Arthroscopic Findings in Gout of the Wrist

Mark C. Wilczynski, Richard H. Gelberman, Amelia Adams, Charles A. Goldfarb

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Purpose: We have recently treated several patients with gout of the wrist and scapholunate ligament pathology. The purpose of this investigation was to report the arthroscopic findings of 7 such patients. Methods: We searched our medical records for patients with a diagnosis of gout and nontraumatic wrist pathology. We retrospectively reviewed the clinical, arthroscopic, radiographic, and pathologic findings in 7 patients who failed nonsurgical management and were treated with wrist arthroscopy. Results: 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 patients. Conclusions: 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 our 7 patients.

Original languageEnglish
Pages (from-to)244-250
Number of pages7
JournalJournal of Hand Surgery
Volume34
Issue number2
DOIs
StatePublished - Feb 1 2009

Keywords

  • Arthroscopy
  • gout
  • monosodium urate crystals
  • scapholunate ligament
  • wrist

Fingerprint Dive into the research topics of 'Arthroscopic Findings in Gout of the Wrist'. Together they form a unique fingerprint.

  • Cite this