A Novel Complication of the Dall-Miles Cable Grip System Mimicking Recurrent Synovial Chondromatosis: A Case Report and Review of the Literature

JBJS Case Connect. 2016 Oct-Dec;6(4):e87. doi: 10.2106/JBJS.CC.16.00046.

Abstract

Case: A 25-year-old man with synovial chondromatosis of the hip was treated with a synovectomy through a transtrochanteric approach; the repair was made with use of a Dall-Miles cable. Approximately 13 years later, the patient returned with a massive bursal reaction and a cyst containing "rice bodies." Although the physical examination and imaging were suggestive of recurrent synovial chondromatosis, the bursal reaction actually represented a novel complication of the Dall-Miles system.

Conclusion: When a patient who has had prior orthopaedic instrumentation presents with pain and imaging that demonstrates formation of a bursal cyst, a cyst containing rice bodies secondary to bursal irritation by the implant should be considered.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Chondromatosis, Synovial / diagnosis*
  • Chondromatosis, Synovial / surgery
  • Hip Joint / surgery*
  • Humans
  • Internal Fixators / adverse effects*
  • Male