1,817 results match your criteria Interphalangeal Joint Arthritis

Is a Vascularized Interphalangeal Unicondylar Transfer Worth the Efforts? Surgical Technique and Clinical Application.

Indian J Orthop 2022 Aug 6;56(8):1464-1468. Epub 2022 Jun 6.

Hand Surgery Unit EOC, Locarno's Regional Hospital, Locarno, Switzerland.

Interphalangeal joints (IPJ) play a key role in hand function for performing activities of daily living and are frequently involved in complicated injuries resulting in significant functional limitations such as secondary arthritis and stiffness being the most challenging. In adult patients with more than 5 mm bone loss of the proximal articular surface who request a functional interphalangeal joint with minimal pain a vascularized joint transfer is a treatment choice. A unicondylar loss more than 5 mm wide in a 22-year-old carpenter is reported and illustrates our experience with a vascularized unicondylar transfer showing the advantages compared to the "classic" total joint transfer or distal interphalangeal (DIP) joint arthrodesis. Read More

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Identification of candidate enhancers controlling the transcriptome during the formation of interphalangeal joints.

Sci Rep 2022 Jul 27;12(1):12835. Epub 2022 Jul 27.

Department of Biomedical Sciences, Laboratory of Molecular Genetics, Medical University of Lublin, Lublin, Poland.

The formation of the synovial joint begins with the visible emergence of a stripe of densely packed mesenchymal cells located between distal ends of the developing skeletal anlagen called the interzone. Recently the transcriptome of the early synovial joint was reported. Knowledge about enhancers would complement these data and lead to a better understanding of the control of gene transcription at the onset of joint development. Read More

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Formation of multiple ganglion cysts along the flexor tendon after open A1 pulley release for trigger finger: A case report.

Young Keun Lee

Medicine (Baltimore) 2022 Jul 22;101(29):e29663. Epub 2022 Jul 22.

Department of Orthopedic Surgery, Research Institute of Clinical Medicine of Jeonbuk National University - Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Jeonbuk, Republic of Korea.

Rationale: When surgical treatment is indicated for primary trigger finger, open A1 pulley release has traditionally been recommended with generally good results. However, ganglion cysts of the flexor tendon sheath as a complication after an open A1 pulley release were rarely reported. Therefore, the purpose of this study is to report a case of multiple ganglion cysts arising from the flexor tendon sheath in a patient undergoing an open A1 pulley release for trigger finger disorder with a review of the relevant literature. Read More

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The correlation of ultrasound-detected synovitis in an individual small joint with overall clinical disease activity in patients with rheumatoid arthritis.

Clin Rheumatol 2022 Jul 18. Epub 2022 Jul 18.

Department of Rheumatology and Clinical Immunology, Peking University First Hospital, No. 8, Xishiku Street, Beijing, 100034, China.

Objectives: To explore the correlation between the ultrasound-detected synovitis in each individual joint at metacarpophalangeal (MCP), proximal interphalangeal (PIP), and metatarsophalangeal (MTP) regions and the clinical disease activity in patients with rheumatoid arthritis (RA).

Methods: Clinical disease activity was assessed by disease activity score (DAS) based on 28-joint count and erythrocyte sedimentation rate (DAS28-ESR), C-reactive protein (DAS28-CRP), Simplified Disease Activity Index (SDAI), and Clinical Disease Activity Index (CDAI). Gray scale (GS) and power Doppler (PD) synovitis was assessed by ultrasound semi-quantitatively. Read More

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Seronegative rheumatic arthritis has milder inflammation and bone erosion in an ultrasound study of disease-modifying anti-rheumatic drugs (DMARDs)-naïve Chinese cohort.

Ann Transl Med 2022 Jun;10(12):661

Division of Rheumatology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Background: Compared with the seropositive rheumatic arthritis (sp-RA), seronegative rheumatic arthritis (sn-RA) lacks ultrasound (US) research. It is unknown whether sn-RA patients had more severe synovitis than sp-RA ones at the same level of swollen joint counts (SJCs). We designed the US study to find out the answers. Read More

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Efficacy of corticosteroids for hand osteoarthritis - a systematic review and meta-analysis of randomized controlled trials.

BMC Musculoskelet Disord 2022 Jul 13;23(1):665. Epub 2022 Jul 13.

