Presentation
Acute on chronic wrist pain. No history of trauma.
Patient Data
Age: 75 years
Gender: Female
From the case:
Severe wrist rheumatoid arthritis
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Info
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Complete destruction and subluxation of the first carpometacarpal joint. Erosive subluxation of the metacarpophalangeal joints with ulnar deviation. Loss of the distal radioulnar joint space with dorsal subluxation. Severe radiocarpal erosive arthropathy. Large erosion of the ulnar aspect of the 5th CMC joint. Appearances are in keeping with severe rheumatoid arthritis. Erosive OA of the 2nd-4th PIP joints.
Case Discussion
Severe case of rheumatoid arthritis with deformity.