Acute calcific periarthritis - wrist

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Acute onset of right wrist palmar radial side pain for the last one day. No trauma.

Patient Data

Age: 30 years
Gender: Male
ultrasound

There is a calcification (about 7 x 4 x 2) at the palmar side of the scaphotrapezial joint. The calcification is located in and just superficial to the joint capsule. It correlates with the site of the local pain.

There is a thin-walled cyst (2 x 2 x 1.4 mm) on the radial side of the scaphoid-trapezium joint. It shows extension in the joint.

The flexor carpi radialis tendon is normal.

Case Discussion

The case of acute calcific periarthritis involving the scaphotrapezial joint. There is an additional finding of the scaphotrapezial joint ganglion cyst.

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