Rheumatoid Arthritis

Definition: Chronic, symmetric,

systemic, inflammatory joint disease
Ulnar drift
ACR CLASSIFICATION CRITERIA FOR
RA
Six weeks #1-5
1. Morning Stiffness at least one hour
2. Arthritis of 3 or more joints
3. Arthritis of hand joints
4. Symmetric arthritis: bilateral=
symmetrical
5. Rheumatoid nodule
6. Serum Rheumatoid factors
7. Radiographic changes
RADIOGRAPHIC CHANGES
A-alignment
B- bone density and surface
C- Cartilaginous space
RA: Marginal Erosion with Juxta-articular
osteoporosis.
OA: Non-uniform joint space loss in
association with bone sclerosis and
marginal osteophyte.
Spondyloartophanties: SI jointperiosteal new bone formation and
ankylosis
Gout: soft-tissue tophaceous deposits
and marginal erosion wt. large
bony overhangs. (uric)

Pseudogout: Calcinosis of fibrocartilage

CLINICAL DIAGNOSTIC CRITERIA
Clinical Presentation: Hx and Physical
Exam
Laboratory Radiograph
SIGNS AND SYMPTOMS
Systemic Manifestation:
Morning stiffness > 3 minutes
Anorexia
Weight Loss
Fatigue
Joint Involvement:
Bilateral & Symmetrical
Cardinal signs of inflammation
Arthralgia
Crepitus
Cervical Spine (c1-c2)
Decrease ROM
Can result to life threatening
situation
Wrist MCP
Flexion contracture
Volar subluxation, Radial deviation
of carpals, ulnar deviation of MCP
Proximal Interphalangeal
Swan-neck joint
Boutonniere