12 results
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
nodes - DIP • XRAY ... • Boutonnière deformity ... • Swan neck deformity ... • MCP + PIP + Wrist ... hand #diagnosis #rheumatology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
functional deficit and arthritis ... ulna, pain with wrist ... Carpal #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity ... fracture • ED Management ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... deformity with ... reduction using finger ... Distal #Radiology #XRay ... #Orthopedics #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
-60 minutes or longer ... tenderness - No joint deformity ... to bacterial, fungal ... #Joint #Pain #MSK ... #rheumatology #
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
metacarpophalangeal, and wrist ... becomes limited, and fingers ... The fingers may ... a boutonniére deformity ... #Types #Rheumatology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
tendon) • ED Management ... reduction • Splint: Finger ... IPJoint #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... injury • ED Management ... Carpal #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
place, whereas the longer ... include stiffness, arthritis ... Metacarpal #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... ankles, knees, fingers ... , wrist, elbow ... frequent attacks • Arthritis ... #treatment #rheumatology