Coronal section through the distal interphalangeal joint of the left middle finger shown in figure 2. Coronal section through the distal interphalangeal.

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Presentation transcript:

Coronal section through the distal interphalangeal joint of the left middle finger shown in figure 2. Coronal section through the distal interphalangeal joint of the left middle finger shown in figure 2. Distal is above, radial to the right. The distal phalanx is subluxed radially. The capsule (chevrons) is intact but thinned on the radial side and displaced by the adjacent osteophyte. An apparent defect in the capsule on the lateral side is probably artefactual. There are osteophytes (arrows) growing from both phalanges, and both contribute to the soft tissue prominence of the node. The situation is similar to that shown in the radiograph of a different patient in figure 6. Elastic van Giesen, original magnification × 4.5. Colin J Alexander Ann Rheum Dis 1999;58:675-678 ©1999 by BMJ Publishing Group Ltd and European League Against Rheumatism