Association of Comorbid Interphalangeal Joint Pain and Erosive Osteoarthritis With Worse Hand Function in Individuals With Symptomatic Thumb Base Osteoarthritis

2020 ◽  
Vol 72 (5) ◽  
pp. 685-691 ◽  
Author(s):  
Leticia A. Deveza ◽  
Sarah R. Robbins ◽  
Vicky Duong ◽  
Anne Wajon ◽  
Edward A. Riordan ◽  
...  
Keyword(s):  
Joint Pain ◽  
Hand Function ◽  
Interphalangeal Joint ◽  
Erosive Osteoarthritis

X-ray Guided Steroid Injections for Proximal Interphalangeal Joint Osteoarthritis of the Fingers

2017 ◽  
Vol 22 (02) ◽  
pp. 214-218 ◽  
Author(s):  
Clare A. Miller ◽  
Stephen Dalgleish ◽  
Quentin Cox
Keyword(s):  
Simple Procedure ◽  
Hand Function ◽  
Image Intensifier ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Prospective Audit ◽  
Range Of Movement ◽  
Steroid Injections ◽  
X Ray ◽  
Pain Scores

Background: Osteoarthritis of the finger proximal interphalangeal joints (PIPJ's) is common and severely limits hand function. Intra-articular steroid injections are frequently used, but there is little research assessing this treatment option. Methods: This was a prospective audit of patients undergoing intra-articular steroid injections into the PIPJ under image intensifier guidance. The aims were to assess the duration of pain relief, hand function and range of movement following this procedure. Fifty injected joints were followed up at six weeks, three and six months. Results: There were significant improvements in both pain scores and the range of movement for up to three months. Analgesia requirements decreased and hand function improved up to three months. By six months, patients were approaching their preinjection scores. Conclusions: X-ray guided injections are a simple procedure which can be effectively performed in the out- patient setting, resulting in satisfied patients with improved hand function and pain scores.

Effect of anaesthesia of the palmar digital nerves on proximal interphalangeal joint pain in the horse

2010 ◽  
Vol 36 (5) ◽  
pp. 409-414 ◽  
Author(s):  
J. SCHUMACHER ◽  
L. LIVESEY ◽  
F. J. GRAVES ◽  
J. SCHUMACHER ◽  
M. C. SCHRAMME ◽  
...  
Keyword(s):  
Joint Pain ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint

A modified Terrono classification for Type 1 thumb deformity in rheumatoid arthritis: a cross-sectional analysis

2019 ◽  
Vol 45 (2) ◽  
pp. 187-192
Author(s):  
Shogo Toyama ◽  
Ryo Oda ◽  
Maki Asada ◽  
Satoru Nakamura ◽  
Masato Ohara ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Hand Function ◽  
Metacarpophalangeal Joint ◽  
Interphalangeal Joint ◽  
Strongly Correlated ◽  
Range Of Movement ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Joint Preserving Surgery

The most common thumb deformity in rheumatoid arthritis is Nalebuff Type 1 deformity (boutonniere deformity). Type 1 deformity severely impairs hand function, and this impairment is evaluated by the Terrono classification. In some cases, the Terrono classification incorrectly categorizes advanced thumb deformity into earlier stages. We modified the Terrono classification by assessing the active range of motion of the interphalangeal joint prior to assessing the passive range of movement of the metacarpophalangeal joint. An active range of movement of the interphalangeal joint was strongly correlated with hand function. In 55 hands that we treated between 2004 and 2015, we compared the modified classification with the original Terrono classification. Our modified classification could detect advanced deformity earlier, and was more strongly correlated with hand function. Additionally, correlation analysis showed that advanced Type 1 deformity should be treated first, even in cases with severe ulnar drift. Our results suggest that the modified classification may benefit the treatment of Type 1 deformity, including joint-preserving surgery. Level of evidence: III

scholarly journals A controlled study of hand function in nodal and erosive osteoarthritis.

1989 ◽  
Vol 48 (12) ◽  
pp. 978-982 ◽  
Author(s):  
M Pattrick ◽  
S Aldridge ◽  
E Hamilton ◽  
A Manhire ◽  
M Doherty
Keyword(s):  
Hand Function ◽  
Controlled Study ◽  
Erosive Osteoarthritis

Clinical significance of proximal interphalangeal joint pain in patients with trigger fingers

2018 ◽  
Vol 44 (4) ◽  
pp. 379-384
Author(s):  
Jin Young Kim ◽  
Gook Jin Choi ◽  
Dong Mo Kang
Keyword(s):  
Surgical Outcomes ◽  
Joint Pain ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Trigger Finger ◽  
Symptom Duration ◽  
Pain Group ◽  
Level Of Evidence ◽  
Comparison Of The Results ◽  
A1 Pulley

