Skip to main content
Top
Published in: Archives of Orthopaedic and Trauma Surgery 8/2003

01-10-2003 | Case Report

Property analysis of ectopic calcification in the carpal tunnel identification of apatite crystals: a case report

Authors: Kunihiro Sensui, Satoru Saitoh, Kiyokazu Kametani, Kuniaki Makino, Masayoshi Ohira, Teiji Kimura, Goh Ah Cheng, Yukihiko Hata

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 8/2003

Login to get access

Abstract

Introduction

A 64-year-old woman presented with symptoms of subacute exacerbation of a year-long carpal tunnel syndrome that was caused by a large calcified mass in the tunnel.

Conclusion

The resected mass consisted of very tiny rods, and x-ray diffraction analysis, as well as the component analysis using energy dispersive x-ray microanalysis, revealed the mass to be most compatible with apatite. The back-scattered electron images suggested that precipitation might be a mechanism for development of the calcified mass.
Literature
1.
go back to reference Bagatur AE, Zorer G (2001) The carpal tunnel syndrome is a bilateral disorder. J Bone Joint Surg [Br] 83B:655–658 Bagatur AE, Zorer G (2001) The carpal tunnel syndrome is a bilateral disorder. J Bone Joint Surg [Br] 83B:655–658
2.
go back to reference Chiu KY, Ng WF, Wong WB, Choi CH, Chow SP (1992) Acute carpal tunnel syndrome caused by pseudogout. J Hand Surg 17A:299–302 Chiu KY, Ng WF, Wong WB, Choi CH, Chow SP (1992) Acute carpal tunnel syndrome caused by pseudogout. J Hand Surg 17A:299–302
3.
go back to reference Cofan F, Garcia S, Combalia A, Segur J-M, Oppenheimer F (2002) Carpal tunnel syndrome secondary to uraemic tumoral calcinosis. Rheumatology 41:701–703CrossRef Cofan F, Garcia S, Combalia A, Segur J-M, Oppenheimer F (2002) Carpal tunnel syndrome secondary to uraemic tumoral calcinosis. Rheumatology 41:701–703CrossRef
4.
go back to reference Gerster JC, Lagier R, Boivin G, Schneider C (1980) Carpal tunnel syndrome in chondrocalcinosis of the wrist. Clinical and histologic study. Arthritis Rheum 23:926–931PubMed Gerster JC, Lagier R, Boivin G, Schneider C (1980) Carpal tunnel syndrome in chondrocalcinosis of the wrist. Clinical and histologic study. Arthritis Rheum 23:926–931PubMed
5.
go back to reference Goodwin DRA, Arbel R (1985) Pseudogout of the wrist presenting as acute median nerve compression. J Hand Surg 10B:261–262 Goodwin DRA, Arbel R (1985) Pseudogout of the wrist presenting as acute median nerve compression. J Hand Surg 10B:261–262
6.
go back to reference Halverson PB, McCarty DJ (1993) Basic calcium phosphate (apatite, octacalcium phosphate, tricalcium phosphate) crystal deposition diseases. In: McCarty DJ, Koopman WJ (eds) Arthritis and allied conditions, 12th edn. Lea & Febiger, New York, pp 1857–1872 Halverson PB, McCarty DJ (1993) Basic calcium phosphate (apatite, octacalcium phosphate, tricalcium phosphate) crystal deposition diseases. In: McCarty DJ, Koopman WJ (eds) Arthritis and allied conditions, 12th edn. Lea & Febiger, New York, pp 1857–1872
7.
go back to reference Lagier R, Boivin G, Gerster JC (1984) Carpal tunnel syndrome associated with mixed calcium pyrophosphate dihydrate and apatite crystal deposition in tendon synovial sheath. Arthritis Rheum 27:1190–1195PubMed Lagier R, Boivin G, Gerster JC (1984) Carpal tunnel syndrome associated with mixed calcium pyrophosphate dihydrate and apatite crystal deposition in tendon synovial sheath. Arthritis Rheum 27:1190–1195PubMed
8.
go back to reference Nakamichi K, Tachibana S (1993) Unilateral carpal tunnel syndrome and space-occupying lesions. J Hand Surg 18B:748–749 Nakamichi K, Tachibana S (1993) Unilateral carpal tunnel syndrome and space-occupying lesions. J Hand Surg 18B:748–749
9.
go back to reference Nakamichi K, Tachibana S, Tamai K (1994) Carpal tunnel syndrome caused by a mass of calcium phosphate. J Hand Surg 19A:111–113 Nakamichi K, Tachibana S, Tamai K (1994) Carpal tunnel syndrome caused by a mass of calcium phosphate. J Hand Surg 19A:111–113
10.
go back to reference Rate AJ, Parkinson RW, Meadows TH, Freemont AJ (1992) Acute carpal tunnel syndrome due to pseudogout. J Hand Surg 17B:217–218 Rate AJ, Parkinson RW, Meadows TH, Freemont AJ (1992) Acute carpal tunnel syndrome due to pseudogout. J Hand Surg 17B:217–218
11.
go back to reference Saitoh S, Hata Y, Murakami N, Seki H, Miyauchi S, Takaoka K (2000) Ectopic calcification following tibial fracture: property analysis. Skeletal Radiol 29:609–612CrossRefPubMed Saitoh S, Hata Y, Murakami N, Seki H, Miyauchi S, Takaoka K (2000) Ectopic calcification following tibial fracture: property analysis. Skeletal Radiol 29:609–612CrossRefPubMed
12.
go back to reference Verfaillie S, DeSmet L, Leemans A, Van Damme B, Fabry G (1996) Acute carpal tunnel syndrome caused by hydroxyapatite crystals: a case report. J Hand Surg 21A:360–362 Verfaillie S, DeSmet L, Leemans A, Van Damme B, Fabry G (1996) Acute carpal tunnel syndrome caused by hydroxyapatite crystals: a case report. J Hand Surg 21A:360–362
Metadata
Title
Property analysis of ectopic calcification in the carpal tunnel identification of apatite crystals: a case report
Authors
Kunihiro Sensui
Satoru Saitoh
Kiyokazu Kametani
Kuniaki Makino
Masayoshi Ohira
Teiji Kimura
Goh Ah Cheng
Yukihiko Hata
Publication date
01-10-2003
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 8/2003
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-003-0574-0

Other articles of this Issue 8/2003

Archives of Orthopaedic and Trauma Surgery 8/2003 Go to the issue