 |
|
 |
|
|
August 2003
By Theodore E. Keats, MD
| |
 |
| |
|
A 40-year-old man complains of unilateral wrist pain
and swelling of several months' duration. What is your
impression of the frontal and lateral projections of
his wrist?
CLICK HERE FOR ANSWER
|
|
| |
|
| |
ANSWER
The correct diagnosis is synovial osteochondromatosis
of the radioulnar joint. This is a form of chronic synovitis
that produces cartilaginous loose bodies within the
joint. It probably represents a metaplastic process.
In later stages, superimposed degenerative arthritis
may occur. Treatment is surgical.
|
|
|
This series of diagnostic quizzes that
challenge your ability to read a variety of x-ray films is
edited by Dr. Keats, professor of radiology and professor
of orthopedics at the University of Virginia School of Medicine
in Charlottesville.
Emerg Med 35(8):51, 2003
|
|
|
