There was no consensus, but the most frequent entities mentioned in the replies were gout, inflammatory conditions like RA and, less often, amyloidosis. I’ll try to get feedback from the orthopedic surgeon and get back to you.
Thanks everyone, stay safe
Sergio
I would appreciate your opinion in one case that is puzzling me.
This is a previously healthy, physically active 43-yo man without any relevant medical history with pain in the wrists. The orthopedic surgeon requested MRI of both wrists inquiring about scapholunate instability or lesion of the TFCC. In my opinion, there is symmetric enlargement and abnormal signal intensity in both extensor carpi ulnaris tendons and in the tendons of the first extensor compartments, as well as abnormal tissue within the tendon sheaths of the fourth extensor compartments and inside the carpal tunnel of both wrists (with abnormal signal intensity of some flexor tendons); the TFCC seem infiltrated as well. Looks like some kind of deposition disease like amyloidosis, but he’s healthy. Any opinion would be welcome.
Regards,
Sergio
Sergio Lopes Viana, MD
Musculoskeletal radiologist
Hospital da Criança de Brasília (Children’s Hospital of Brasília)
