In rheumatoid arthritis which part of spinal column is involved -
Ans. is 'a' i.e., Cervical Articular manifestations in rheumatoid arthritis* Rheumatoid arthritis can affect any of the synovial joints.* Most commonly the disease starts classically in the joints of hand and feet i.e. PIP, MCP and MTP with involvementof large joints occurring later.A) The hands# These are the major site of involvement in almost all patients with rheumatoid arthritis.# Of particular importance is the sparing of distal interphalangeal joint# Most commonly the disease starts in proximal interphalangeal joint. (PIP), and metacarpophalangeal joint (MCP).B) The Feet# Metatarsophalangeal joints are particularly involved in almost all cases of rheumatoid arthritis and are second only to hand involvement.C) Wrist# Involved in most patients; radial deviation is the rule.D) Large joints# Involvement of large joint (knee, elbows, hips and shoulders) is common but occurs somewhat later than small joint.E) Other joints# Upper cervical spine (facet joint) with atlantoaxial subluxation and temporomandibular joint.Symmetric involvement of the joint is also an important feature of articular involvement in rheumatoid arthritis.
Cervical
Dorsal
Lumbar
Sacral
Arthritis