{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T01:19:46Z","timestamp":1790644786809,"version":"4.1.0"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T00:00:00Z","timestamp":1711324800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Radiol Imaging"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Hydroxyapatite crystal deposition disease (HADD) is a common disorder resulting from the deposition of calcium hydroxyapatite crystals in various soft tissues, typically in periarticular distribution, including tendons, tendon sheaths, joint capsules, ligaments, bursae, periarticular soft tissues, and occasionally within the joints. The more commonly known subtypes of HADD are calcific tendinopathy and calcific periarthritis. Carpal tunnel syndrome (CTS) can be rarely caused by calcific deposits within the carpal tunnel in the setting of HADD-related calcific periarthritis. Imaging, particularly ultrasound and radiographs, is crucial in distinguishing this entity from the conventional form of CTS that tends to be idiopathic. We describe a rare presentation of CTS secondary to calcific periarthritis in a 45-year-old patient, with imaging demonstrating mass-like calcification within the carpal tunnel, with typical features of those seen with HADD. The patient was treated with ultrasound-guided barbotage, with significant clinical improvement. The case highlights a lesser-known cause of CTS as well as a presentation of HADD, and the role of ultrasound-guided barbotage, a minimally invasive procedure, as a viable first-line management option as an alternative to surgery.<\/jats:p>","DOI":"10.1055\/s-0043-1778650","type":"journal-article","created":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T23:54:27Z","timestamp":1711410867000},"page":"553-557","source":"Crossref","is-referenced-by-count":6,"title":["An Unusual Case of Calcific Periarthritis Causing Carpal Tunnel Syndrome and Its Management with Ultrasound-Guided Barbotage"],"prefix":"10.1055","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7377-028X","authenticated-orcid":false,"given":"Sisith","family":"Ariyaratne","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Radiology, The Royal Orthopaedic Hospital, Birmingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joban","family":"Babhulkar","sequence":"additional","affiliation":[{"name":"Department of Shoulder and Sports Injuries, Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Babhulkar","sequence":"additional","affiliation":[{"name":"Department of Shoulder and Sports Injuries, Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4379-1266","authenticated-orcid":false,"given":"Karthikeyan P.","family":"Iyengar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Southport and Ormskirk Hospitals, Mersey and West Lancashire Teaching NHS Trust, Southport, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Botchu","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Radiology, The Royal Orthopaedic Hospital, Birmingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,3,25]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1055\/s-2003-43229","article-title":"Hydroxyapatite crystal deposition disease","volume":"7","author":"G M Garcia","year":"2003","journal-title":"Semin Musculoskelet Radiol"},{"issue":"09","key":"ref2","doi-asserted-by":"crossref","first-page":"2493","DOI":"10.1002\/jum.14933","article-title":"Ultrasound appearance of the migration of tendon calcifications","volume":"38","author":"S Bianchi","year":"2019","journal-title":"J Ultrasound Med"},{"issue":"09","key":"ref3","doi-asserted-by":"crossref","first-page":"1883","DOI":"10.1007\/s00256-022-04003-x","article-title":"Mass-like calcific peri-arthritis in the wrist: a rare case presenting as acute carpal tunnel syndrome and requiring surgical intervention","volume":"51","author":"M Krolikowski","year":"2022","journal-title":"Skeletal Radiol"},{"issue":"03","key":"ref4","first-page":"e7333","article-title":"Carpal tunnel syndrome: a review of literature","volume":"12","author":"A Genova","year":"2020","journal-title":"Cureus"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s11552-008-9121-3","article-title":"An unusual presentation of acute calcific tendinitis in the hand","volume":"4","author":"A R Harris","year":"2009","journal-title":"Hand (N Y)"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1067\/j.cpradiol.2006.07.002","article-title":"Carpal tunnel syndrome resulting from hydroxyapatite deposition","volume":"35","author":"R E Duey","year":"2006","journal-title":"Curr Probl Diagn Radiol"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1177\/230949900901700225","article-title":"Periarticular calcification causing acute carpal tunnel syndrome: a case report","volume":"17","author":"V Pai","year":"2009","journal-title":"J Orthop Surg (Hong