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Finger Arthritis

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Other Names

  • DIP arthritis
  • Distal interphalangeal joint arthritis
  • PIP arthritis
  • Proximal interphalangeal joint arthritis
  • MCP Arthritis
  • Metacarpophalangeal joint arthritis
  • Finger osteoarthritis

Background

History

Epidemiology


Pathophysiology

Pathoanatomy


Risk Factors


Differential Diagnosis


Clinical Features

  • General: Physical Exam Hand
  • History
    • Patient will endorse pain, swelling, possibly deformity
    • May have history of injury earlier in life
  • Physical exam
    • Swelling (chronic), tenderness of affected joint(s)
    • Loss of range of motion
    • Bouchard's Node: hard, bony swelling of PIPJ
    • Heberden's Node: hard, bony swelling of DIPJ

Evaluation


Classification

  • N/A

Management

Nonoperative

Operative

  • MCPJ
    • Indications: failed conservative measures
    • Procedures: K-wire and tension bands, arthrodesis, arthroplasty
  • PIPJ
    • Indications: angular deformity affecting ADL, loss of function, debilitating pain
    • Procedure: Fusion, arthroplasty
  • DIPJ
    • Uncommon, indicated for debilitating pain
    • Procedure: Fusion

Return to Play

  • Not commonly seen in athletes
  • In adults interested in sport, restrictions vary with patient but are generally symptom base

Complications

  • Chronic pain
  • Loss of ADLs

See Also


References


  1. Rizzo, Marco. "Metacarpophalangeal joint arthritis." The Journal of hand surgery 36.2 (2011): 345-353.
Created by:
John Kiel on 25 October 2019 18:29:51
Authors:
Last edited:
28 October 2020 14:22:16
Categories: