link
Bookmarks
Rheumatoid Arthritis of Wrist and Hand
B.J. Manaster, MD, PhD, FACR
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
23
4
0

KEY FACTS

  • Imaging

    • Clinical Issues

      • Diagnostic Checklist

        TERMINOLOGY

        • Abbreviations

          • Rheumatoid arthritis (RA)
        • Definitions

          • Chronic progressive systemic inflammatory disease in which joints are primary target

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Schueller-Weidekamm C et al: Contrast-enhanced MR imaging of hand and finger joints in patients with early rheumatoid arthritis: do we really need a full dose of gadobenate dimeglumine for assessing synovial enhancement at 3 T? Radiology. 268(1):161-9, 2013
                                          2. Navalho M et al: Bilateral MR imaging of the hand and wrist in early and very early inflammatory arthritis: tenosynovitis is associated with progression to rheumatoid arthritis. Radiology. 264(3):823-33, 2012
                                          3. Bøyesen P et al: Prediction of MRI erosive progression: a comparison of modern imaging modalities in early rheumatoid arthritis patients. Ann Rheum Dis. 70(1):176-9, 2011
                                          4. Rowbotham EL et al: Rheumatoid arthritis: ultrasound versus MRI. AJR Am J Roentgenol. 197(3):541-6, 2011
                                          5. Aletaha D et al: 2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum. 62(9):2569-81, 2010
                                          6. Narváez JA et al: MR imaging of early rheumatoid arthritis. Radiographics. 30(1):143-63; discussion 163-5, 2010
                                          7. Schwenzer NF et al: The role of dynamic contrast-enhanced MRI in the differential diagnosis of psoriatic and rheumatoid arthritis. AJR Am J Roentgenol. 194(3):715-20, 2010
                                          8. Cavaliere CM et al: Total wrist arthroplasty and total wrist arthrodesis in rheumatoid arthritis: a decision analysis from the hand surgeons' perspective. J Hand Surg [Am]. 33(10):1744-55, 1755, 2008
                                          9. Herzberg G: Management of bilateral advanced rheumatoid wrist destruction. J Hand Surg [Am]. 33(7):1192-5, 2008
                                          10. Kaiser GL et al: Functional outcomes after arthroplasty of the distal radioulnar joint and hand therapy: a case series. J Hand Ther. 21(4):398-409, 2008
                                          11. Lisbona MP et al: Etanercept reduces synovitis as measured by magnetic resonance imaging in patients with active rheumatoid arthritis after only 6 weeks. J Rheumatol. 35(3):394-7, 2008
                                          12. Ozgocmen S et al: Clinical evaluation and power Doppler sonography in rheumatoid arthritis: evidence for ongoing synovial inflammation in clinical remission. South Med J. 101(3):240-5, 2008
                                          13. Terslev L et al: Diagnostic sensitivity and specificity of Doppler ultrasound in rheumatoid arthritis. J Rheumatol. 35(1):49-53, 2008
                                          14. Trieb K: Treatment of the wrist in rheumatoid arthritis. J Hand Surg [Am]. 33(1):113-23, 2008
                                          15. Xie X et al: Quantitative, small bore, 1 Tesla, magnetic resonance imaging of the hands of patients with rheumatoid arthritis. Clin Exp Rheumatol. 26(5):860-5, 2008
                                          16. Hodgson RJ et al: Pharmacokinetic modeling of dynamic contrast-enhanced MRI of the hand and wrist in rheumatoid arthritis and the response to anti-tumor necrosis factor-alpha therapy. Magn Reson Med. 58(3):482-9, 2007
                                          17. Luukkainen R et al: Prognosis of 5-year radiographic erosions of the wrist according to early, late, and persistent wrist swelling or tenderness in patients with early rheumatoid arthritis. J Rheumatol. 34(1):50-3, 2007
                                          18. Wieners G et al: High-resolution MRI of the wrist and finger joints in patients with rheumatoid arthritis: comparison of 1.5 Tesla and 3.0 Tesla. Eur Radiol. 17(8):2176-82, 2007
                                          19. Voulgari PV et al: Persistent clinical response of infliximab therapy in patients with refractory rheumatoid arthritis, over a 3-year period. Curr Clin Pharmacol. 1(1):103-8, 2006
                                          20. Møller Døhn U et al: Erosive progression is minimal, but erosion healing rare, in rheumatoid arthritis patients treated with adalimumab. A 1 year investigator-initiated follow-up study using high-resolution computed tomography as the primary outcome measure. Ann Rheum Dis.
                                          Related Anatomy
                                          Loading...
                                          Related Differential Diagnoses
                                          Loading...
                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Imaging

