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Synovium is the lining membrane of the joint which secretes the joint fluid. The synovium can be affected in many diseases, leading to swelling of the membrane, fluid collection etc. The basic disease producing the inflammation should be identified and treated. Rarely, the synovium proliferates and produces cartilaginous nodules (Synovial Osteochondromatosis). The nodules get detached from the synovium and become loose bodies in the joint. Arthroscopy is very useful in removing the loose bodies and the diseased synovium. Pigmented villonodular synovitis is another rare disease of the knee producing painless swelling of knee and later joint erosions.

Arthroscopy has a significant advantage in removing the synovium, when compared to open procedures, as the front, back and sides of the joints can be approached by few 10 mm skin incisions.


Authored By : DR. DAVID V RAJAN

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