eMedicine Specialties > Physical Medicine and Rehabilitation > Arthritis & Connective Tissue Disorders

Rheumatoid Arthritis: Multimedia

Author: Kavita Gupta, DO, MEng, Department of Orthopedics, Center of Physical Medicine and Rehabilitation, University of Dentistry and Medicine of New Jersey
Coauthor(s): Sarjoo M Bhagia, MD, Honorary Teaching Faculty, Charlotte Institute of Rehabilitation, Consulting Staff, Physical Medicine and Rehabilitation, OrthoCarolina
Contributor Information and Disclosures

Updated: Apr 5, 2009

Multimedia

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Media file 1: Ankylosis in the cervical spine at several levels due to long-standing juvenile rheumatoid arthritis (also known as juvenile idiopathic arthritis).

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Ankylosis in the cervical spine at several levels due to long-standing juvenile rheumatoid arthritis (also known as juvenile idiopathic arthritis).

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Media file 2: Widespread osteopenia, carpal crowding (due to cartilage loss), and several erosions affecting the carpal bones and metacarpal heads in particular in a child with advanced juvenile rheumatoid arthritis (also known as juvenile idiopathic arthritis).

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Widespread osteopenia, carpal crowding (due to cartilage loss), and several erosions affecting the carpal bones and metacarpal heads in particular in a child with advanced juvenile rheumatoid arthritis (also known as juvenile idiopathic arthritis).

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Media file 3: Rheumatoid changes in the hand. Photograph by David Effron MD, FACEP.

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Rheumatoid changes in the hand. Photograph by David Effron MD, FACEP.

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Media file 4: Rheumatoid nodules at the elbow. Photograph by David Effron MD, FACEP

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Rheumatoid nodules at the elbow. Photograph by David Effron MD, FACEP

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Media file 5: Soft-tissue swelling and early erosions in the proximal interphalangeal joints in a patient with rheumatoid arthritis of the hands.

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Soft-tissue swelling and early erosions in the proximal interphalangeal joints in a patient with rheumatoid arthritis of the hands.

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Media file 6: Prominent juxta-articular osteopenia in all interphalangeal joints in a patient with rheumatoid arthritis of the hands.

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Prominent juxta-articular osteopenia in all interphalangeal joints in a patient with rheumatoid arthritis of the hands.

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Media file 7: Subluxation in the metacarpophalangeal joints, with ulnar deviation, in a patient with rheumatoid arthritis of the hands.

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Subluxation in the metacarpophalangeal joints, with ulnar deviation, in a patient with rheumatoid arthritis of the hands.

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Media file 8: Coronal, T1-weighted magnetic resonance imaging (MRI) scan shows characteristic pannus and erosive changes in the wrist in a patient with active rheumatoid arthritis. Courtesy of J. Tehranzadeh, MD, University of California at Irvine.

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Coronal, T1-weighted magnetic resonance imaging (MRI) scan shows characteristic pannus and erosive changes in the wrist in a patient with active rheumatoid arthritis. Courtesy of J. Tehranzadeh, MD, University of California at Irvine.

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Media file 9: Lateral view of the cervical spine in a patient with rheumatoid arthritis shows erosion of the odontoid process.

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Lateral view of the cervical spine in a patient with rheumatoid arthritis shows erosion of the odontoid process.

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Media file 10: Boutonniere deformity.

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Boutonniere deformity.

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Media file 11: Anteroposterior radiograph of the knee shows uniform joint-space loss in the medial and lateral knee compartments without osteophytosis. A Baker cyst is seen medially (arrowhead).

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Anteroposterior radiograph of the knee shows uniform joint-space loss in the medial and lateral knee compartments without osteophytosis. A Baker cyst is seen medially (arrowhead).

