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Rheumatoid arthritis

USU Teaching File MUTF - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Rheumatoid arthritis

History: 39 y/o male retired Army personnel with known rheumatoid arthritis referred by orthopaedics for routine follow-up

Findings: PA and lateral radiographs of the hands and wrists show periarticular osteopenia. Subluxations, flexion and extension deformities including boutonniere and swan-neck deformities, and joint space narrowing are present at the proximal interphalangeal joints and joint space narrowing at the intercarpal joints. Both first metacarpophalangeal joints are ankylosed with surgical pins traversing these joints. Joint prostheses are present at the left 2nd and 3rd metacarpo-phalangeal joints and the right 2nd-5th metacarpophalangeal joints.

Ddx: Findings consistent with advanced inflammatory arthropathy with post-surgical changes and ankyloses as described above and consistent with the patient's known rheumatoid arthritis.

Exam: Pt has known rheumatoid arthritis.

No MeSH data available.


PA  and lateral radiographs of the hands and wrists show periarticular osteopenia. Subluxations, flexion deformities and joint space narrowing are present at the proximal interphalangeal joints and joint space narrowing at the intercarpal joints. Both first metacarpophalangeal joints are ankylosed with surgical pins traversing these joints.  Joint prostheses are present at the left 2nd and 3rd metacarpo-phalangeal joints and the right 2nd-5th metacarpophalangeal joints.
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MPX1761_synpic12191: PA and lateral radiographs of the hands and wrists show periarticular osteopenia. Subluxations, flexion deformities and joint space narrowing are present at the proximal interphalangeal joints and joint space narrowing at the intercarpal joints. Both first metacarpophalangeal joints are ankylosed with surgical pins traversing these joints. Joint prostheses are present at the left 2nd and 3rd metacarpo-phalangeal joints and the right 2nd-5th metacarpophalangeal joints.


Rheumatoid arthritis

USU Teaching File MUTF - MedPix

PA  and lateral radiographs of the hands and wrists show periarticular osteopenia. Subluxations, flexion deformities and joint space narrowing are present at the proximal interphalangeal joints and joint space narrowing at the intercarpal joints. Both first metacarpophalangeal joints are ankylosed with surgical pins traversing these joints.  Joint prostheses are present at the left 2nd and 3rd metacarpo-phalangeal joints and the right 2nd-5th metacarpophalangeal joints.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1761&req=5

MPX1761_synpic12191: PA and lateral radiographs of the hands and wrists show periarticular osteopenia. Subluxations, flexion deformities and joint space narrowing are present at the proximal interphalangeal joints and joint space narrowing at the intercarpal joints. Both first metacarpophalangeal joints are ankylosed with surgical pins traversing these joints. Joint prostheses are present at the left 2nd and 3rd metacarpo-phalangeal joints and the right 2nd-5th metacarpophalangeal joints.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Rheumatoid arthritis

History: 39 y/o male retired Army personnel with known rheumatoid arthritis referred by orthopaedics for routine follow-up

Findings: PA and lateral radiographs of the hands and wrists show periarticular osteopenia. Subluxations, flexion and extension deformities including boutonniere and swan-neck deformities, and joint space narrowing are present at the proximal interphalangeal joints and joint space narrowing at the intercarpal joints. Both first metacarpophalangeal joints are ankylosed with surgical pins traversing these joints. Joint prostheses are present at the left 2nd and 3rd metacarpo-phalangeal joints and the right 2nd-5th metacarpophalangeal joints.

Ddx: Findings consistent with advanced inflammatory arthropathy with post-surgical changes and ankyloses as described above and consistent with the patient's known rheumatoid arthritis.

Exam: Pt has known rheumatoid arthritis.

No MeSH data available.