Journal of Hand Surgery (British and European Volume)

 

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Journal of Hand Surgery (British and European Volume), Vol. 29, No. 5, 486-493 (2004)
DOI: 10.1016/J.JHSB.2004.02.013

Articles

Chondrocalcinosis of the Wrist

P. SAFFAR

From the Institut Français de Chirurgie de la Main, Paris, France

Correspondence: Philippe Saffar, MD, Institut Français de Chirurgie de la Main, 5, rue du Dôme, Paris 75116, France. Tel.: +33-1-53655353; fax: +33-1-53655354; E-mail: psaffar{at}ifcm.org

Calcium pyrophosphate dihydrate deposition (CPDD) disease has characteristic radiographic features including soft tissue calcification, joint space narrowing, bone sclerosis, subchondral cyst formation without osteophyte formation, and large intraosseous geodes. Triangular fibrocartilage calcification is frequently found and isolated scapho-trapezio-trapezoid (STT) arthritis is specific for CPDD. Distal radio-ulnar (DRUJ), isolated midcarpal joint and piso-triquetral joint involvement also occur. 127 patients were reviewed. Seventy-eight had symptomatic STT joint arthritis, for which 36 underwent surgery. Twenty-two patients had a SLAC wrist deformity for which ten underwent surgery. Eight patients had isolated midcarpal arthritis for which three midcarpal arthrodeses, two four-bone arthrodeses and two carpal tunnel releases were performed. Nineteen patients had a generalized arthritis and seven of the patients underwent surgery: fourcorner arthrodesis+scaphoidectomy (one case), carpal tunnel relaease (two cases) extensor synovectomy (two cases) and trigger finger release (two cases).

Key Words: wrist • chondrocalcinosis • scapholunate instability • STTR osteoarthritis


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