Case Report

Synovial Chondromatosis of the Subacromial Bursa Causing a Bursal-Sided Rotator Cuff Tear

Table 1

Outcomes of bursal-sided rotator cuff tears secondary to SC.

Authors, yearSite of RCTThickness/size of RCTOpen versus arthroscopicProcedureFollow-up (months)Outcome

Milgram and Hadesman, 1988 [9]UnspecifiedUnspecifiedOpen (deltopectoral)LBR, RCE, acromioplasty, DCE, and SAD6Recovered shoulder function over a two-month period

Ko et al., 1995 [12]Supraspinatus, infraspinatus4 full-thickness tears and multiple partial-thickness tears which were slit-like and perpendicular to axis of tendonsOpen (Saber)LBR, RCE with direct sutures, acromioplasty, and partial synovectomy24No symptoms, normal ROM, and radiographs without recurrence

Ogawa et al., 1999 [3]Supraspinatus, bilateralBursal-sided, partial-thickness tear, 5 mm in depthArthroscopicLBR, RCR, acromioplasty, and bursectomy48Only mild pain when engaging in sports and no radiographs reported

Horii et al., 2001 [11], 
case 1
UnspecifiedPartial-thickness, longitudinal tearUnspecifiedLBR, RCR with side-to-side suture, acromioplasty, and bursectomy2Returned to work without pain

Horii et al., 2001 [11], 
case 2
UnspecifiedPartial-thickness, longitudinal tear 1 cm in lengthUnspecifiedLBR, RCR with side-to-side suture, acromioplasty, and bursectomy12Little pain and slight limitation in passive abduction at 130°

Huang et al., 2004 [2]SupraspinatusFull-thickness tear about 1 cm at the critical zoneUnspecifiedLBR, RCR, and acromioplasty12Painless; AROM FF 170°, ER 30°, and IR T12.
PROM FF 175°, ER 40°, and IR T10

RCT: rotator cuff tear.
LBR: loose body removal.
DCE: distal clavicle excision.
ROM: range of motion.
FF: forward flexion.
ER: external rotation.
IR: internal rotation.