The bilateral 2[sup]nd–5[sup]th distal and proximal interphalangeal, thumb interphalangeal, and 1[sup]st–5[sup]th metacarpophalangeal and
carpometacarpal joints were graded according to the Kellgren-Lawrence grading scale.
a) Swollen or tender joint (excluding distal interphalangeal joints, first
carpometacarpal joints, first metatarsophalangeal joints); may be confirmed by imaging evidence of synovitis.
Figure 3 X-ray AP views both hands (a) showing short metacarpals with cone shaped (v shaped) epiphyses at
carpometacarpal joints (black arrows).
Distal interphalangeal joints, first
carpometacarpal joints, and first metatarsophalangeal joints were excluded from assessment.
The MR demonstrated extensive contrast in the mid-carpal joint and
carpometacarpal joints (Figure 1).
The range of extension of the shoulder, elbow, and
carpometacarpal joints was initially reduced but improved with daily passive range of motion therapy over the next week.
Concomitant injuries may include avulsion fractures of the base of the proximal phalanx, metacarpal fractures, and simultaneous instability of the metacarpophalangeal and
carpometacarpal joints.
Significant squaring of thebilateral
carpometacarpal joints and malalignment of the index fingers were also present.
The antagonist muscles act to stabilize the metacarpal and
carpometacarpal joints.
The X-rays of my neck and hands showed degenerative joint disease in my neck and as well in the
carpometacarpal joints in my hands.
The primary complaint was poorly localized to the dorsal aspect of the right wrist over the second and third
carpometacarpal joints, and the length of the second and third metacarpals.
joints, and 1st
carpometacarpal joints of both hands).
