Synovial chondromatosis is an uncommon disease characterised by foci of cartilage in the synovial tissue of joints, due to metaplasia of intimal layer of synovium. It affects most commonly knee joint. Involvement of smaller joints has also been reported, which includes distal radioulnar, tibio fibular, metacarpophlangeal and metatarsophalangeal joint. The aetiology of the disease is uncertain. We are presenting a case of a 47-year-old male who presented with an eight month history of progressive right knee pain with associated swelling and was diagnosed as chondromatosis. The patient underwent surgical treatment and was discharged.
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