Rheumatology

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Arthroscopic findings in gout of the wrist
The Journal of Hand Surgery, 02/12/09

Wilczynski MC et al. – Gout affecting the wrist may be associated with crystal deposition on the scapholunate and lunotriquetral ligaments. Ligament incompetence and a scapholunate advanced collapse pattern of wrist arthritis was noted in 6 of 7 patients included in this study.

• The purpose of this investigation was to report the arthroscopic findings of pts with gout and scapholunate ligament pathology
• Medical records for pts were searched
• Clinical, arthroscopic, radiographic, and pathologic findings were reviewed in 7 pts who failed nonsurgical management and were treated with wrist arthroscopy

• All 7 wrists had diffuse synovitis and crystalline deposits throughout the radiocarpal joint
• There were focal crystalline precipitates on the scapholunate and lunotriquetral ligaments but not on the triangular fibrocartilage complex
• Scapholunate or lunotriquetral ligament disruption was noted in 6 and 5 wrists, respectively
• An early scapholunate advanced collapse pattern of arthritis was present in 5 pts

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