Summary: Dr. Cerniglia presents a simple “ABCDEs” pneumonic (adapted from ABCs of Dr. Forrester’s original monograph Radiology of Joint Disease) to structure an approach to hand and wrist radiographs in patients with suspected or known arthritis:

A = Alignment

B = Bone production & density

C = Cartilage space

D = Distribution

E = Erosions

S = Soft tissues

The possible findings of each of these radiographic features are introduced. Specific arthritis features will be discussed in more details in upcoming episodes.

Host: Hao Lo, MD. Assistant Professor of Radiology, Division of Emergency Radiology, UMMS Dept of Radiology.

Guest: Christopher Cerniglia, DO, ME, FAOCR. Associate Professor of Radiology, Division of Musculoskeletal Imaging & Intervention, UMMS Dept of Radiology.

Resources:

• Brewer, AC, Flemming, DJ, Bernard, SA (2012). Chapter 2: Evaluation of the Hand Film. Arthritis in Black and White, 3rd edition. Philadelphia, PA. Elsevier.