School of Public Health and Preventive Medicine, Monash University, Melbourne, 553 St Kilda Road, Melbourne, Victoria, 3004, Australia.

Background: There is some evidence that corticosteroids may have a beneficial effect in hand osteoarthritis. We examined the efficacy of corticosteroids on symptoms and structural outcomes in hand osteoarthritis.

Methods: Ovid MEDLINE, Embase and Cochrane Central Register of Controlled Trials were searched from inception to October 2021 for randomized controlled trials investigating the efficacy of corticosteroids in hand osteoarthritis. Read More

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Mid-term to Long-term Follow-up Results of Reconstruction for Thumb Radial Polydactyly.

J Pediatr Orthop 2022 09 12;42(8):439-442. Epub 2022 Jul 12.

Pediatrics, School of Medicine, Kyungpook National University.

Background: Preaxial or radial polydactyly is one of the most common hand congenital anomalies in newborns. Contemporary reconstruction methods include ligament reconstruction, excision of the polydactylous thumb, osteotomy, and other surgical techniques according to the type of polydactyly. The purpose of this study was to report mid-term to long-term reconstruction results for thumb (radial) polydactyly. Read More

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September 2022

The effect of index finger distal interphalangeal joint arthrodesis on muscle forces and adjacent joint contact pressures.

Med Biol Eng Comput 2022 Sep 2;60(9):2537-2547. Epub 2022 Jul 2.

Aix-Marseille University, CNRS, ISM, 163 Avenue de Luminy BP 910 -13288, Cedex 09, Marseille, France.

Distal interphalangeal joint arthrodesis is a frequent surgical operation performed to treat severe arthritis. Nevertheless, the angle selected when fusing the joint is arbitrarily chosen without any quantified data concerning its mechanical effects, thus preventing the optimal choice for the patient. In the current study, we realized an experiment and developed a numerical model to investigate the effect of fusion angle on the biomechanics of adjacent non-operated joints. Read More

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September 2022

Spontaneous rupture of the extensor pollicis longus tendon in a lacrosse player.

Phys Sportsmed 2022 Jun 30:1-4. Epub 2022 Jun 30.

Department of Family Medicine, Louisiana State University Health Shreveport, Shreveport, LA, USA.

Spontaneous rupture of the extensor pollicis longus (EPL) tendon at the wrist has been reported with predisposing factors to include distal radius fractures, rheumatoid arthritis, systemic or local steroids, and repetitive abnormal motion of the wrist joint.We present a case of an 18-year-old college lacrosse player without history of known predisposing factors who presented with an acute inability to extend the interphalangeal (IP) joint of his right thumb. Preoperative musculoskeletal ultrasound demonstrated rupture of the EPL tendon proximal to the carpometacarpal (CMC) joint of the thumb. Read More

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Erosive Tophaceous Gouty Arthropathy of the Hand: A Case Report.

S D Med 2022 May;75(5):216-219

Sanford Orthopedics and Sports Medicine, Sioux Falls, South Dakota.

The presence of tophaceous gout in the hand is a classic finding seen in uncontrolled gout. Occasionally gouty tophi can be the initial physical finding in asymptomatic hyperuricemia. Composed of monosodium urate (MSU) crystals, gouty tophi can cause significant soft tissue and joint pathology. Read More

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Patient-Reported Outcomes 1 Year After Proximal Interphalangeal Joint Arthroplasty for Osteoarthritis.

J Hand Surg Am 2022 07 26;47(7):603-610. Epub 2022 May 26.

Department of Surgery, Reconstructive and Hand Surgery, Radboud UMC, Nijmegen, The Netherlands; Department of Plastic Surgery, Jeroen Bosch Ziekenhuis, 's-Hertogenbosch, The Netherlands.

Purpose: Implant survival, range of motion, and complications of proximal interphalangeal joint arthroplasty have been reported often, but patient-reported outcomes are less frequently described. This study evaluated patients' experiences during the first year after proximal interphalangeal joint arthroplasty, measured with the Michigan Hand Outcomes Questionnaire (MHQ). The primary focus was the reduction of patient-reported pain after proximal interphalangeal joint implant placement and the percentage of patients who considered this reduction clinically relevant, indicated by the minimal clinically important difference (MCID). Read More

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Primary repair of extensor pollicis longus rupture after volar locking plating for distal radial fracture.

Hand Surg Rehabil 2022 May 13. Epub 2022 May 13.

Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, 266 Munwha-ro, Jung-Gu, Daejeon, South Korea.

We presumed that primary repair would be possible if the extensor pollicis longus (EPL) rupture after volar locking plating (VLP) for distal radius fracture (DRF) was diagnosed earlier. Thus, five cases of EPL ruptures were resolved via primary repair rather than extensor indicis proprius (EIP) transfer, so we reported the clinical outcomes of at least 2 years follow-up since EPL repair. Of 588 consecutive patients with the fractures treated between January 2016 and December 2019, 501 who met out inclusion/exclusion criteria were initially investigated. Read More

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Effect of splint on pain, function and quality of life in trapeziometacarpal osteoarthritis patients?

Acta Orthop Belg 2022 Mar;88(1):179-185

Trapeziometacarpal (TM) Osteoarthritis is one of the most common osteoarthritis. It causes pain, loss of mobility and strength and affected function in daily life. Splint is one of the conservative treatments proposed to patients. Read More

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Clinical characteristics of pustulotic arthro-osteitis in Korea.

J Dermatol 2022 Aug 5;49(8):762-768. Epub 2022 May 5.

Department of Dermatology, Seoul National University Bundang Hospital, Seongnam, South Korea.

Pustulotic arthro-osteitis (PAO) has been studied primarily in Japan. However, there is a lack of research regarding its clinical features among large populations in other countries and it is often believed to be similar to psoriatic arthritis (PsA). Although the association between psoriasis (PsO) and palmoplantar pustulosis (PPP) is debatable, differences in the clinical characteristics between PsA and PAO might support the notion that PsO and PPP are distinct entities. Read More

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Can SARS-CoV-2 infection trigger rheumatoid arthritis? A case report.

Clin Case Rep 2022 Apr 18;10(4):e05748. Epub 2022 Apr 18.

Department of Rheumatology Mongi Slim Hospital Tunis Tunisia.

Inflammatory arthritis has been reported after SARS-COV-2 infection. We present a case of a 38-year-old female patient who developed polyarthralgia 1 month after SARS-COV-2 infection. Musculoskeletal examination was significant for synovitis of hands and wrists. Read More

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Retrospective Data Collection of Distal Interphalangeal Joint Fusion With X Fuse Superelastic Implant.

J Hand Surg Glob Online 2021 Nov 7;3(6):343-347. Epub 2021 Oct 7.

Twin Cities Orthopedics, Edina, MN.

Purpose: Arthrodesis of the distal interphalangeal joint of the fingers and interphalangeal joint of the thumb is a common procedure for multiple diagnoses. The purpose of this study was to evaluate fusion rates and complications in patients who have been previously implanted with an X Fuse superelastic implant (Stryker).

Methods: All patients who underwent distal interphalangeal and/or thumb interphalangeal joint fusion between June 2013 and May 2019 were included by the senior author. Read More

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November 2021

Dynamic Thumb Circumduction Measured With a Wearable Motion Sensor: A Prospective Comparison of Patients With Basal Joint Arthritis to Controls.

J Hand Surg Glob Online 2021 Jul 4;3(4):190-194. Epub 2021 Jun 4.

Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA.

Purpose: The purpose of this study was to compare the active range of motion in patients with thumb carpometacarpal (CMC) arthritis to healthy controls. A secondary objective of this study was to examine the feasibility of using wearable motion sensors in a clinical setting.

Methods: Asymptomatic controls and patients with radiographic and clinical evidence of thumb CMC joint arthritis were recruited. Read More

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Clinical characteristics of multicentric reticulohistiocytosis and distinguished features from rheumatoid arthritis: a single-center experience in China.

Orphanet J Rare Dis 2022 04 12;17(1):164. Epub 2022 Apr 12.

Department of Rheumatology and Clinical Immunology, Peking Union Medical College, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, National Clinical Research Center for Dermatologic and Immunologic Diseases, Ministry of Science& Technology, State Key Laboratory of Complex Severe and Rare Diseases, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing, 100730, China.

Objective: To investigate the clinical features of multicentric reticulohistiocytosis (MRH).

Methods: The clinical manifestations, laboratory examination results and histologic characteristics of eleven patients with MRH were collected and compared with those of 33 patients with rheumatoid arthritis.

Results: In total, 72. Read More

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Outcomes of Unconstrained Proximal Interphalangeal Joint Arthroplasty: A Systematic Review.

