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Extra resources for Carpal Disorders
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  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 . All three of these cases resolved after total or near total excision of the carpal bone.
J Hand Surg [Am] 1985;10:527–33.  Weinstein LP, Berger RA. Analgesic beneﬁt, functional outcome, and patient satisfaction after partial wrist denervation. J Hand Surg [Am] 2002;27:833–9.  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.  Mayﬁeld JK. Mechanism of carpal injuries. Clin Orthop Relat Res 1980;45–54.  Mayﬁeld JK, Johnson RP, Kilcoyne RK. Carpal dislocations: pathomechanics and progressive perilunar instability.
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