Hand XRay in Osteoarthritis

Aka: Hand XRay in Osteoarthritis, Wrist XRay in Osteoarthritis, Osteoarthritis Hand XRay, Osteoarthritis Wrist XRay

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II. Views

  1. Anteroposterior (AP) Views
  2. Oblique Views
  3. Consider magnification views of hand or joint
    1. Specific bone fine detail
    2. Soft tissue evaluation

III. Joints affected

  1. First carpometacarpal joint
  2. Trapezio-navicular joint
  3. Proximal interphalangeal joints
  4. Distal interphalangeal joints

IV. Findings

  1. Non-uniform narrowing of joint space
  2. No erosive changes seen in primary Osteoarthritis
  3. Erosive Arthritis seen in postmenopausal women
    1. Variant of Osteoarthritis

V. References

  1. Brower (1998) Arthritis Black and White, Saunders
  2. Klippel (1997) Primer Rheumatic Diseases, AF
  3. Swagerty (2001) Am Fam Physician 64(2):279-86 [PubMed]

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