Doherty W, Lovallo J L
Department of Orthopaedic Surgery, University of Connecticut Health Center, Farmington.
J Hand Surg Am. 1993 Nov;18(6):1095-8. doi: 10.1016/0363-5023(93)90409-V.
Chondrocalcinosis is a well-described radiographic finding in patients with calcium pyrophosphate dihydrate deposition disease of the wrist and other joints. The medical records and x-ray films of 12 patients evaluated over an 18-month period for chondrocalcinosis of the wrist were examined for symptoms and physical and x-ray film findings. Thirteen wrists were affected. All wrists were noted to have calcification of the triangular fibrocartilage complex. Twelve of 13 wrists had the characteristic features of the scapholunate advanced collapse pattern of arthritis. In addition, there was a correlation in our series between chondrocalcinosis and carpal tunnel syndrome. Destruction of the interosseous soft tissues caused by crystalline deposition could alter the biomechanics of the wrist in a similar fashion to that of the post-traumatic scapholunate advanced collapse wrist leading to arthritic symptoms.
软骨钙质沉着症是手腕和其他关节焦磷酸钙二水合物沉积病患者中一种描述详尽的影像学表现。对在18个月期间接受评估的12例手腕软骨钙质沉着症患者的病历和X线片进行了症状、体格检查及X线片表现的检查。13只手腕受累。所有手腕均发现三角纤维软骨复合体钙化。13只手腕中有12只具有舟月骨晚期塌陷型关节炎的特征性表现。此外，在我们的系列研究中，软骨钙质沉着症与腕管综合征之间存在相关性。晶体沉积导致的骨间软组织破坏，可能以类似于创伤后舟月骨晚期塌陷型手腕的方式改变手腕的生物力学，从而导致关节炎症状。
