7 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
spacing between all carpal ... box, pain with wrist ... #Dissociation #TerryThomas ... #Wrist #Scaphoid ... #XRay #Diagnosis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
commonly fractured carpal ... functional deficit and arthritis ... ulna, pain with wrist ... Triquetrum #Fracture #Wrist ... #XRay #Diagnosis
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
Patterns Osteoarthritis ... nodes - DIP • XRAY ... • MCP + PIP + Wrist ... Hemochromatosis • Wrist ... #patterns #hand
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... small joints (wrists ... Swelling notable on Xray ... boggy" joints, esp carpal ... fingers, radial wrist
Undifferentiated critical congenital heart disease: Patterns of Presentation 
Pink baby:
 • Presents at 1-6 mo
heart disease: Patterns ... : PDA, VSD, AV canal ... if cardiac or pulmonary ... defects most often Gray ... #HeartDisease #patterns
Hand X-Ray Anatomy and Interpretation Checklist
1. Soft tissues - Look carefully at the soft tissue over
into the hand and wrist ... the trabecular pattern ... look for signs of arthritis ... proximal to the carpal ... drdevrad #Hand #XRay
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
GCA (Giant Cell Arteritis ... mucositis • Rash, arthritis ... nonspecific white and gray ... matter changes ... and often causes arthritis