Presentation
This patient punched a wall and was assessed in the ED for a possible boxer's fracture.
Patient Data
Age: 50
Gender: Male
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/25316/annotated_viewer_json?lang=us"}
There is metacarpophalangeal joint space narrowing and there are overhanging osteophytes of the metacarpal heads of the right index and long fingers. No fracture or dislocation.
From the case:
Hemochromatosis: hand arthropathy
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/25333/annotated_viewer_json?lang=us"}
Overhanging (hooked) osteophytes of the metacarpal heads of the right index.
Case Discussion
The overhanging osteophytes (a.k.a. hooked or beak-like osteophytes) at the heads of the metacarpals of index and long fingers are typical for hemochromatosis. Chondrocalcinosis is not prominent in this case. The main differential diagnosis of hemochromatosis is CPPD.
Unable to process the form. Check for errors and try again.