53 results
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
Hand - Arthritis ... subluxation causing ulnar ... • MCP + PIP + Wrist ... Hemochromatosis • Wrist ... #diagnosis #rheumatology
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... , esp carpal, MCP ... Boutonniere's ulnar ... pathophysiology #signs #symptoms ... #diagnosis
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
wrist joints are ... deviate toward the ulnar ... #Arthritis #Hands ... #Types #Rheumatology ... #Forms #Diagnosis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
arthritis if missed ... distal to distal ulna ... , pain with wrist ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
or nerve root Symptoms ... present both at rest ... improves quickly with rest ... #Pain #MSK #rheumatology ... #differential #diagnosis
Rheumatoid Arthritis - 2020 ACR-EULAR Classification
≥ 6 of 10 points = definite RA
Joint Involvement:
Rheumatoid Arthritis ... Normal CRP and ... points Duration of symptoms ... #diagnosis #EULAR ... Classification #rheumatology
Rheumatoid Arthritis Summary
MCP and PIP Involvement, Spares DIP, Carpal Tunnel, Sicca Syndrome, Epi/Scleritis, Heart Disease, Rheumatoid
Rheumatoid Arthritis ... Involvement, Spares DIP, Carpal ... #RA #diagnosis ... #rheumatology #signs ... #symptoms
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
- Differential Diagnosis ... of Lumbar Spine and ... should have other symptoms ... #Disorders #msk ... #Differential #Diagnosis
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... #differential #diagnosis ... #arthritis
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
ulnar deviates ... reproduction of patient's symptoms ... physicalexam #sports #msk ... #orthopedics #rheumatology ... #wrist