We investigated incidence, clinical features and surgical outcomes of trigger finger accompanied by proximal interphalangeal joint pain. One-hundred and seventy-nine consecutive patients with trigger finger who had A1 pulley release were recruited. Forty-two patients (24%) complained of proximal interphalangeal joint pain at the time of surgery. Symptom duration was investigated, and tenderness at the proximal interphalangeal joint was palpated. Range of motion and pain score of the affected finger were measured pre- and post-operatively. Bone scan was performed to identify joint lesions. A comparison of the results between the proximal interphalangeal joint pain group and the non-proximal interphalangeal joint pain group shows that the proximal interphalangeal joint pain seemed to result from long symptom duration and consequent joint pathology. The proximal interphalangeal joint pain was incompletely resolved after A1 pulley release. Thus, the surgical outcomes might be worse than expected in spite of resolution of painful clicking, especially when there was additional joint tenderness on palpation. Level of evidence: IV

Arthrodesis of Little Finger Distal Interphalangeal Joint in Flexion to Regain Sporting Ability

2017 ◽  
Vol 22 (01) ◽  
pp. 83-87
Author(s):  
S.M. Beecher ◽  
D.E. O’Briain ◽  
J.P. Ng ◽  
E. Murphy ◽  
M.E. O’Sullivan
Keyword(s):  
Grip Strength ◽  
Hand Function ◽  
Interphalangeal Joint ◽  
Bony Union ◽  
Posttraumatic Arthritis ◽  
Distal Interphalangeal Joint ◽  
Full Extension ◽  
Distal Interphalangeal ◽  
Post Traumatic ◽  
Little Finger

Background: Finger injuries are common in the sport of hurling. Injury to the little finger distal interphalangeal joint (DIPJ) often occurs when a high dropping ball impacts on the outstretched finger. The little finger contributes to approximately 15% of grip strength. Injury therefore results in reduced grip strength and may impair the ability of players to grip or catch a ball. Methods: Six elite hurlers with post-traumatic arthritis of their non-dominant little finger DIPJ underwent arthrodesis in 30 degrees of flexion. Kirchner wires were inserted for up to 8 weeks to achieve fusion of the joint. Patients were evaluated after recovery using a dynamometer to assess grip strength, the DASH questionnaire and a sport specific questionnaire. Results: All arthrodeses achieved bony union without complication. All patients reported a resolution of their pain and recovery in their ability to catch & retain a ball. Measurements of grip strengths were comparable between hands. DASH scores improved by up to 47 points. All scores were less than 5 at final follow-up. Conclusions: Grip strength decreases when fingers are immobilized in full extension. In sports that require catching or gripping a ball or a bat, arthrodesis of the DIP joint in flexion can improve grip strength and hand function. Fusion in 30 degrees of flexion for hurlers results in restoration of function and resolution of pain. Little finger DIPJ arthrodesis is a valid method of treating posttraumatic arthritis in ball and bat sports.

scholarly journals Effectiveness of adaptive silverware on range of motion of the hand

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e1667 ◽  
Author(s):  
Susan S. McDonald ◽  
David Levine ◽  
Jim Richards ◽  
Lauren Aguilar
Keyword(s):  
Range Of Motion ◽  
Repeated Measures ◽  
Hand Function ◽  
Metacarpophalangeal Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Distal Interphalangeal ◽  
Main Effects ◽  
Minimal Research

Background.Hand function is essential to a person’s self-efficacy and greatly affects quality of life. Adapted utensils with handles of increased diameters have historically been used to assist individuals with arthritis or other hand disabilities for feeding, and other related activities of daily living. To date, minimal research has examined the biomechanical effects of modified handles, or quantified the differences in ranges of motion (ROM) when using a standard versus a modified handle. The aim of this study was to quantify the ranges of motion (ROM) required for a healthy hand to use different adaptive spoons with electrogoniometry for the purpose of understanding the physiologic advantages that adapted spoons may provide patients with limited ROM.Methods.Hand measurements included the distal interphalangeal joint (DIP), proximal interphalangeal joint (PIP), and metacarpophalangeal joint (MCP) for each finger and the interphalangeal (IP) and MCP joint for the thumb. Participants were 34 females age 18–30 (mean age 20.38 ± 1.67) with no previous hand injuries or abnormalities. Participants grasped spoons with standard handles, and spoons with handle diameters of 3.18 cm (1.25 inch), and 4.45 cm (1.75 inch). ROM measurements were obtained with an electrogoniometer to record the angle at each joint for each of the spoon handle sizes.Results.A 3 × 3 × 4 repeated measures ANOVA (Spoon handle size by Joint by Finger) found main effects on ROM of Joint (F(2, 33) = 318.68, Partialη2= .95,p< .001), Spoon handle size (F(2, 33) = 598.73, Partialη2= .97,p< .001), and Finger (F(3, 32) = 163.83, Partialη2= .94,p< .001). As the spoon handle diameter size increased, the range of motion utilized to grasp the spoon handle decreased in all joints and all fingers (p< 0.01).Discussion.This study confirms the hypothesis that less range of motion is required to grip utensils with larger diameter handles, which in turn may reduce challenges for patients with limited ROM of the hand.

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