Solitary Radio-Opaque Lesion of Wrist (Tumoral Calcinosis) Disappears Spontaneously After Causing Acute Carpal Tunnel Syndrome: A Case Report

JBJS Case Connect. 2023 Feb 16;13(1). doi: 10.2106/JBJS.CC.22.00638. eCollection 2023 Jan 1.

Abstract

Case: We describe the case of a 53-year-old male patient with a history of acute carpal tunnel syndrome (CTS) provoked by a radio-opaque mass on the palmar side of the wrist. Although the mass disappeared in new radiographs 6 weeks later without any intervention apart from the carpal tunnel release, excisional biopsy was conducted on the residue, revealing tumoral calcinosis.

Conclusion: Both acute CTS and spontaneous resolution are clinical manifestations of this rare condition on suspicion of which biopsy can be avoided by following a "wait and see" strategy.

Publication types

  • Case Reports

MeSH terms

  • Calcinosis* / complications
  • Calcinosis* / diagnostic imaging
  • Calcinosis* / pathology
  • Carpal Tunnel Syndrome* / diagnostic imaging
  • Carpal Tunnel Syndrome* / etiology
  • Humans
  • Male
  • Middle Aged
  • Radiography
  • Wrist / pathology
  • Wrist Joint / pathology