J Hand Surg Asian Pac Vol 2022 Apr 31;27(2):300-312. Epub 2022 Mar 31.

AToMS-Academic Team of Musculoskeletal Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK.

Unconstrained pyrocarbon and metal-on-polyethylene (MoP) proximal interphalangeal (PIP) joint arthroplasty is an increasingly popular alternative to silicone implants and arthrodesis. This systematic review appraises their outcomes. Thirty studies comprising 1,324 joints (813 pyrocarbon, 511 MoP) were included. Read More

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Outcomes of Multiple Digit Proximal Interphalangeal Joint Swanson Arthroplasty Done at a Single Operation.

J Hand Surg Asian Pac Vol 2022 Apr 31;27(2):280-284. Epub 2022 Mar 31.

Department of Trauma and Orthopaedics, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.

Proximal interphalangeal joint (PIPJ) arthroplasty using a Swanson implant is commonly used for the treatment of PIPJ arthritis despite newer implants being available. Many patients develop arthritis in more than one digit and some tend to have multiple digits operated on in their lifetime. There is paucity of literature on the outcomes of multiple PIPJ arthroplasty in one sitting. Read More

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Multimodal imaging of the distal interphalangeal-joint synovio-entheseal complex in psoriatic arthritis (MIDAS): a cross-sectional study on the diagnostic accuracy of different imaging modalities comparing psoriatic arthritis to psoriasis and osteoarthritis.

RMD Open 2022 03;8(1)

The Parker Institute, Frederiksberg, Denmark.

Objective: Can ultrasound (US), MRI and X-ray applied to the distal interphalangeal (DIP)-joint and synovio-entheseal complex (SEC) discriminate between patients with psoriatic arthritis (PsA), skin psoriasis (PsO) and hand osteoarthritis (OA)?

Methods: In this prospective, cross-sectional study, patients with DIP-joint PsA and nail involvement (n=50), PsO with nail involvement (n=12); and OA (n=13); were consecutively recruited. Risk ratios (RR) were calculated for US, MRI and X-ray findings of the DIP-joint and SEC between diagnoses.

Results: New bone formation (NBF) in US and MRI was a hallmark of OA, reducing the risk of having PsA (RR 0. Read More

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Usefulness of Ultrasound as a Predictor of Elderly-Onset Rheumatoid Arthritis with Polymyalgia Rheumatica-Like Onset.

Mod Rheumatol 2022 Mar 14. Epub 2022 Mar 14.

The First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

Objectives: Differentiation between polymyalgia rheumatica (PMR) and elderly onset rheumatoid arthritis (EORA), especially in elderly patients, is often difficult due to similarities in symptoms and serological kinetics. In this study, we aimed to analyze the predictors of EORA with PMR-like onset.

Methods: Seventy-two patients diagnosed with PMR, who attended our hospital for routine care and underwent musculoskeletal ultrasonography (MSUS) at that time were evaluated. Read More

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Distal Interphalangeal Joint Involvement May Be Associated with Disease Activity and Affected Joint Distribution in Rheumatoid Arthritis.

J Clin Med 2022 Mar 4;11(5). Epub 2022 Mar 4.

Department of Rheumatology, National Hospital Organization, Tokyo National Hospital, 3-1-1 Takeoka, Kiyose 204-8585, Japan.

We investigated the relationship between distal interphalangeal (DIP) joint involvement and disease activity in 10,038 patients with adult-onset rheumatoid arthritis (RA). The affected joint distribution was investigated using the joint indices (JI) , , and , corresponding to the upper and lower joints, and the predominance of large-joint involvement, respectively. DIP joint involvement (defined by the presence of tenderness and/or swelling in DIP joints) was present in 206 (2. Read More

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MRI and ultrasonography for detection of early interphalangeal osteoarthritis.

Joint Bone Spine 2022 Jul 4;89(4):105370. Epub 2022 Mar 4.

Department of Rheumatology, AP-HP, Henri Mondor Hospital, 94000 Créteil, France.

Objectives: To assess the interest of MRI and ultrasonography (US) in identifying early and advanced interphalangeal (IP) OA.

Methods: We conducted a case-control study including patients with symptomatic hand OA (n=33) and young healthy volunteers (n=26). Proximal and distal IP joints were graded according to Kellgren and Lawrence (KL) grades. Read More

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Arthroplasty of the Proximal Interphalangeal Joint With the TACTYS Prosthesis: Clinical and Radiographic Results With a Mean Follow-up of 5 Years.

