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Scapholunate dissociation associated with crystal induced synovitis
1Department of Medicine, Beth Israel Hospital, Boston, MA.
The Journal of Rheumatology
|March 1, 1992
Summary
Gout and chondrocalcinosis can lead to scapholunate ligament rupture, causing severe wrist pain. Consider this diagnosis for persistent wrist pain unresponsive to standard crystal-induced arthritis treatments.
Area of Science:
- Orthopedics
- Rheumatology
- Crystal-induced Arthropathies
Background:
- Scapholunate ligament rupture is a significant cause of wrist pain and dysfunction.
- Gout and chondrocalcinosis are crystal-induced arthropathies that can affect various joints.
Observation:
- Two patients developed scapholunate ligament rupture following episodes of gout.
- A third patient presented with scapholunate ligament rupture in association with chondrocalcinosis.
Findings:
- Crystal deposition diseases, such as gout and chondrocalcinosis, may be implicated in the pathogenesis of scapholunate ligament rupture.
- One patient with this condition required surgical fusion to manage persistent pain.
Implications:
- This association suggests a need to consider crystal-induced arthritis in the differential diagnosis of refractory wrist pain.
- Early recognition and appropriate management of crystal arthropathies may prevent or mitigate severe ligamentous injury and chronic wrist pain.