21 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
arthritis if missed ... onto outstretched hand ... dorsum of the hand ... , pain with wrist ... #XRay #Diagnosis
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
Common Hand Fractures ... thumb injury to ulnar ... Kienboch disease ... #Radiology #Wrist ... #differential #
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
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
in the Hands ... wrist joints are ... deviate toward the ulnar ... #Arthritis #Hands ... #Types #Rheumatology
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... Joint diseases ... Swelling notable on Xray ... boggy" joints, esp carpal ... Boutonniere's ulnar
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Positive pathergy test ... is a skin prick test ... ) Differential Diagnosis ... Syndrome #diagnosis #management ... signs #symptoms #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Symptoms of Joint Disease ... categories of joint disease ... Paget disease) ... Joint #Pain #MSK #rheumatology ... approach #workup #differential
Hand X-Ray Anatomy and Interpretation Checklist
1. Soft tissues - Look carefully at the soft tissue over
Hand X-Ray Anatomy ... and wrist joint ... ulna is also seen ... proximal to the carpal ... rheumatological diseases
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Therefore, the hand ... diagnosed ON THE X-RAY ... Differential diagnosis ... diffuse chondral disease ... diagnosis #msk #rheumatology
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
juvenile idiopathic arthritis ... juvenile idiopathic arthritis ... Liver function tests ... Syndrome #Diagnosis #Management ... #Hematology #Rheumatology