45 results
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... , esp carpal, MCP ... Boutonniere's ulnar ... fingers, radial wrist ... #symptoms #diagnosis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... arthritis if missed ... #XRay #Diagnosis ... #Orthopedics #Sports ... #MSK
Rheumatoid Arthritis Summary
MCP and PIP Involvement, Spares DIP, Carpal Tunnel, Sicca Syndrome, Epi/Scleritis, Heart Disease, Rheumatoid
PIP Involvement, Spares ... DIP, Carpal Tunnel ... #RA #diagnosis ... #rheumatology #signs ... #symptoms
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
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
compensates via MP joint ... #Test #Ulnar #Nerve ... #physicalexam #msk ... #orthopedics #sports ... #hand
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
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 #
Ulnar Compression Test - Ulnar Tunnel Syndrome

The ulnar compression test evaluates for ulnar tunnel syndrome.
Provide direct
Test - Ulnar Tunnel ... Tunnel #Syndrome #wrist ... #hand #PhysicalExam ... clinical #video #sports ... #msk #orthopedics
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
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... onto outstretched hand ... #Orthopedics #Sports ... #MSK