9 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... functional deficit and arthritis ... "pooping duck sign ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... to diagnosis scapholunate ... ("Terry Thomas sign ... #Radiology #XRay ... Orthopedics #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... swollen forearm and wrist ... pronation and at wrist ... #Diagnosis #Management ... #Orthopedics #MSK
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 ... patterns #hand #diagnosis ... #rheumatology #
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... Swelling notable on Xray ... boggy" joints, esp carpal ... Boutonniere's ulnar ... #symptoms #diagnosis
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... mass and NO prior signs ... ON THE X-RAY! ... #msk #rheumatology
Hand X-Ray Anatomy and Interpretation Checklist
1. Soft tissues - Look carefully at the soft tissue over
into the hand and wrist ... important to look for signs ... of arthritis. ... the radius and ulna ... proximal to the carpal
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
inflammation Others: • Lupus ... such as systemic lupus ... purpura: strong sign ... retinopathy Lab Tests ... #rheumatology #
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
knees, fingers, wrist ... frequent attacks • Arthritis ... double contour sign ... +Radiographic signs ... management #treatment #rheumatology