Abstract
A patient was shown to have acute arthritis in a metacarpophalangeal joint, with local calcification indicated by x-rays. Surgical and pathological examinations showed strictly intra-articular apatite crystal deposits and an erosive osteoarthritis. These crystal deposits could account for the synovial inflammation; they are thought to be related to bone fragments embedded in the synovium. The predisposing role of previous local injections of corticosteroids is debatable.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bonavita J. A., Dalinka M. K., Schumacher H. R., Jr Hydroxyapatite deposition disease. Radiology. 1980 Mar;134(3):621–625. doi: 10.1148/radiology.134.3.6243783. [DOI] [PubMed] [Google Scholar]
- Catovsky D., Goldman J. M., Galton D. A. Survival after relapse in acute myeloid leukaemia. Lancet. 1978 Feb 4;1(8058):266–267. doi: 10.1016/s0140-6736(78)90504-4. [DOI] [PubMed] [Google Scholar]
- Gilsanz V., Bernstein B. H. Joint calcification following intra-articular corticosteroid therapy. Radiology. 1984 Jun;151(3):647–649. doi: 10.1148/radiology.151.3.6718724. [DOI] [PubMed] [Google Scholar]
- Halverson P. B., Cheung H. S., McCarty D. J., Garancis J., Mandel N. "Milwaukee shoulder"--association of microspheroids containing hydroxyapatite crystals, active collagenase, and neutral protease with rotator cuff defects. II. Synovial fluid studies. Arthritis Rheum. 1981 Mar;24(3):474–483. doi: 10.1002/art.1780240304. [DOI] [PubMed] [Google Scholar]
- McCarty D. J., Jr, Gatter R. A. Recurrent acute inflammation associated with focal apatite crystal deposition. Arthritis Rheum. 1966 Dec;9(6):804–819. doi: 10.1002/art.1780090608. [DOI] [PubMed] [Google Scholar]
- McCarty D. J. Treatment of rheumatoid joint inflammation with triamcinolone hexacetonide. Arthritis Rheum. 1972 Mar-Apr;15(2):157–173. doi: 10.1002/art.1780150205. [DOI] [PubMed] [Google Scholar]
- Paul H., Reginato A. J., Schumacher H. R. Alizarin red S staining as a screening test to detect calcium compounds in synovial fluid. Arthritis Rheum. 1983 Feb;26(2):191–200. doi: 10.1002/art.1780260211. [DOI] [PubMed] [Google Scholar]
- Schumacher H. R., Miller J. L., Ludivico C., Jessar R. A. Erosive arthritis associated with apatite crystal deposition. Arthritis Rheum. 1981 Jan;24(1):31–37. doi: 10.1002/art.1780240105. [DOI] [PubMed] [Google Scholar]
- Schumacher H. R., Smolyo A. P., Tse R. L., Maurer K. Arthritis associated with apatite crystals. Ann Intern Med. 1977 Oct;87(4):411–416. doi: 10.7326/0003-4819-87-4-411. [DOI] [PubMed] [Google Scholar]
- Weston J. W. The normal arthrograms of the metacarpo-phalangeal, metatarso-phalangeal and inter-phalangeal joints. Australas Radiol. 1969 May;13(2):211–218. doi: 10.1111/j.1440-1673.1969.tb01588.x. [DOI] [PubMed] [Google Scholar]