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Case studies are posted regularly and the moderators response follows a few days after a case is posted. Please feel free to post your ideas we may find you have a better answer than the moderator!

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Is Something Missing? - 3/25/2007
The x-ray in this photo tells a story. By looking at this x-ray you should be able to determine the patients diagnosis and what procedure was done or should be done to help this patient.

Moderators Response:
The patient has bilateral CMCJ OA. The left thumb has had an LRTI to reconstruct the tendon. The trapezium has been excised and this is noted by the spaceat the end of the first metacarapal. This patient also has pain in her right thumb and you can see that the right thumb is subluxing some with the stress view that you are seeing in this x-ray.
 
Name:
Comment:
 
3/27/2007
marilyn
Challenge to see, appears to be a left cmc arthroplasty and has step off on right thumb cmc, if painful pt could benefit from a r cmc arthroplasty as well possibly left index and long are arthritic and in need of splinting/repair....thanks for posting these tests...fun and can keep us on our toes
3/27/2007
Anonymous
CMC arthroplasty - anchovy procedure
3/28/2007
Anonymous
MP Joints are maligned left , arthritic condition
3/28/2007
bb
Hard to see, but, the L appears to be CMC arthoplasty with anchcovy and the R appears to be in need of a CMC replacement as well.
3/29/2007
Otto
Could it be a left trapezectomy?
4/2/2007
AnonymousT
CMC arthroplasty
4/18/2007
Anonymous
left trapezium, LRTI maybe? right thumb has dorsal subluxation possibly UCL injury.
6/11/2007
Anonymous
L thumb arthroplasty, R thumb CMC probably in need of arthroplasty
8/19/2007
BK
Looks like wrist arthrosis, probable DJD/RA L. Looks like dorsal subluxation right with 1st CMC arthritis. Arthroplasty right FCR or APL interposition
7/2/2008
Arthroplasty
Arthroplasty of MP
11/12/2011
Anonymous
RA, splinting
 
     
   
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