examine this patient's hand.
desribe your findings.
there is Heberden's nodules at the base of DIJ and Buuchard's nodules at the PIJ.
there squiring of the first metacapal due to subluxation.
now assess functional status.
examin for hip and knee involvement.
what are the typical radiological features?
how would you manage this patient?
x ray:
ReplyDelete1-narrowing of the joint space.
2-osteophytes.
3-subchondrial sclerosis.
4-cyst formation.
management should focus on symptoms and disablility.
ReplyDelete1-physical therapy
2-drugs
paracetamol
NSAID's
intra articular steroids
3-surgery
joint replacement