• Buzz Words
    • anatomic location
      • MCP
      • Carpals
      • Ulnar Styloid
      • Triquetrum
      • PIP
      • DIP spared
      • Symmetry
      • Marginal Erosions
      • Periarticular Osteopenia
    • Disease
      • Inflammatory Synovial Pannus
  • RHEUMATOID ARTHRITIS
    Showing degenerative and erosive changes dominantly at the MCP joints , intercarpal joints, ulnar carpal and radiocarpal joints and to lesser extent the PIP joints. There is ulnar deviation more prominent on the right hand
    Ashley Davidoff MD
    SWAN NECK DEFORMITY
    3D reconstruction typifying a swan neck deformity of the 3rd digit characterized by hyperextension of the proximal interphalangeal (PIP) joint and
    compensatory flexion of the distal interphalangeal (DIP) joint
    This deformity is also seen in
    scleroderma
    psoriatic arthritis
    and systemic lupus erythematosus arthropathy.
    Ashley Davidoff MD

     

  • Late changes include:
    • Swan neck deformity Boutonniere deformity
    • Ulnar deviation of the MCP joints
    • Carpal instability – ulnar translocation
    • Ankylosis

References and Links

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Radiopaedia