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

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
Hand - Arthritis ... nodes - DIP • XRAY ... subluxation causing ulnar ... • MCP + PIP + Wrist ... #diagnosis #rheumatology
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
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
joint disruption ... will be obvious; signs ... Distal #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... onto outstretched hand ... #Radiology #XRay ... #Orthopedics #Sports ... #MSK
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... knees, shoulders Signs ... & Symptoms: • ... marker Imaging: • XRay ... #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 #
Hand X-Ray Anatomy and Interpretation Checklist
1. Soft tissues - Look carefully at the soft tissue over
Hand X-Ray Anatomy ... and wrist joint ... of arthritis. ... ulna is also seen ... #XRay #Anatomy
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