Para-articularly

Only sometimes little para-articularly localized ossicles are found .

Rheumatoid arthritis (RA), the hallmark of which is the presence of an intense inflammation o fthe synovium, is a systemic autoimmune inflammatory disease that causes secondary osteoporosis para-articularly as well as systemically ( Figure 9.15 ).

The first finger is fixed in extension position with a syringe needle para-articularly (Fig. 29.16c)