve protection and decompression. Postoperative care included analgesics, anti-inflammatories, and physiotherapy.

Synovial chondromatosis of the elbow requires prompt diagnosis and surgical intervention to alleviate symptoms and prevent complications. Prognosis is favorable with complete removal of the affected tissue. Ulnar nerve palsy should be carefully addressed during surgical management.