A previously healthy, 28-year-old male complained of persistent pain at the IPJ
and inability to flex the IPJ
of the great toe for the past month.
The clawing, which involves hyperextension of the MCPJ and flexion of the proximal and distal IPJ
, is commonly known as Duchenne's sign.
Radiography showed destruction on the IPJ
and adjoining metatarsal simulating a malignancy on the first finger of right foot.
See also Norman Siebrasse & Anthony Duggan, "Protection of Creators' Rights in Insolvency" (2014) 26:3 IPJ
269 for a discussion of some of the issues raised in this case.
The process is relatively simple and uses Gekko's patented InLine Pressure Jig ("IPJ
"), InLine Leach Reactor ("ILR") and the Gekko Resin-Column for gold recovery.
AROM: goniometer Week 1: (flexion of IPJ
and MPJ) pain, ROM, PROM: thumb radial abduction.
The recommendations acknowledge that there may be specific subsets of hand OA, including interphalangeal joint (IPJ
) OA (which can occur with or without nodes), thumb-base OA, and erosive OA, all of which carry unique risk factors, associations, and outcomes.
"This past summer two of our interns had front-page stories in the Washington Times, another covered the all-night filibuster in the Senate for the Washington Examiner, while another won a coveted spot with CNN's White House team," IPJ
Director Joseph Starrs said.
International Paint Japan (IPJ
) has been awarded its first newbuilding contract for the supply of coatings for two Medmax LNG ships.
The awards is sponsored by the Institute on Political Journalism (IPJ
), an educational program sponsored by The Fund for American Studies and operated in cooperation with Georgetown University.