Hand (N Y) 2022 Feb 26:15589447211030962. Epub 2022 Feb 26.

Maria Middelares Hospital, Ghent, Belgium.

Background: Degenerative arthritis of the proximal interphalangeal (PIP) joint of the long fingers is a common disorder affecting mainly a female middle-aged population. Conservative treatment is often effective, but in some cases, pain can persist which can lead to invalidating function. Besides denervation and arthrodesis, arthroplasty is a valuable alternative treatment. Read More

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February 2022

A Seven-Joint Ultrasound Score for Differentiating Between Rheumatoid and Psoriatic Arthritis.

Curr Rheumatol Rev 2022 Feb 15. Epub 2022 Feb 15.

Medical University of Plovdiv, Medical Faculty, Department of Internal Diseases; Plovdiv, Bulgaria | Rheumatology Clinic, University Hospital 'Kaspela'; Plovdiv, Bulgaria.

Background: Differentiating between a seronegative rheumatoid arthritis (RA) and psoriatic arthritis (PsA) presenting only with involvement of the small joints of the hands can be challenging. Implementing musculoskeletal ultrasound (US) to reveal specific patterns of joint and tendon involvement may have an added value in the management of early arthritis.

Objective: The aim was to investigate whether a seven-joint US score was able to distinguish between patients with RA and PsA. Read More

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February 2022

The ability to wear heeled footwear following first metatarsophalangeal joint fusion.

Foot Ankle Surg 2022 Jun 8;28(4):510-513. Epub 2022 Feb 8.

Foot and Ankle Unit, Ysbyty Ystrad Fawr, Ystrad Fawr Way, Ystrad Mynach, Hengoed, CF82 7EP, United Kingdom.

Introduction: Fusion remains the gold standard treatment for symptomatic first metatarsophalangeal joint (MTPJ) arthritis. Surgeons have traditionally advised female patients during the consenting process that they would have limitations or be unable to wear heeled footwear following first MTPJ fusion due to the loss of dorsiflexion at the first MTPJ. Anecdotally, surgeons have found that some patients were still able to continue wearing heeled footwear post fusion surgery. Read More

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Development of radiographic classification criteria for hand osteoarthritis: a methodological report (Phase 2).

RMD Open 2022 02;8(1)

Department of Economics, University of Otago, Dunedin, New Zealand.

Objectives: In Phase 1 of developing new hand osteoarthritis (OA) classification criteria, features associated with hand OA were identified in a population with hand complaints. Radiographic findings could better discriminate patients with hand OA and controls than clinical examination findings. The objective of Phase 2 was to achieve consensus on the features and their weights to be included in three radiographic criteria sets of overall hand OA, interphalangeal OA and thumb base OA. Read More

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February 2022

Ultrasound-detected tenosynovitis as a risk factor for flares in rheumatoid arthritis patients in clinical remission.

Clin Rheumatol 2022 Jun 1;41(6):1843-1849. Epub 2022 Feb 1.

University Institute Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Background: Our objective was to investigate the value of ultrasound (US) detected synovitis and tenosynovitis as risk factors for short term flare in rheumatoid arthritis (RA) patients in clinical remission.

Methods: Consecutive RA patients in clinical remission (DAS28 ERS < 2.6) for at least 3 months underwent Power Doppler ultrasound (PDUS) examination of 1st to 6th extensor compartments at the wrist, 2nd to 5th finger flexor, posterior tibial tendon, and peroneal tendons. Read More

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Arthrodesis of Ipsilateral Hallux Metatarsophalangeal and Interphalangeal Joints.

Foot Ankle Orthop 2021 Jan 25;6(1):2473011420983815. Epub 2021 Jan 25.

Baylor University Medical Center, Dallas, TX, USA.

Background: Arthrodesis of the ipsilateral hallux metatarsophalangeal (MTP) and interphalangeal (IP) joints may be required for severe arthritis or deformity at both joints. The purpose of this study was to review outcomes of ipsilateral first MTP and IP joint arthrodesis.

Methods: Twenty feet were identified, for which the diagnosis was rheumatoid arthritis in 14, failed hallux valgus surgery in 5, and hallux rigidus in 1. Read More

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January 2021