20240412 OA - Dr Lim WY

Which condition below do we see Gull wing sign on xray of hand?

• RA

• PsA

• EOA

• OA

• Gout

A 35-year-old man presents with longstanding wrist pain and deformity. The radiograph shows aggressive erosions and uniform joint space loss throughout the wrist and MCP joints in a bilateral, symmetric pattern. Which one of the following conditions is most likely?

• RA

• PsA

• EOA

• OA

• Gout

A 76-year-old female teacher came to you with persistent pain and discomfort when pinching and grasping. Her xray showing 1^st CMCJ arthritis, she had failed conservative management and is keen for surgical treatment. You are required to council her for surgical intervention, particularly on benefit of LRTI, which of the below is true?

• LRTI show improve stability post op

• LRTI improve range of movement post op

• LRTI reduce incidence of symptomatic subsidence

• LRTI show no benefit

• LRTI show improved functional outcome in long term follow up

Which is the most important stabilizer for 1^st CMCJ?

• Intermetacarpal ligament

• Dorsalradial ligament

• Deep anterior oblique ligament

• Adductor policis tendon

• Deep posterior oblique ligament

A 67-year-old retired lady presents to you in clinic with persistent pain over radial wrist and difficulty opening jar. She had tried conservative for 6 months but no improvement was noted. Her Xray show stage 4 Eaton littler classification of 1^st CMCJ arthritis. Which of the following is best suited for her condition

• 1^st CMCJ arthrodesis

• Littler-Eaton procedure

• 1^st Metacarpal osteotomy

• Scaphotrapezialtrapezoidal fusion

• Carpometacarpal arthroplasty