Osteoarthritis of the Interphalangeal and Metacarpophalagneal Joints of the Hand

2020 ◽  
Author(s):  
Andrew J. Straszewski ◽  
Jennifer Moriatis Wolf
Keyword(s):  
Hyaluronic Acid ◽  
Physical Examination ◽  
Female Gender ◽  
Metacarpophalangeal Joint ◽  
Interphalangeal Joint ◽  
Hand Osteoarthritis ◽  
Progression Of Disease ◽  
Initial Work ◽  
Distal Interphalangeal ◽  
Work Up

Hand surgeons frequently treat osteoarthritis of the interphalangeal (IP) and metacarpophalangeal (MCP) joints. Age, female gender, occupation, genetics, biomechanics, obesity, and joint laxity have been implicated in the progression of disease. Physical examination and standard three-view imaging of the hand aid in initial work up. Many conservative treatments exist, including physical therapy, splinting, anti-inflammatories, and injection of corticosteroid or hyaluronic acid.  With the failure of conservative therapies, surgical management is dictated by the particular joint in question. The distal interphalangeal (DIP) joints of fingers and IP joint of the thumb are more commonly treated by arthrodesis, whereas proximal interphalangeal (PIP) joints are treated with arthroplasty. Likewise, MCP  joints of the fingers are typically managed with arthroplasty. The thumb MCP joint is more commonly fused.  This review contains 7 figures, 4 tables, and 54 references. Keywords: hand osteoarthritis, interphalangeal joint, metacarpophalangeal joint, anatomy, arthroplasty, silicone, arthrodesis, biomechanics, outcomes

scholarly journals Night-time immobilization of the distal interphalangeal joint reduces pain and extension deformity in hand osteoarthritis

Rheumatology ◽  
2014 ◽  
Vol 53 (6) ◽  
pp. 1142-1149 ◽  
Author(s):  
F. E. Watt ◽  
D. L. Kennedy ◽  
K. E. Carlisle ◽  
A. J. Freidin ◽  
R. M. Szydlo ◽  
...  
Keyword(s):  
Interphalangeal Joint ◽  
Hand Osteoarthritis ◽  
Distal Interphalangeal Joint ◽  
Night Time ◽  
Distal Interphalangeal

Osteoarthritis of the hand

2011 ◽  
Author(s):  
David Warwick ◽  
Roderick Dunn ◽  
Erman Melikyan ◽  
Jane Vadher
Keyword(s):  
Operative Treatment ◽  
Biomechanical Properties ◽  
Metacarpophalangeal Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Common Disease ◽  
Distal Interphalangeal Joint ◽  
Progressive Degeneration ◽  
Diarthrodial Joints ◽  
Distal Interphalangeal

Introduction 254Digital joint replacement 256Scaphoid–trapezium–trapezioid joint 258Thumb CMCJ arthritis 260Non-operative treatment for thumb CMC OA 262Operative treatment for thumb CMCJ OA 264Finger carpometacarpal joint 269Metacarpophalangeal joint 270Proximal interphalangeal joint 272Distal interphalangeal joint 274Common disease of diarthrodial joints. Primary aetiology is characterized by progressive degeneration of articular cartilage: a manifestation of an abnormal state of chondrocyte metabolism, loss of certain tissue components, alterations in microstructure and changes in biomechanical properties....

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.

Rheumatology

2019 ◽  
pp. 609-620
Keyword(s):  
Rheumatoid Arthritis ◽  
Soft Tissues ◽  
Clinical Signs ◽  
Metacarpophalangeal Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Autoimmune Conditions ◽  
Osteoporosis Risk Factors ◽  
Drug Treatments ◽  
Distal Interphalangeal

Chapter 31 gives an overview of rheumatology, the study of rheumatic conditions which can involve the joints, soft tissues, and bones and also comprises connective tissue disorders, vasculitides, and a number of autoimmune conditions. The chapter outlines patterns of rheumatological disease (e.g. mono-, oligo-, and polyarthropathies), symmetrical versus asymmetrical presentations of disease, and explains how to try and differentiate between inflammatory and non-inflammatory disorders. The chapter provides information on common drug treatments, including dangerous side effects from improperly prescribed methotrexate. Advice is given on history taking and detailed hand examination, with clinical signs of rheumatoid arthritis: Swan neck deformity, Boutonniere’s deformity, Z deformity of thumb, Bouchard’s nodes (proximal interphalangeal joint), Heberden’s nodes (distal interphalangeal joint, first metacarpophalangeal joint), finger ulnar deviation (metacarpophalangeal joint), and wrist radial deviation and subluxation. The most common rheumatological disorders are discussed, including rheumatoid arthritis, spondyloarthropathy, ankylosing spondylitis, psoriatic arthritis, gout, and osteoporosis (including the ‘MESSAGE’ mnemonic for osteoporosis risk factors). The Chapel Hill classification for vasculitides is also covered.

