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
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
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).