1,659 results match your criteria Interphalangeal Joint Arthritis


Predicting Imaging Remission in Rheumatoid Arthritis: a Case-control Ultrasound Study.

J Korean Med Sci 2020 Aug 10;35(31):e260. Epub 2020 Aug 10.

Division of Rheumatology, Department of Internal Medicine, Kyung Hee University Hospital, School of Medicine, Kyung Hee University, Seoul, Korea.

Background: To elucidate the achievement rates of imaging remission and to examine the characteristics associated with imaging remission status among patients with rheumatoid arthritis (RA) who have attained clinical remission.

Methods: Ninety-seven patients with RA patients who had attained clinical remission, defined by DAS28-ESR < 2.6 were enrolled. Read More

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http://dx.doi.org/10.3346/jkms.2020.35.e260DOI Listing

Surgical Management of Monoarticular Rheumatoid Arthritis of the Fifth Metatarsophalangeal Joint.

Orthop Surg 2020 Aug 9. Epub 2020 Aug 9.

Department of Orthopedics, The First Hospital of China Medical University, Shenyang, China.

Objective: To investigate the clinical and radiological outcomes in patients with monoarticular rheumatoid arthritis of the fifth metatarsophalangeal joint after Weil osteotomy.

Methods: From July 2011 to September 2015, 18 feet of 16 rheumatoid arthritis patients who underwent Weil osteotomy of the fifth metatarsal toe with a mean age at the time of surgery of 48.8 ± 7. Read More

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http://dx.doi.org/10.1111/os.12725DOI Listing

Nonunion and Reoperation Following Proximal Interphalangeal Joint Arthrodesis and Associated Patient Factors.

Hand (N Y) 2020 Aug 8:1558944720939196. Epub 2020 Aug 8.

University of Cincinnati Medical Center, OH, USA.

Background: Proximal interphalangeal joint (PIPJ) arthrodesis can provide reliable pain relief and restore hand function in patients with PIPJ arthritis. However, there is a paucity of literature on patient-specific preoperative risk factors that are associated with adverse outcomes after PIPJ arthrodeses. Therefore, the primary purpose of this study was to assess preoperative predictors of nonunion and reoperation after PIPJ arthrodesis. Read More

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http://dx.doi.org/10.1177/1558944720939196DOI Listing

Healing of erosions in rheumatoid arthritis remains elusive: results with 24 months of the anabolic agent teriparatide.

Scand J Rheumatol 2020 Aug 6:1-4. Epub 2020 Aug 6.

Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital , Boston, MA, USA.

Objective: Erosion healing in rheumatoid arthritis (RA) is difficult to demonstrate. This extension study aimed to determine whether 2 years of teriparatide (TPTD) produces erosion healing.

Method: Subjects in a previous 12 month randomized controlled trial of TPTD in RA were invited to receive 12 additional months of open-label TPTD. Read More

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http://dx.doi.org/10.1080/03009742.2020.1772362DOI Listing

Septic Tenosynovitis of the Digital Flexor Tendon Sheath in 83 Cattle.

Animals (Basel) 2020 Jul 30;10(8). Epub 2020 Jul 30.

Department of Farm Animals and Veterinary Public Health, University Clinic for Ruminants, University of Veterinary Medicine Vienna, 1210 Vienna, Austria.

Septic tenosynovitis of the digital flexor tendon sheath (DFTS) is the second most prevalent infection of deeper structures of the distal limb in cattle, after septic arthritis of the distal interphalangeal (DIP) joint. Depending on the type of infection and the involvement of adjacent anatomical structures, various surgical techniques may be used for therapy: Incising the DFTS to resect one or both digital flexor tendons (RDFT), additional resection of the DIP joint (RDIP) or additional digital amputation (RAMP). Our goal was to describe clinical findings and outcome in cattle patients (euthanasia vs. Read More

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http://dx.doi.org/10.3390/ani10081303DOI Listing

Long-term radiographic and histological follow-up after resection of the distal interphalangeal joint using a plantar approach in German Holstein cows.

Res Vet Sci 2020 Jul 24;132:328-331. Epub 2020 Jul 24.

