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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Quick Clunk On 4th And 5th MCP Joints?

Bilaterally (but worse on the left) my 4th and 5th MCP joints flex about 3/4 of the way then sort of do a quick clunk (not audible - just not smooth). There is very little discomfort or stiffness. It is worse in the morning. It seems to be better when my diet is better. Could it be RA? What else could it be?
Fri, 28 Aug 2015
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case with diligence.

Small joints are involved in rheumatoid arthritis.
If not relieved then possibility of polyarthritis needs to be considered

Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain?
When such patients come to our hospital I advise them blood test like RA factor, ACCP, complete blood count, HLA B27

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
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What Causes Quick Clunk On 4th And 5th MCP Joints?

Hello, I have studied your case with diligence. Small joints are involved in rheumatoid arthritis. If not relieved then possibility of polyarthritis needs to be considered Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain? When such patients come to our hospital I advise them blood test like RA factor, ACCP, complete blood count, HLA B27 Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.