INDEX OF SUSPICION

1995 ◽  
Vol 16 (1) ◽  
pp. 37-39
Author(s):  
Gregory P Conners ◽  
Paul W. Sheeran ◽  
Harry S. Miller
Keyword(s):  
Early Diagnosis ◽  
Physical Examination ◽  
Martial Arts ◽  
Ring Finger ◽  
Distal Portion ◽  
Interphalangeal Joint ◽  
Practice Session ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal ◽  
Case Presentations

This section of Pediatrics in Review reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to write possible diagnoses for each case before turning to the discussion, which is on the following page. We invite readers to contribute case presentations and discussions. Case 1 Presentation A 16-year-old right-handed girl comes to you complaining of a "funny bend" in her left ring finger. She first noticed it 2 days ago, after a martial arts practice session during which she was blocking kicks with her bare hands. After practice, she had pain and considerable ecchymosis in the distal portion of her finger and was unable to extend her distal interphalangeal joint (DIP) fully. The finger has not improved after 2 days of rest, ice, and ibuprofen. She denies other medical or orthopedic problems and has been taking no other medications. On physical examination, the DIP joint of her left ring finger assumes a position of 30 degrees of flexion at rest; she can flex the joint fully but is unable to extend it beyond the resting position.

scholarly journals Radiographic analysis of the angle in the lateromedial projection of the metacarpophalangeal joint and the distal interphalangeal joint in metacarpophalangeal flexural deformities in calves

2018 ◽  
Vol 5 (1) ◽  
pp. e000271 ◽  
Author(s):  
Ayano Sato ◽  
Osamu Ishii ◽  
Motoshi Tajima
Keyword(s):  
Proximal Phalanx ◽  
Metacarpophalangeal Joint ◽  
Metacarpal Bone ◽  
Interphalangeal Joint ◽  
Clinical Severity ◽  
Middle Phalanx ◽  
Distal Interphalangeal Joint ◽  
Lateral Angle ◽  
Significant Difference ◽  
Distal Interphalangeal

The bone alignment of the metacarpophalangeal joint (MPJ) of the distal interphalangeal joint (DIPJ) in metacarpophalangeal flexural deformity (MPFD) in calves was evaluated by radiography. This study was designed by retrospective study of radiographs. Lateral to medial radiographs of distal forelimbs were taken from 19 MPFD affected calves (35 forelimbs) and 21 normal calves (42 forelimbs). Based on the radiographs, the lateral angles of MPJ were measured from the metacarpal bone axis and proximal phalanx axis, and lateral angles of DIPJ were measured from the middle phalanx axis and distal phalanx axis. Mean lateral angle of MPJ in the normal limbs was 175.9 (95% CI 174.5 to 177.4). Mean lateral angles of MPJ in MPFD were as follows: mild: 167.1 (158.9–175.2), moderate: 165.1 (158.5–171.7) and severe: 150.6 (146–155.1). MPJ angle in MPFD limbs was narrower than that in the normal limbs (mild, moderate and severe: P=0.017, P=0.003 and P<0.001, respectively). Mean lateral angle of DIPJ in the normal limbs was 211.9 (210.7–213.2). Mean lateral angles of DIPJ in moderate: 200.6 (195.2–206.1) and severe: 204.9 (203.3–206.5) MPFD were narrower than that in the normal limbs (both P<0.001). There was no significant difference between the normal limbs and mild: 210.3 (206.9–213.7) MPFD limbs (P=0.7). The clinical severity of MPFD corresponded well with the lateral angle of MPJ. The flexion of DIPJ in moderate and severe MPFD was similar to the flexion of MPJ in MPFD. This suggested that the lateral to medial radiographs accurately reflected the MPJ flexion and the DIPJ in MPFD in calves, providing useful information for the treatment of MPFD.

Evaluation of the diffusion of corticosteroids between the distal interphalangeal joint and navicular bursa in horses

2008 ◽  
Vol 232 (9) ◽  
pp. 1343-1343
Author(s):  
Frederik E. Pauwels ◽  
James Schumacher ◽  
Fernando A. Castro ◽  
Troy E. Holder ◽  
Roger C. Carroll ◽  
...  
Keyword(s):  
Interphalangeal Joint ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal
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