RHEUMATOID ARTHRITIS-RADIOLOGY (PROGRESSION)

SUMMARY

EARLY CHANGES
1. Involvement of MCPJ, PIPJ, sparing of the DIPJ2. Erosion of the head of MC & ulna styloid
3. Reduction in joint space

LATE CHANGES
1. Loss of joint space
2. Carpal destruction
3. MCPJ & PIPJ subluxation

4. Z-deformity of thumb
5. PIPJ erosion: active disease

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].