Question
The given X-ray of Hands is most likely of the patient of
(Also see colour pages)-
A. Osteoarthritis
B. Rheumatoid arthritis
C. Ankylosing spondylitis
D. Hemophilic arthritis
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Correct Answer » B Explanation |
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Answer-B. Rheumatoid arthritis
In the given X-ray
- There is periarticular osteopenia (see all metacarpo-phalangeal joint have radiolucent area around them)
- Some of the joint spaces (especially IP joints) are completely obliterated
- There is no new bone formation or subchondral sclerosis
- Some of IP joints have erosion of articular margins
- These are typical radiological findings of RA
Following features are seen on X-ray:-
- Reduced joint space
- Erosion of articular margins
- Subchondral cysts
- Juxta-articular rarefaction
- Soft tissue shadow at the level of the joint because of joint effusion or synovial hypertrophy
- Deformities of the hand and fingers
- Periarticular osteopmia (osteoporosis) → Earliest finding