Clinic for Ruminants and Swine, Faculty of Veterinary Medicine, University of Leipzig, An den Tierkliniken 11, 04103 Leipzig, Germany.

Resection of the distal interphalangeal joint (DIJ) is a claw-preserving method for treatment of septic arthritis. This study presents the radiographic and histological findings of the surgically-treated area after resection of the DIJ using a plantar approach in seven German Holstein cows. Histological postmortem evaluation 439 to 710 days after surgery showed that there was extensive proliferation of connective tissue rich in collagen fibres in the space left after resection in three cows; this was classified as fibrous ankylosis. Read More

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http://dx.doi.org/10.1016/j.rvsc.2020.07.014DOI Listing

Joint-Preserving Surgery for Hyperextension Deformity of the Hallux Interphalangeal Joint in a Patient with Rheumatoid Arthritis.

Case Rep Orthop 2020 8;2020:5843095. Epub 2020 Jul 8.

Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.

Interphalangeal hyperextension is one of the major hallux deformities in patients with rheumatoid arthritis; however, there is yet no established surgical method for this deformity. We here present the case of a 69-year-old female patient with rheumatoid arthritis who developed hallux interphalangeal hyperextension and painful callosity on the plantar hallux accompanied by limited dorsiflexion at the metatarsophalangeal joint. Lateral weight-bearing radiograph of the foot revealed misalignment of the medial column and hallux, including a collapsed medial arch, elevated first metatarsal, plantar flexion and deviation of the proximal phalanx, and hyperextension of the distal phalanx. Read More

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http://dx.doi.org/10.1155/2020/5843095DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7366201PMC

The Effect of Ring Finger Distal Interphalangeal Joint Stiffness on Grip Strength: A Simulated Study in Normal Participants.

J Hand Surg Asian Pac Vol 2020 Sep;25(3):296-300

The Hooper Hand Surgery Unit, St John's Hospital, Livingston, UK.

Pain of the hand distal interphalangeal joints may result from trauma, osteoarthritis or inflammatory arthritis. When symptoms are not controlled by non-operative means, surgical arthrodesis may be performed, resulting in complete stiffness of the joint and possible weakening of grip strength. This study aims to quantify the effect of a stiff ring finger distal interphalangeal joint on overall grip strength. Read More

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http://dx.doi.org/10.1142/S2424835520500319DOI Listing
September 2020

Secondary Hypertrophic Osteoarthropathy in Pediatric Hodgkin Lymphoma.

Arthritis Rheumatol 2020 Jul 20. Epub 2020 Jul 20.

Division of Rheumatology, The Hospital for Sick Children, Toronto, Canada.

A 14-year-old previously healthy Caucasian boy presented to the Pediatric Rheumatology clinic with 6 months history of progressive distal extremity swelling, weakness, functional limitation, and 12kg weight loss. There were no fevers or night sweats. The remainder of the review of systems was unremarkable. Read More

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http://dx.doi.org/10.1002/art.41445DOI Listing

Pachydermodactyly associated with extensive computer gaming: A report of three cases.

Pediatr Dermatol 2020 Jul 8. Epub 2020 Jul 8.

Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.

Pachydermodactyly is an uncommon, progressive, nontender thickening of the fingers with prominent involvement of the proximal interphalangeal joints. Pachydermodactyly mimics inflammatory arthritis but plain film radiography is normal in this condition. Pachydermodactyly has been previously described in workers performing manual labor. Read More

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http://dx.doi.org/10.1111/pde.14271DOI Listing

Whole-Body Magnetic Resonance Imaging Assessment of Joint Inflammation in Rheumatoid Arthritis-Agreement With Ultrasonography and Clinical Evaluation.

Front Med (Lausanne) 2020 19;7:285. Epub 2020 Jun 19.

Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark.

