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Mutilating rheumatoid arthritis of the wrist

Case contributed by: Dr Roberto Schubert

Presentation:

End-stage RA. Planned radiation synovectomy.

Patient Data:

Age: 58

Gender: Female

Race: Caucasian

From the case: Mutilating rheumatoid arthritis of the wrist

Modality: X-ray

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Severe osteoarthitis of the wrist and distal radioulnar joints. Several erosions at the distal radius, ulna and the carpal bones. Mutilation of the ulnar head with slight ulnar deviation of the carpus. Joint space narrowing, sclerosis and osteophytes at the MP II joint.