9 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
distal to distal ulna ... , pain with wrist ... distal radius or ulna ... #Wrist #Carpal ... #Diagnosis #Management
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
thumb injury to ulnar ... Kienboch disease ... #XRay #Radiology ... #Wrist #differential ... #diagnosis
Pseudogout: pathogenesis and clinical findings
 - Idiopathic (vast majority of cases) -> Mechanism unknown
 - Familial
dihydrate (CPPD ... - CPPD Crystals ... #Disease #Signs ... #Symptoms #Pathophysiology ... #Diagnosis
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
(CPPD) Pathophysiology ... joints (shoulders, wrists ... culture used to diagnose ... #Rheumatology # ... diagnosis #management
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
• Underlying disease ... states Pathophysiology ... : • Pyrophosphate ... Gout #Comparison #rheumatology ... #Diagnosis
Chondrocalcinosis: Calcium Pyrophosphate Dihydrate (CPPD) Deposition Disease

 - Acute CPPD precipitation into the joint space ->
Chondrocalcinosis: Calcium Pyrophosphate ... ) Deposition Disease ... affected — e.g., wrist ... #Symptoms #Pathophysiology ... #Diagnosis
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 ... signs #symptoms #diagnosis
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
• recurrent fractures ... nephrocalcinosis • CPPD ... • Inorganic pyrophosphate ... Malnutrition • Wilson's disease ... collection with EDTA Pathophysiology
Hand X-Ray Anatomy and Interpretation Checklist
1. Soft tissues - Look carefully at the soft tissue over
into the hand and wrist ... In case of a fracture ... the radius and ulna ... proximal to the carpal ... drdevrad #Hand #XRay