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XRMusculoskeletalConfirmedFRCR 2B
Pediatric acro-osteolysis
Clinical Presentation
Bilateral hand and wrist pain concerning for arthritis.
- 1Mild negative ulnar variance bilaterally
- 2No other gross deformity is evident.Minimal periarticular osteopenia in the fingers considering technique bilaterally.Mild diffuse acro-osteolysis of the distal phalanges of 2nd and 3rd digits bilaterally with small soft tissue calcification adjoining the tuft of distal phalanx of the left 3rd digit is most consistent with scleroderma.The joint spaces are preserved
- 3No discrete joint erosions are evident.