Kong)"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/S0363-5023(96)80343-1","article-title":"Acute carpal tunnel syndrome caused by hydroxyapatite crystals: a case report","volume":"21","author":"S Verfaillie","year":"1996","journal-title":"J Hand Surg Am"},{"issue":"91","key":"ref9","doi-asserted-by":"crossref","first-page":"e236","DOI":"10.15557\/JoU.2022.0038","article-title":"Calcific enthesopathy of the superior extensor retinaculum - an unusual cause of medial ankle pain","volume":"22","author":"A Shah","year":"2022","journal-title":"J Ultrason"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1007\/s40477-019-00402-4","article-title":"Calcific tendinopathy of the direct head of rectus femoris: a rare cause of groin pain treated with ultrasound guided percutaneous irrigation","volume":"23","author":"E McLoughlin","year":"2020","journal-title":"J Ultrasound"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"101968","DOI":"10.1016\/j.jcot.2022.101968","article-title":"Calcific tendinopathy of the pronator quadratus muscle: a rare site and cause of ulnar sided wrist pain","volume":"32","author":"K P Iyengar","year":"2022","journal-title":"J Clin Orthop Trauma"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"183","DOI":"10.5435\/00124635-199707000-00001","article-title":"Calcific tendinopathy of the rotator cuff: pathogenesis, diagnosis, and management","volume":"5","author":"H K Uhthoff","year":"1997","journal-title":"J Am Acad Orthop Surg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"224","DOI":"10.3389\/fneur.2019.00224","article-title":"Solitary calcified nodules as the cause of carpal tunnel syndrome: two case reports and literature reviews","volume":"10","author":"T-F Cheng","year":"2019","journal-title":"Front Neurol"},{"issue":"01","key":"ref14","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/s13256-020-02613-4","article-title":"Synovial sarcoma of the hand-wrist: a case report and review of the literature","volume":"15","author":"S Serinelli","year":"2021","journal-title":"J Med Case Rep"},{"issue":"03","key":"ref15","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1055\/s-0041-1736397","article-title":"Role of radiographs and ultrasound in diagnosing calcific tendinitis and periarthritis in the wrist and hand with ultrasound-guided barbotage as management tool","volume":"31","author":"A Ahuja","year":"2021","journal-title":"Indian J Radiol Imaging"},{"key":"ref16","volume-title":"Ultrasound-Guided Barbotage. 2023 May 22","author":"D Tafti","year":"2023"},{"issue":"12","key":"ref17","doi-asserted-by":"crossref","first-page":"2006","DOI":"10.3348\/kjr.2021.0022","article-title":"Ultrasonography-guided common musculoskeletal interventions from head to toe: procedural tips for general radiologists","volume":"22","author":"R White","year":"2021","journal-title":"Korean J Radiol"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.carj.2018.11.002","article-title":"Musculoskeletal corticosteroid administration: current concepts","volume":"70","author":"A Shah","year":"2019","journal-title":"Can Assoc Radiol J"},{"key":"ref19","first-page":"1168","volume-title":"Chapter 62 - Interventional musculoskeletal ultrasound","author":"C L McCarthy","year":"2011","edition":"Third edition."},{"issue":"04","key":"ref20","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1007\/s40477-023-00781-9","article-title":"Hydroxyapatite deposition disease (HADD) of the spring ligament: an unusual cause of medial foot pain","volume":"26","author":"V RK Papineni","year":"2023","journal-title":"J Ultrasound"},{"issue":"08","key":"ref21","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3941\/jrcr.v17i8.4603","article-title":"Complication of barbotage, acute calcific bursitis treated successfully","volume":"17","author":"C Gokhan","year":"2023","journal-title":"J Radiol Case Rep"},{"issue":"01","key":"ref22","first-page":"88","article-title":"Persistent median artery of the forearm and palm: a cadaver study into its origin, course, fate and clinical significance","volume":"121","author":"M Patnaik","year":"2016","journal-title":"Ital J Anat Embryol"}],"container-title":["Indian Journal of Radiology and Imaging"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1778650.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T12:31:17Z","timestamp":1730809877000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1778650"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,25]]},"references-count":22,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2024,6,18]]},"published-print":{"date-parts":[[2024,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1778650","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0971-3026","1998-3808"],"issn-type":[{"value":"0971-3026","type":"print"},{"value":"1998-3808","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,25]]}}}