More on Rheumatoid Arthritis

Overview: Rheumatoid Arthritis

Differential Diagnoses & Workup: Rheumatoid Arthritis

Treatment & Medication: Rheumatoid Arthritis

Follow-up: Rheumatoid Arthritis

Multimedia: Rheumatoid Arthritis

References

Allaire S, Wolfe F, Niu J, et al. Current risk factors for work disability associated with rheumatoid arthritis: recent data from a US national cohort. Arthritis Rheum. Mar 15 2009;61(3):321-8. [Medline].
Areskoug-Josefsson K, Oberg U. A literature review of the sexual health of women with rheumatoid arthritis. Musculoskeletal Care. Feb 25 2009;[Medline].
Ahlmen M, Svensson B, Albertsson K, et al. Influence of gender on assessments of disease activity and function in early rheumatoid arthritis in relation to radiographic joint damage. Ann Rheum Dis. Jan 21 2009;[Medline].
Jorgensen KT, Pedersen BV, Jacobsen S, et al. National cohort study of reproductive risk factors for rheumatoid arthritis in Denmark - a role for hyperemesis, gestational hypertension, and pre-eclampsia?. Ann Rheum Dis. Mar 15 2009;[Medline].
Luqmani R, Hennell S, Estrach C, et al. British Society for Rheumatology and British Health Professionals in Rheumatology guideline for the management of rheumatoid arthritis (after the first 2 years). Rheumatology (Oxford). Jan 27 2009;[Medline]. [Full Text].
Goldenberg DL. The interface of pain and mood disturbances in the rheumatic diseases. Semin Arthritis Rheum. Feb 12 2009;[Medline].
Barry MA, Purser J, Hazleman R, et al. Effect of energy conservation and joint protection education in rheumatoid arthritis. Br J Rheumatol. Dec 1994;33(12):1171-4. [Medline].
Guccione AA. Physical therapy for musculoskeletal syndromes. Rheum Dis Clin North Am. Aug 1996;22(3):551-62. [Medline].
Jain R, Lipsky PE. Treatment of rheumatoid arthritis. Med Clin North Am. Jan 1997;81(1):57-84. [Medline].
Klippel JH, ed. Primer on the Rheumatic Diseases. 13^th ed. New York, NY: Springer; 2008.
Lipsky PE. Rheumatoid arthritis. In: Isselbacher KJ, Braunwald E, Fauci AS, et al, eds. Harrison's Principles of Internal Medicine. 17^th ed. New York, NY: McGraw-Hill; 1994:1648-55.
Nicholas JJ. Physical modalities in rheumatological rehabilitation. Arch Phys Med Rehabil. Sep 1994;75(9):994-1001. [Medline].
Nicholas JJ. Rehabilitation of patients with rheumatic disorders. In: Braddom RL, ed. Physical Medicine and Rehabilitation. Philadelphia, Pa: Saunders; 1996:711-27.

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Keywords

rheumatoid arthritis, arthritis, rheumatoid, arthritis pain, arthritis treatment, arthritis symptoms, rheumatology, juvenile arthritis, arthritis knee, arthritis medicine, hip arthritis, juvenile rheumatoid, rheumatoid factor, symptoms of arthritis, swan-neck deformity, rheumatoid arthritis symptoms, juvenile rheumatoid arthritis, rheumatoid arthritis treatment, treatment for rheumatoid arthritis, rheumatoid arthritis drug, inflammatory arthritis, symptoms of rheumatoid arthritis, rheumatoid arthritis rehabilitation

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Contributor Information and Disclosures

Author

Kavita Gupta, DO, MEng, Department of Orthopedics, Center of Physical Medicine and Rehabilitation, University of Dentistry and Medicine of New Jersey
Kavita Gupta, DO, MEng is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, American Osteopathic Association, Association of Academic Physiatrists, and Pennsylvania Medical Society
Disclosure: Nothing to disclose.

Coauthor(s)

Sarjoo M Bhagia, MD, Honorary Teaching Faculty, Charlotte Institute of Rehabilitation, Consulting Staff, Physical Medicine and Rehabilitation, OrthoCarolina
Sarjoo M Bhagia, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, Association of Academic Physiatrists, North American Spine Society, and Physiatric Association of Spine, Sports and Occupational Rehabilitation
Disclosure: Nothing to disclose.

