rheumatoid arthritis

Question 1

what direction does the hand deviate to in rheumatoid arthritis

Answer 1

ulnar deviation

Question 2

what are heberden’s nodes

what disease does it suggest

Answer 2

nodes occurring at PIPJ of hand

osteoarthritis of the hand

Question 3

what are Bouchard’s nodes

what disease does it suggest

Answer 3

nodes occurring at DIPJ of hand

osteoarthritis of hand

Question 4

what disease is heberden’s and Bouchard’s nodes associated with

Answer 4

osteoarthritis of the hand

Question 5

what is a swan neck deformity?

what disease does it suggest?

Answer 5

DIPJ flexion with PIPJ hyperextension

rheumatoid arthritis of hand

Question 6

what is a Z-deformity, what disease does it suggeest

Answer 6

hyperextended thumb IP joint + flexed MCPJ

suggests rheumatoid arthritis

Question 7

what is a boutonniere deformity, what disease does it suggest

Answer 7

PIPJ flexion + DIPJ hyperextension

suggests Rh arthritis

Question 8

findings to look for on hand exam, that suggest Rh arthritis

Answer 8

MCP squeeze test +ve
ulnar deviation
boutonniere/swan neck deformity
z-thumb