File:Calcium pyrophosphate dihydrate deposition disease (Radiopaedia 25455-25697 H 1).png

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Summary:

Description
  • Radiopaedia case ID: 25455
  • Study ID: 25697
  • Image ID: 4918337
  • Plane projection: None
  • Modality: X-ray
  • System: Trauma
  • Findings: There is calcification within the radiocapitellar, ulnotrochlear , and proximal radioulnar joints which parallels the articular surfaces to follow the contour of the hyaline cartilage. If one does not appreciate that this finding extends into the ulnotrochlear joint and proximal radioulnar joint, the chondrocalcinosis within the radiocapitellar joint could be mistaken for a radial head fracture in the setting of trauma. The absence of elevated fat pats mitigates this concern. In this case, the emergency department did mistakenly believe the patient had a radial head fracture based on the imaging. Remember that the hyaline cartilage of the radial head extends circumferentially around the radial head, so chondrocalcinosis would be expected to extend similarly to anywhere around the circumference of the radial head.
  • Study findings: There is a thin area of calcification adjacent to and paralleling the articular surfaces of the humeral heads bilaterally, representing chondrocalcinosis. There is also mild degenerative changes of the glenohumeral joints, with mild osteophyte proliferation at the inferior aspect humeral heads at the attachment of the inferior glenohumeral ligament. There is thin, irregular calcification noted immediately superior to the humeral heads and greater tuberosities bilaterally, within the supraspinatus and infraspinatus tendons. There is also calcification within the acromioclavicular joints and their joint capsules bilaterally. The AC joints also demonstrate minimal osteophyte proliferation representing degenerative changes. no fractures are identified.
  • Author location: San Jose, CA, United States
Date 26 Oct 2013
Source Calcium pyrophosphate dihydrate deposition disease
Author Matt Skalski
Permission
(Permission-reusing-text)
http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

This file is ineligible for copyright and therefore in the public domain, because it is a technical image created as part of a standard medical diagnostic procedure. No creative element rising above the threshold of originality was involved in its production.

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current00:23, 1 July 2021Thumbnail for version as of 00:23, 1 July 20211,214 × 1,016 (916 KB) (talk | contribs)Radiopaedia project rID:25455 (batch #5880-8 H1)

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