Acute Peri-scaphoid Calcific Deposition: Clinical and Radiological Features.

Abstract

Background: Acute peri-scaphoid calcific deposition (PSCD) is usually misdiagnosed as an avulsion fracture of the scaphoid. This study aims to describe the clinical presentation and radiographic features of PSCD. Methods: Twelve patients with PSCD were reviewed retrospectively. The data with regard to age, sex, side involved, history of trauma, duration of symptoms, time to presentation, symptoms and signs at presentation, pain score at presentation and final follow-up, radiological investigations, treatment and duration of follow-up were recorded. Results: All patients were female with an average age of 37.0 ± 10.1 years old. The right wrists were involved in six patients. The PSCD was found around three different locations, which were the dorsal edge, the tubercle and the radial side of the scaphoid. The average visual analogue scale at the first presentation and the last follow-up were 6.9 ± 1.1 and 0.7 ± 0.8, respectively. The patients were followed up for 5.4 ± 3.0 weeks. Conclusions: Acute PSCD predominantly affects young and middle-aged women and is most commonly located at the dorsal edge, tubercle and radial side of the scaphoid. Conservative treatment typically yields favourable outcomes. Level of Evidence: Diagnostic (Level V).