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Wrist Osteoarthrosis

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<v ->We turn our attention next to the wrist here again

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there's a differential diagnosis based

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upon distribution of alterations.

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An osteoarthrosis is the radial aspect

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of the wrist that's involved.

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Most commonly the first carpal metacarpal joint alone,

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or that combined with Triscaphe disease.

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Rarely Triscaphe disease alone.

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And if you see significant Triscaphe disease,

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think of pyrophosphate arthropathy.

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In rheumatoid arthritis early on

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radiocarpal, mid carpal, common carpal, metacarpal

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and distal radioulnar involvement.

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In calcium pyrophosphate disease

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as we talked about.

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Predilection for the radioscaphoid space

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and lunate capitate space.

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And in gout pan compartmental as I mention

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with particular involvement

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of the common carpal metacarpal joint.

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This is classic osteoporosis that we are looking at

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in the wrist.

Report

Faculty

Donald Resnick, MD

Professor Emeritus, Department of Radiology

University of California, San Diego

Carlos H. Longo, MD

Head of Radiology

Hospital Beneficência Portuguesa de São Paulo

Abdalla Skaf, MD

Head of the Department of Diagnostic Imaging Hospital HCor / Medical director of ALTA diagnostics (DASA group)

HCOR / DASA / TELEIMAGEM

Rodrigo Aguiar, MD, PhD

Professor of Radiology

Federal University of Paraná - Brazil

Marcelo D’Abreu, MD

Head of Radiology

Hospital Mae de Deus

Tags

X-Ray (Plain Films)

Musculoskeletal (MSK)

MSK

Hand & Wrist