HSS Ultrasound of the Month Case 144

Clinical History 70 year old female with chronic wrist pain.

Ultrasound of the Month – Case 144

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Ultrasound of the Month – Case 144

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Ultrasound of the Month – Case 144

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Diagnosis: Chondrocalcinosis Chondrocalcinosis is calcium deposition in hyaline cartilage or fibrocartilage.

Chondrocalcinosis is nonspecific but most commonly represents calcium pyrophosphate dihydrate (CPPD) crystals.

In the wrist, chondrocalcinosis typically involves the TFCC, scapholunate ligament, and the lunotriquetral ligament.

CPPD deposition can have a variety of presentations, including chronic symptoms similar to osteoarthritis, and acute flares simulating gout, called “pseudogout.”

Ultrasound of the Month – Case 144

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