Severe Destructive Arthritis of the Carpometacarpal Joint: A Diagnosis of Exclusion Case Report
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2013, Vol 15, Issue 6
Abstract
We present a case of severe destruction of the thumb carpometacarpal joint (CMCJ) and surrounding structures on a background of osteoarthritis and Seronegative Rheumatoid arthritis. Imaging studies suggested a soft tissue lesion consistent with Pigmented Villonodular Synovitis (PVNS), Synovial Osteochondromatosis or Giant Cell Tumour (GCT). Due to the possibility of malignant transformation and deteriorating symptoms the mass was excised. Histological analysis of the lesion revealed severe degenerative disease with no evidence of malignancy or infection. This represents an atypical presentation of thumb carpometacarpal joint arthritis, which should be diagnosed once more sinister pathology has been excluded.
Authors and Affiliations
Kalpesh Vaghela, Nirav Patel, Khaled Sarraf, Kate Owers
Keywords
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