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Plain radiographs demonstrate chondrocalcinosis about the ulnocarpal joint in a patient with pseudogout. Synovial chondromatosis is a metaplastic process of periarticular synovium, resulting in the formation of hyaline cartilage bodies. The cartilage bodies are usually gray-white in color, several millimeters in size, and found imbedded within the proliferative synovial membrane or free within the intra-articular space. The result is a painful, LESIONS & TUMORS OF THE CARPUS swollen joint, typically in a young to middle-aged adultdsimilar to PVNS.

GCTs localized to a carpal bone are best treated by en bloc excision of the affected bone. Curettage alone has a 100% recurrence rate, and curettage with adjuvant (eg, liquid nitrogen) has not been proven more effective. Lane and colleagues [35] reported cases of GCTs in the lunate and capitate that recurred after curettage and grafting. Likewise, a GCT of the capitate recurred after curettage and grafting by Howard and LESIONS & TUMORS OF THE CARPUS Lassen [36]. All three of these cases resolved after total or near total excision of the carpal bone.

J Hand Surg [Am] 1985;10:527–33. [17] Weinstein LP, Berger RA. Analgesic benefit, functional outcome, and patient satisfaction after partial wrist denervation. J Hand Surg [Am] 2002;27:833–9. [18] Mitsuyasu H, Patterson RM, Shah MA, et al. The role of the dorsal intercarpal ligament in dynamic and static scapholunate instability. J Hand Surg [Am] 2004;29:279–88. [19] Mayfield JK. Mechanism of carpal injuries. Clin Orthop Relat Res 1980;45–54. [20] Mayfield JK, Johnson RP, Kilcoyne RK. Carpal dislocations: pathomechanics and progressive perilunar instability.

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Carpal Disorders

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Categories: Physical Medicine Rehabilitation