8 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, ... pain with wrist ... radius or ulna ... Triquetrum #Fracture #Wrist ... #XRay #Diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... associated injuries: distal ... #TerryThomas #Wrist ... #Radiology #XRay
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Pathogenesis and Joint diseases ... Swelling notable on Xray ... boggy" joints, esp carpal ... Boutonniere's ulnar ... #pathophysiology
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
joints (shoulders, wrists ... • Underlying disease ... states Pathophysiology ... Arthritis: Resembles RA ... knees, fingers, wrist
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
(CPPD) Pathophysiology ... joints (shoulders, wrists ... • Resembles RA ... culture used to diagnose ... #Rheumatology #diagnosis
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Most cases diagnosed ... nephrocalcinosis • CPPD ... Malnutrition • Wilson's disease ... collection with EDTA Pathophysiology ... fractures • Dental
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
nodes - DIP • XRAY ... subluxation causing ulnar ... • MCP + PIP + Wrist ... = RA • 2nd & 3rd ... patterns #hand #diagnosis
Hand X-Ray Anatomy and Interpretation Checklist
1. Soft tissues - Look carefully at the soft tissue over
into the hand and wrist ... the radius and ulna ... proximal to the carpal ... rheumatological diseases ... drdevrad #Hand #XRay