Jenniefer Y. Kho, MD

A 60-year-old right-hand dominant pianist presented to clinic with complaints of pain and swelling of her left long finger metacarpophalangeal joint. She reported mild symptoms during the past 15 years, but the pain had significantly worsened during the last year and a half. She also reported mild discomfort in her left index metacarpophalangeal and right small metacarpophalangeal joints. There was no history of trauma or other inciting event.