Stephen Bird

Hi Ray,

If it is rheumatoid I look for an erosion in the styloid process of the ulna,

I can’t see one here,

But I think I can see some crystals in the area of the TFCC,

This is a common location for CPPD deposition,

A plain radiograph may show CPPD in the TFCC area,

There is certainly tenosynovitis in the ECU area and this always makes me suspicious of rheumatoid and also gout.

A plain radiograph and a blood workup will help here.


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