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Hand & Wrist Exam


July 7th, 2019


  • Signs of Osteoarthritis

  • Muscle wasting
  • Evidence of active arthritis - swelling, erythema, tenderness
  • Reduced joint range of motion
  • Heberden's nodes: firm swelling over the distal interphalangeal joints
  • Bouchard's nodes: firm swelling over the proximal interphalangeal joints
  • Varus knee deformity
  • X-Ray Findings in Osteoarthritis

  • Reduced joint space - generally asymmetric
  • Subchondral sclerosis - increased bone deposition surrounding the joint
  • Subchondral cysts: cystic formations around the joint
  • Osteophytes: bony projections along the joint line
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