Web 2.0 transcripts:
15/2/2025
Asymptomatic hands of a surgeon in her seventies still doing surgeries daily (essentially doing great in terms of functionality). Notice the z deformity, boutonniere and MCP joints. She couldn't be bothered to take an x-ray but just noted that she may have noticed the z deformity of the thumb earliest and attributed it to her handling the artery forceps.
Inputs from Prof Michele Meltzer:
I do not think she has rheumatoid arthritis. Her MCP’s look okay. She likely has OA of DIP’s. The deformity of the right thumb is likely OA as well. She may have injured right 5 th PIP years ago or deformity may run in family. I agree with your patient. No work up needed unless she has systemic symptoms. And congratulations on still operating.
1/8/25:
Examined her MCP joints by palpation:
No features of synovium thickening!
