We need you! See something you could improve? Make an edit and help improve WikSM for everyone.
Finger Arthritis
From WikiSM
Contents
Other Names
- DIP arthritis
- Distal interphalangeal joint arthritis
- PIP arthritis
- Proximal interphalangeal joint arthritis
- MCP Arthritis
- Metacarpophalangeal joint arthritis
- Finger osteoarthritis
Background
- This page describes all forms of arthropathies to the Metacarpophalangeal Joint, Proximal Interphalangeal Joint, and Distal Interphalangeal Joint
History
Epidemiology
Pathophysiology
- Main: Osteoarthritis
- DIP more commonly affected than PIP
Pathoanatomy
Risk Factors
- Rheumatoid Arthritis
- Inflammatory Arthropathies
- Trauma
- Gout
Differential Diagnosis
- Fractures
- Dislocations
- Tendinopathies
- Ligament Injuries
- Neuropathies
- Arthropathies
- Nail Bed Injuries
- Pediatric Considerations
- Other
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
- Standard Radiographs Hand
- Sufficient to make diagnosis
- In cases of unclear etiology, rheumatological workup may be indicated
Classification
- N/A
Management
Nonoperative
- First line treatment[1]
- Symptom management
- Splinting
- Medications: NSAIDS, Acetaminophen
- Procedures: Corticosteroid Injection
- In patients with RA, DMARDS are a consideration
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
- Hand and Wrist Anatomy (Main)
- Finger Pain (Main)
- Hand Pain (Main)
- Physical Exam Hand
- Osteoarthritis (Main)
External
- Sports Med Review Hand Pain: https://www.sportsmedreview.com/by-joint/hand/
References
- ↑ 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:
16 October 2022 00:21:54
Categories: