Late radiographic findings in rheumatoid arthritis in the hands of three patients. (A) Radiographs of the hands reveal a symmetric polyarthropathy involving.

Slides:

Advertisements

Similar presentations

Radiographic Anatomy and Positioning of the Upper Extremity

Advertisements

Wrist, Hand, and Fingers Sports Medicine I.

Ms. Bowman.  Articulations: Metacarpophalangeal joints Carpometacarpal joints Intermetacarpal joints Intercarpal joints Radiocarpal joints Distal Radioulnar.

1. Rheumatoid arthritis - bone erosion

Anatomy and Physiology of Human Movement 420:050

Arthropathies/Connective Tissue Diseases Osteoarthritis (DJD) 2. Rheumatoid Arthritis 3. Ankylosing Spondylitis 4. Psoriatic Arthritis 5. Reiter.

Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Film Critique 1 st year class 4 th class Fingers-Wrist.

PERIPHERAL Joint Mobilization

Multiple myeloma in different patients

Common splints used for hand injuries/surgeries. A. Ulnar gutter splint. The ring and small fingers are included. The surgeon pushes on the dorsum of the.

Commons splints used for hand injuries/surgeries. A

HIV patient with reactivation tuberculosis

Arthritis of the Hands.

(A) Perfusion image of the lungs obtained in the anterior view demonstrates large segmental defects bilaterally (arrows), which are not matched by similar.

Miliary tuberculosis. (A) Frontal chest radiograph demonstrates innumerable tiny nodules distributed throughout both lungs. There is a hazy opacity at.

Cystic and varicose bronchiectasis

Incidentally noted is a benign exophytic subserosal uterine leiomyoma superior and anterior to the uterine fundus (dashed arrows). The leiomyoma is showing.

Imaging differential diagnosis for rheumatoid arthritis

Various scaphoid fractures

(A) Multiple sigmoid diverticuli (white arrows) with linear tract containing air outside the bowel lumen consistent with a fistula (black arrow) as a complication.

Rheumatoid arthritis. Frontal view of the hand in a 59-year-old female demonstrating end-stage rheumatoid arthritis of the hand and wrist with marked osteoporosis.

Multiple hepatic cysts in the setting of ADPKD

A: An oblique view of the right foot shows multiple large corticated periarticular erosions about the first metatarso-phalangeal joint. The erosion at.

Aseptic Loosening. (A,B) Frontal radiograph of the knee shows lucency (black arrow) along the superolateral aspect of the femoral component of a total.

Neurologic and Musculoskeletal physical exam

Testing the radial nerve. (A) Sensory distribution

Colles fracture: (a) dinner-fork deformity; (b) lateral X-ray view; (c) anteroposterior X-ray view; (d) radial (lateral) tilt of distal segment Source:

Posterior glenohumeral dislocation in a 51-year-old man with shoulder pain and the humeral head fixed in internal rotation. (A) Anteroposterior radiograph.

Anterior glenohumeral dislocation

During carpometacarpal (CMC) abduction, the examiner uses one hand to stabilize the subject's second metacarpal. Her other hand grasps the subject's first.

Multiple transabdominal and transvaginal ultrasound images of a different patient with an ectopic pregnancy demonstrating (A) echogenic debris in the endometrial.

Ovarian torsion is caused by spontaneous twist of ovary and fallopian tube. Torsion of normal adnexal structures is more common in pediatric patients than.

Single view of the chest and abdomen shows the orogastric tube terminating in an air-filled, distended pharyngeal pouch (black arrow) consistent with esophageal.

Coronal noncontrast CT image shows dextroscoliosis centered around chronic, lateral compression deformity of T6 (arrowhead). An acute compression fracture.

Ultrasound and MRI findings in rheumatoid arthritis in three patients

Calcified granuloma. (A) Frontal chest radiograph demonstrates a tiny well-defined nodular opacity in the right mid lung (black arrow). (B) Axial chest.

Increased nuchal translucency, with measurements more than 3 mm

Indirect and direct signs of anterior cruciate ligament tears

Image acquisition in a modern CT scanner

Transverse color Doppler sonogram of testicular torsion demonstrates normal flow to the right testis and absence of flow to the ischemic left testis (arrow).

AP view of the abdomen shows multiple rib fractures in various stages of healing along with a spiral fracture of the left femur in a child who has not.

Axial contrast-enhanced CT image demonstrates a large enhancing mass arising from the right base of tongue (yellow arrow). Note the presence of large metastatic.

Esophageal adenocarcinoma

Ultrasound and MRI findings in rheumatoid arthritis in three patients

Planar scintigram obtained after hepatic arterial injection of Tc-99m labeled MAA shows radionuclide activity in the liver, particularly the liver tumor.

Total knee arthroplasty. (A) Diagram of a total knee arthroplasty

MRI safety signs. The danger signs are placed at the 5-Gauss exclusion zone (5 G = T) to limit access of individuals with cardiac pacemakers into.

Percutaneous access of a gas distended stomach with a needle (left arrow). Notice opacification of the stomach rugal folds (right arrow) with contrast.

Intermediate probability V/Q scan

Imaging of joint diseases

Coronal color Doppler ultrasound image of the posterior chest showing a large multicystic mass in the left lung (arrows). The aorta is seen, and it does.

(A) Ultrasound of a midtrimester 18 weeks fetus showing bowel extruded (dashed arrows) to the right of the umbilical cord insertion (arrow). No membrane.

SBO from ventral hernia

Cut-away view of a modern MRI machine. Please see text for description. Source: Overview of Diagnostic Modalities and Contrast Agents, Introduction to.

Carcinoid. Coronal CT image shows a central mesenteric mass (arrow) with spiculated margin and central calcifications representative of carcinoid tumor.

Coronal CT shows a circumferential mass with ill-defined margins obstructing the sigmoid colon (white arrows). Also note the multiple hepatic hypoattenuating.

PD-weighted images typically have long TR (>2000 ms) and short TE (

Acute diverticulitis. Notice several diverticula of the sigmoid colon as small round outpouchings (white arrows). These alone would be simply diverticulosis,

Lymphoma of the small bowel

Transverse transabdominal sonography of two patients with complicated bladder diverticulum. (A) Sedimentation of infected urine (arrowheads) and thickening.

Multiple transabdominal and transvaginal ultrasound images of a different patient with an ectopic pregnancy demonstrating (A) echogenic debris in the endometrial.

Descending thoracic aortic aneurysm

Small-bowel obstruction

(A) Large bowel obstruction

Chronic sarcoidosis. (A) Axial chest CT in lung windows demonstrates bilateral central upper lobe scarring (white arrows) with mild traction bronchiectasis.

Distribution of the arthritides in the hands

Navigating the Body.

Copyright © 2016 McGraw-Hill Education. All rights reserved.

Hand & Wrist Muscular Anatomy

Presentation transcript:

Late radiographic findings in rheumatoid arthritis in the hands of three patients. (A) Radiographs of the hands reveal a symmetric polyarthropathy involving the distal radioulnar, radiocarpal, intercarpal, carpometacarpal, and metacarpophalangeal articulations, with joint space narrowing, periarticular osteopenia, and erosions at multiple sites. There is radial deviation at the radiocarpal articulation, but no obvious ulnar deviation at the metacarpophalangeal joints. Note that the distal interphalangeal joints are spared. (B) Lateral radiograph of the hand in another patient shows a swan-neck deformity of the middle finger: flexion of the metacarpophalangeal and distal interphalangeal joints and hyperextension of the proximal interphalangeal joint. While not pathognomonic, swan-neck and boutonnière deformities (not shown) are more often seen in rheumatoid arthritis than in the other inflammatory arthritides. (C) Frontal view of the hand reveals joint space narrowing and erosions at the radioulnar, radiocarpal, intercarpal, carpometacarpal, and metacarpophalangeal articulations. There is also dorsal subluxation at the interphalangeal joint of the thumb, giving the so-called hitchhiker's thumb deformity. Source: Musculoskeletal, Introduction to Diagnostic Radiology Citation: Elsayes KM, Oldham SA. Introduction to Diagnostic Radiology; 2015 Available at: https://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/Books/1562/Elsayes_Ch07_Fig-C3-02.png&sec=95878584&BookID=1562&ChapterSecID=95878512&imagename= Accessed: January 02, 2018 Copyright © 2018 McGraw-Hill Education. All rights reserved