Innovative Strategies for Hip Synovial Chondromatosis and Its Medico-Legal Implications

: Primary synovial chondromatosis of the hip is a rare pathology characterized by metaplastic changes in the synovium, leading to the formation of cartilage nodules and, eventually, free intra-articular bodies. Early manifestations, such as pain, stiffness, and limited mobility, require timely differential diagnostic process through imaging techniques, with magnetic resonance imaging being the gold standard diagnostic method, complemented by histopathological analysis. Considering the rarity of the condition, the diagnostic suspicion is linked to the expertise of the professional and the referral to specialized centers/professionals. While, the evolution toward minimally invasive surgical techniques and a multidisciplinary approach has improved clinical outcomes, the level of evidence in the different surgical approach are worthy of further long-term investigation. Furthermore, the definition of multidisciplinary diagnostic-therapeutic protocols based on evidence is of importance. In conclusion, the careful management of the condition, along with detailed docu mentation, is essential to minimize medico-legal implications associated with potential diagnostic delays, interpretative errors or improper surgical approach indication.