Presentation
Painful small joints in both hands, raising the possibility of osteoarthritis.
Patient Data
Age: 80 years
Gender: Female
From the case:
Triphalangeal thumb
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Extra middle phalanx bilaterally, with delta shape appearance of the extra-phalanges.
Mild erosive osteoarthritis of the proximal and distal interphalangeal joints of the 2nd to he 5th fingers of the right hand showing narrowing of the joint spaces and mild central erosions giving the gull wing appearance.
Case Discussion
Bilateral triphalangeal thumbs. Appearance on the left could be mistaken for previous trauma.
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