Question 1495
{"accessible":true,"alternatives":[{"id":7470,"text":"erosive oseoarthritis"},{"id":7471,"text":"gout"},{"id":7472,"text":"psoriatic arthritis"},{"id":7473,"text":"reactive arthritis"},{"id":7474,"text":"rheumatoid arthritis"}],"archived":false,"correctAlternativeId":7470,"explanation":"\u003cp\u003eThis is an arthropathy involving the distal fingers and thumb base characterized by joint space narrowing and marginal osteophytes. In addition, there are central articular erosions giving rise a \"gull-wing appearance\" best seen at the 2nd finger proximal interphalangeal joint. The features are of erosive osteoarthritis.\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","id":1495,"imageUrl":"https://prod-images-static.radiopaedia.org/images/8575718/96336bde40f935a015aa9dc4160300_big_gallery.jpg","imageAttribution":{"kind":"case","rID":31356},"imageAttributionCaseInfo":{"title":"Erosive osteoarthritis","contributor_name":"Matt Skalski","contributor_param":"docskalski","case_rid":31356,"case_param":"erosive-osteoarthritis-4"},"firstQuestionPath":"/questions/3052","nextQuestionPath":"/articles/rheumatoid-arthritis/questions/1409","relatedArticles":[{"id":1395,"title":"Gout","link":"/articles/gout?lang=us"},{"id":1794,"title":"Osteoarthritis","link":"/articles/osteoarthritis?lang=us"},{"id":10715,"title":"Psoriatic arthritis","link":"/articles/psoriatic-arthritis?lang=us"},{"id":25753,"title":"Reactive arthritis","link":"/articles/reactive-arthritis?lang=us"},{"id":10756,"title":"Erosive osteoarthritis","link":"/articles/erosive-osteoarthritis?lang=us"},{"id":21252,"title":"Gull-wing appearance (phalanges)","link":"/articles/gull-wing-appearance-phalanges-1?lang=us"},{"id":76287,"title":"Osteoarthritis of the hand","link":"/articles/osteoarthritis-of-the-hand?lang=us"}],"alsoUsedIn":[{"id":252,"kind":"Course","title":"X-ray of Adult Hand Arthropathies","link":"https://radiopaedia.org/courses/x-ray-of-adult-hand-arthropathies"},{"id":647,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 647","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/647"},{"id":647,"kind":"Course","title":"Musculoskeletal Lectures - page 647","link":"https://radiopaedia.org/courses/musculoskeletal-lectures/pages/647"},{"id":647,"kind":"Course","title":"2020 Virtual Conference Private Use - page 647","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/647"}],"stem":"\u003cp\u003eA 70-year-old female presents with hand pain. A PA hand and wrist x-ray is shown.\u0026nbsp;What is the most likely diagnosis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1495"}],"attemptsPercentages":[{"alternativeId":"7470","percentage":57},{"alternativeId":"7473","percentage":2},{"alternativeId":"7472","percentage":14},{"alternativeId":"7471","percentage":1},{"alternativeId":"7474","percentage":26}],"promptToLogin":false,"questionManager":false,"articleId":"rheumatoid-arthritis"}