37 results
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... and Joint diseases ... , esp carpal, MCP ... Boutonniere's ulnar ... #symptoms #diagnosis
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
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
Hand - Arthritis ... subluxation causing ulnar ... • MCP + PIP + Wrist ... = RA • 2nd & 3rd ... #diagnosis #rheumatology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... arthritis if missed ... "pooping duck sign ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
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
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 ... (RA) and many other ... #Pain #MSK #rheumatology ... #differential #diagnosis
Rheumatoid Arthritis - 2020 ACR-EULAR Classification
≥ 6 of 10 points = definite RA
Joint Involvement:
points = definite RA ... Normal CRP and ... points Duration of symptoms ... #diagnosis #EULAR ... Classification #rheumatology
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
- Differential Diagnosis ... of Lumbar Spine and ... (RA) - Inflammation ... should have other symptoms ... #Disorders #msk
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... mycobacterial), RA ... • Chronic = RA ... #Joint #Pain #MSK ... #rheumatology #
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... NO prior signs ... Therefore, the hand ... (RA, CPPD) - Can ... #msk #rheumatology