Most common diseases associated with X ray findings in the hands

Most common diseases associated with X ray findings in the hands

What are the most common diseases associated with the following radiographic changes seen in the hands

  • • Extensive arthritis of multiple DIP joints
    • – Primary OA
    • – Psoriatic arthritis
    • – MRH
  • • Thumb CMC joint arthritis
    • – Primary OA
  • • Index and long finger MCP joint arthritis
    • – Hemochromatosis: hook-like osteophytes involving all the MCPs
    • CPPD: involves primarily index and long finger MCPs.
    • Acromegaly (initially widened joint spaces, later osteoarthritic changes)
    • – RA or psoriatic arthritis if erosive changes
  • • Arthritis mutilans of the hands (or feet)
    • – Psoriatic arthritis
    • – RA
    • – Chronic gouty arthritis
    • MRH
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