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Rheumatoid arthritis (RA)
                                                • Definitions

                                                  • Chronic progressive systemic inflammatory disease in which joints are primary target

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Ultrasonographic Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Staging, Grading, & Classification

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Schueller-Weidekamm C et al: Contrast-enhanced MR imaging of hand and finger joints in patients with early rheumatoid arthritis: do we really need a full dose of gadobenate dimeglumine for assessing synovial enhancement at 3 T? Radiology. 268(1):161-9, 2013
                                                                                  2. Navalho M et al: Bilateral MR imaging of the hand and wrist in early and very early inflammatory arthritis: tenosynovitis is associated with progression to rheumatoid arthritis. Radiology. 264(3):823-33, 2012
                                                                                  3. Bøyesen P et al: Prediction of MRI erosive progression: a comparison of modern imaging modalities in early rheumatoid arthritis patients. Ann Rheum Dis. 70(1):176-9, 2011
                                                                                  4. Rowbotham EL et al: Rheumatoid arthritis: ultrasound versus MRI. AJR Am J Roentgenol. 197(3):541-6, 2011
                                                                                  5. Aletaha D et al: 2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum. 62(9):2569-81, 2010
                                                                                  6. Narváez JA et al: MR imaging of early rheumatoid arthritis. Radiographics. 30(1):143-63; discussion 163-5, 2010
                                                                                  7. Schwenzer NF et al: The role of dynamic contrast-enhanced MRI in the differential diagnosis of psoriatic and rheumatoid arthritis. AJR Am J Roentgenol. 194(3):715-20, 2010
                                                                                  8. Cavaliere CM et al: Total wrist arthroplasty and total wrist arthrodesis in rheumatoid arthritis: a decision analysis from the hand surgeons' perspective. J Hand Surg [Am]. 33(10):1744-55, 1755, 2008
                                                                                  9. Herzberg G: Management of bilateral advanced rheumatoid wrist destruction. J Hand Surg [Am]. 33(7):1192-5, 2008
                                                                                  10. Kaiser GL et al: Functional outcomes after arthroplasty of the distal radioulnar joint and hand therapy: a case series. J Hand Ther. 21(4):398-409, 2008
                                                                                  11. Lisbona MP et al: Etanercept reduces synovitis as measured by magnetic resonance imaging in patients with active rheumatoid arthritis after only 6 weeks. J Rheumatol. 35(3):394-7, 2008
                                                                                  12. Ozgocmen S et al: Clinical evaluation and power Doppler sonography in rheumatoid arthritis: evidence for ongoing synovial inflammation in clinical remission. South Med J. 101(3):240-5, 2008
                                                                                  13. Terslev L et al: Diagnostic sensitivity and specificity of Doppler ultrasound in rheumatoid arthritis. J Rheumatol. 35(1):49-53, 2008
                                                                                  14. Trieb K: Treatment of the wrist in rheumatoid arthritis. J Hand Surg [Am]. 33(1):113-23, 2008
                                                                                  15. Xie X et al: Quantitative, small bore, 1 Tesla, magnetic resonance imaging of the hands of patients with rheumatoid arthritis. Clin Exp Rheumatol. 26(5):860-5, 2008
                                                                                  16. Hodgson RJ et al: Pharmacokinetic modeling of dynamic contrast-enhanced MRI of the hand and wrist in rheumatoid arthritis and the response to anti-tumor necrosis factor-alpha therapy. Magn Reson Med. 58(3):482-9, 2007
                                                                                  17. Luukkainen R et al: Prognosis of 5-year radiographic erosions of the wrist according to early, late, and persistent wrist swelling or tenderness in patients with early rheumatoid arthritis. J Rheumatol. 34(1):50-3, 2007
                                                                                  18. Wieners G et al: High-resolution MRI of the wrist and finger joints in patients with rheumatoid arthritis: comparison of 1.5 Tesla and 3.0 Tesla. Eur Radiol. 17(8):2176-82, 2007
                                                                                  19. Voulgari PV et al: Persistent clinical response of infliximab therapy in patients with refractory rheumatoid arthritis, over a 3-year period. Curr Clin Pharmacol. 1(1):103-8, 2006
                                                                                  20. Møller Døhn U et al: Erosive progression is minimal, but erosion healing rare, in rheumatoid arthritis patients treated with adalimumab. A 1 year investigator-initiated follow-up study using high-resolution computed tomography as the primary outcome measure. Ann Rheum Dis.