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Rheumatoid Arthritis, Hands: Multimedia
Updated: May 10, 2007
Multimedia
 | Media file 1: Soft-tissue swelling and early erosions in the proximal interphalangeal joints in a patient with rheumatoid arthritis of the hands. |
 | Media file 2: Prominent juxta-articular osteopenia in all interphalangeal joints in a patient with rheumatoid arthritis of the hands. |
 | Media file 3: Well-defined bony erosions in the carpal bones and metacarpal bases in a patient with rheumatoid arthritis of the hands. |
 | Media file 4: Multiple erosions with deformity of the carpal bones in a patient with rheumatoid arthritis of the hands. |
 | Media file 5: Follow-up radiograph obtained after an 18-month interval in a patient with rheumatoid arthritis of the hands (same patient as in Image 4). Ankylosis of the carpal bones has occurred, with enlargement of the erosions. |
 | Media file 6: Subluxation in the metacarpophalangeal joints, with ulnar deviation, in a patient with rheumatoid arthritis of the hands. |
 | Media file 7: Subluxation at the third metacarpophalangeal joint and marginal erosions at the heads of the second to fourth metacarpals in a patient with rheumatoid arthritis of the hands. |
 | Media file 8: Marked ankylosis of most of the carpal bones in a patient with rheumatoid arthritis of the hands. |
 | Media file 9: Partial collapse of fused carpal bones with subluxation at the radiocarpal joint in a patient with rheumatoid arthritis of the hands. |
 | Media file 10: Sagittal fat-saturated T2-weighted magnetic resonance image (MRI) scan of the ring finger shows fluid with high signal intensity around the flexor tendons resulting from tenosynovitis in a patient with rheumatoid arthritis of the hands. |
 | Media file 11: Coronal T1-weighted MRI 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. |
 | Media file 12: Coronal T2-weighted spin-echo MRI shows bright erosive changes in a patient with rheumatoid arthritis of the hands. Courtesy of J. Tehranzadeh, University of California at Irvine. |
 | Media file 13: Sagittal T1-weighted MRI shows erosive changes in the lunate, capitate, and metacarpal bases in a patient with rheumatoid arthritis of the hands. Courtesy of J. Tehranzadeh, University of California at Irvine. |
 | Media file 14: Illustration of the scanning technique. Photograph depicts the typical scanning technique with application of the Entos Probe to the volar (flexor) aspect of the third metacarpophalangeal joint. The technique allows visualization of the joint surfaces, flexor tendon, and synovial sheaths in patients with rheumatoid arthritis. |
 | Media file 15: Amplitude color Doppler sonogram in a patient with active rheumatoid arthritis. Dorsal (extensor) surface of the second metacarpophalangeal joint is imaged. Intense-amplitude Doppler color flow signal demarcates the inflamed synovium (ie, joint pannus) resulting from severe hyperemia. Solid arrows indicate the extensor tendon sheath and dorsal and volar margins. Straight open arrow indicates the synovium of the joint overlying the proximal phalanx of the second digit. Curved open arrow indicates the inflamed synovium overlying the metacarpal. The asterisk indicates a small amount of anechoic fluid in the joint space. |
 | Media file 16: Power Doppler image shows hyperemic blood flow in the flexor tendon sheath in a patient with rheumatoid arthritis of the hands. |
 | Media file 17: Ultrasonography-guided synovial biopsy of the second metacarpophalangeal joint of the right hand in a patient with rheumatoid arthritis of the hands. The biopsy needle is seen as a straight echogenic line on the left side of the image in an oblique orientation. |
More on Rheumatoid Arthritis, Hands |
| Overview: Rheumatoid Arthritis, Hands |
| Imaging: Rheumatoid Arthritis, Hands |
| Follow-up: Rheumatoid Arthritis, Hands |
 Multimedia: Rheumatoid Arthritis, Hands |
| References |
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References
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Further Reading
Keywords
RA, human leukocyte antigen, DR4, DRB1, joint deformity, joint fusion, metacarpophalangeal joint, MCP joint, proximal interphalangeal joint, PIP joint, thumb interphalangeal joint, IP joint, distal interphalangeal joint, DIP joint, swan-neck deformity, boutonnière deformity, button-hole deformity, inflammatory joint disease, rheumatoid nodules
