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[Rheumatic wrist].

S Rozenberg1, A C Koeger, P Bourgeois

  • 1Service de Rhumatologie, Groupe Hospitalier la Pitié-Salpêtrière, Paris.

Annales De Radiologie
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

Inflammatory rheumatism often affects the wrist, presenting diverse clinical and radiological signs. Early detection through imaging aids diagnosis and management of various wrist arthropathies.

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Area of Science:

  • Rheumatology
  • Radiology
  • Orthopedics

Background:

  • The wrist is a common site for inflammatory rheumatism, exhibiting varied clinical and radiological manifestations.
  • Isolated wrist involvement can present diagnostic challenges, necessitating a thorough understanding of specific arthropathies.

Purpose of the Study:

  • To elucidate the clinical and radiological features of wrist involvement in different inflammatory rheumatic diseases.
  • To differentiate between various conditions based on their characteristic wrist presentations.

Main Methods:

  • Review of clinical and radiological findings in patients with inflammatory rheumatism affecting the wrist.
  • Comparison of imaging features (X-ray, MRI) across different rheumatic diseases.

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Main Results:

  • Rheumatoid wrist: synovitis, nerve compression, deformities; X-rays show soft tissue swelling and cartilage destruction; MRI detects early lesions.
  • RS3PE (Rheumatoid Arthritis of the Elderly): no destructive lesions.
  • Still's disease: predominantly radiocarpal/intercarpal joints.
  • Jaccoud's hand (lupus): non-destructive MTP dislocations.
  • Ankylosing spondylitis: asymmetrical wrist involvement.
  • Psoriatic rheumatism: similar to RA but less demineralization, later onset, constructive lesions.

Conclusions:

  • Clinical and radiological assessment is crucial for diagnosing isolated wrist inflammatory rheumatism.
  • Distinctive features differentiate rheumatoid arthritis, RS3PE, Still's disease, Jaccoud's hand, ankylosing spondylitis, and psoriatic rheumatism affecting the wrist.