Medical Editor

Milton J Klein, DO, MBA, Consulting Physiatrist, Heritage Valley Health System-Sewickley Hospital, Allegheny General Hospital, and Ohio Valley General Hospital.
Milton J Klein, DO, MBA is a member of the following medical societies: American Academy of Disability Evaluating Physicians, American Academy of Medical Acupuncture, American Academy of Osteopathy, American Academy of Physical Medicine and Rehabilitation, American Medical Association, American Osteopathic Association, American Osteopathic College of Physical Medicine and Rehabilitation, American Pain Society, and Pennsylvania Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Patrick M Foye, MD, FAAPMR, FAAEM, Associate Professor of Physical Medicine and Rehabilitation, Co-Director of Musculoskeletal Fellowship, Co-Director of Back Pain Clinic, Director of Coccyx Pain Service (Tailbone Pain Service: www.TailboneDoctor.com), University of Medicine and Dentistry of New Jersey, New Jersey Medical School
Patrick M Foye, MD, FAAPMR, FAAEM is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, American Association of Neuromuscular and Electrodiagnostic Medicine, Association of Academic Physiatrists, and International Spine Intervention Society
Disclosure: Nothing to disclose.

CME Editor

Kelly L Allen, MD, Regional Medical Director, IMX-Medical Management Services
Disclosure: Nothing to disclose.

Chief Editor

Denise I Campagnolo, MD, MS, Director of Multiple Sclerosis Clinical Research and Staff Physiatrist, Barrow Neurology Clinics, St Joseph's Hospital and Medical Center; Investigator for Barrow Neurology Clinics; Director, NARCOMS Project for Consortium of MS Centers
Denise I Campagnolo, MD, MS is a member of the following medical societies: Alpha Omega Alpha, American Association of Neuromuscular and Electrodiagnostic Medicine, American Paraplegia Society, Association of Academic Physiatrists, and Consortium of Multiple Sclerosis Centers
Disclosure: Teva Neuroscience Honoraria Speaking and teaching; Serono-Pfizer Honoraria Speaking and teaching

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eMedicine Specialties > Physical Medicine and Rehabilitation > Arthritis & Connective Tissue Disorders

Rheumatoid Arthritis: Multimedia

Multimedia

Ankylosis in the cervical spine at several levels due to long-standing juvenile rheumatoid arthritis (also known as juvenile idiopathic arthritis).

Widespread osteopenia, carpal crowding (due to cartilage loss), and several erosions affecting the carpal bones and metacarpal heads in particular in a child with advanced juvenile rheumatoid arthritis (also known as juvenile idiopathic arthritis).

Rheumatoid changes in the hand. Photograph by David Effron MD, FACEP.

Rheumatoid nodules at the elbow. Photograph by David Effron MD, FACEP

Soft-tissue swelling and early erosions in the proximal interphalangeal joints in a patient with rheumatoid arthritis of the hands.

Prominent juxta-articular osteopenia in all interphalangeal joints in a patient with rheumatoid arthritis of the hands.

Subluxation in the metacarpophalangeal joints, with ulnar deviation, in a patient with rheumatoid arthritis of the hands.

Coronal, T1-weighted magnetic resonance imaging (MRI) scan shows characteristic pannus and erosive changes in the wrist in a patient with active rheumatoid arthritis. Courtesy of J. Tehranzadeh, MD, University of California at Irvine.

Lateral view of the cervical spine in a patient with rheumatoid arthritis shows erosion of the odontoid process.

Boutonniere deformity.

Anteroposterior radiograph of the knee shows uniform joint-space loss in the medial and lateral knee compartments without osteophytosis. A Baker cyst is seen medially (arrowhead).

More on Rheumatoid Arthritis

References

Further Reading

Keywords

Contributor Information and Disclosures

Author

Coauthor(s)

Medical Editor

Pharmacy Editor

Managing Editor

CME Editor

Chief Editor