Pisotriquetral osteoarthritis

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Ulnar-sided wrist pain.

Patient Data

Age: 65 years
Gender: Male

Pisotriquetral osteoarthritis characterized by joint space narrowing, subchondral sclerosis and marginal osteophytes.  

Case Discussion

Pisotriquetral osteoarthritis is an often overlooked cause of ulnar-sided wrist pain. It is often associated with flexor carpi ulnaris enthesopathy. A semi-supinated oblique view may be required to demonstrate radiographic changes as the pisotriquetral joint space is not well seen on standard wrist series projections. 

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