To compare joint inflammation seen by whole-body magnetic resonance imaging (WBMRI), with "whole-body" ultrasound and clinical assessments, in patients with active rheumatoid arthritis (RA) before and during tumor necrosis factor-inhibitor (TNF-I, adalimumab) treatment. In 18 patients with RA, clinical assessment for joint tenderness and swelling, WBMRI, and ultrasound were obtained at baseline and week 16. Wrist, metacarpophalangeal (MCP) and proximal interphalangeal (PIP), elbow (except for WBMRI), shoulder, knee, ankle, and metatarsophalangeal joints were examined. Read More

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http://dx.doi.org/10.3389/fmed.2020.00285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317301PMC

The management of acute fracture dislocations of proximal interphalangeal joints: a systematic review.

J Plast Surg Hand Surg 2020 Jul 7:1-5. Epub 2020 Jul 7.

Pulvertaft Hand Centre, Royal Derby Hospital.

A systematic review was conducted to identify the best management for acute proximal interphalangeal joint fracture-dislocations. A study protocol was designed in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Due to limited data in the primary assessment, the hypothesis was tested in a secondary analysis of articles that marginally met the inclusion criteria (i. Read More

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http://dx.doi.org/10.1080/2000656X.2020.1788041DOI Listing

The establishment of a rheumatoid arthritis primate model in Macaca fascicularis.

J Transl Med 2020 Jun 30;18(1):264. Epub 2020 Jun 30.

Division of Rheumatology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

Background: Rheumatoid arthritis (RA) is a long-term autoimmune disorder that mostly affects the joints and leads to the destruction of cartilage. An RA model in non-human primates is especially useful because of their close phylogenetic relationship to humans in terms of cross-reactivity to compounds developed using modern drug technologies.

Methods: We used a collagen-induced arthritis (CIA) model in Macaca fascicularis. Read More

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http://dx.doi.org/10.1186/s12967-020-02402-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329448PMC

Septic Joints: Finger and Wrist.

Authors:
Brian Chenoweth

Hand Clin 2020 Aug;36(3):331-338

University of Oklahoma, 800 Stanton L Young Boulevard, Suite 3400, Oklahoma City, OK 73003, USA. Electronic address:

Infections in the joints of the hand and wrist carry the risk of significant morbidity. Common presenting symptoms include joint redness, swelling, and pseudoparalysis that occurs several days following a penetrating trauma. Diagnostic workup should be expedited, including a laboratory evaluation and arthrocentesis. Read More

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http://dx.doi.org/10.1016/j.hcl.2020.03.006DOI Listing

Development of classification criteria for hand osteoarthritis: comparative analyses of persons with and without hand osteoarthritis.

RMD Open 2020 06;6(2)

Rheumatology, Leiden University Medical Center, Leiden, Netherlands.

Objectives: Further knowledge about typical hand osteoarthritis (OA) characteristics is needed for the development of new classification criteria for hand OA.

Methods: In a cross-sectional multi-centre international study, a convenience sample of patients from primary and secondary/tertiary care with a physician-based hand OA diagnosis (n = 128) were compared with controls with hand complaints due to inflammatory or non-inflammatory conditions (n = 70). We examined whether self-reported, clinical, radiographic and laboratory findings were associated with hand OA using logistic regression analyses. Read More

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http://dx.doi.org/10.1136/rmdopen-2020-001265DOI Listing

Psoriatic arthritis: A permanent new challenge for dermatologists (Review).

Exp Ther Med 2020 Jul 12;20(1):47-51. Epub 2019 Dec 12.

Second Department of Dermatology, Colentina Clinical Hospital, 20125 Bucharest, Romania.

Considering that most of the patients (>2/3) are diagnosed with psoriasis in the cutaneous form long before the joint damage occurs and, in these conditions, a significant proportion of them is found in the dermatologist's initial records, a question must be asked: when is it necessary to send these patients to a rheumatology consultation? The recognition of psoriatic arthritis in patients with vulgar psoriasis and the dermatologist's ability to differentiate it from other arthritis, offers the opportunity to improve patient prognosis by prompt intervention and close collaboration with the rheumatologist. Diagnosis of early psoriatic arthropathy should be considered when a patient with psoriasis or family history of psoriasis has peripheral inflammatory arthritis (oligoarthritis or distal interphalangeal joints damage), enthesitis, dactylitis, spinal pain of inflammatory type. Given that patients with psoriasis are included in the dermatologists' medical records, it is very important to recognize psoriatic arthritis in patients with cutaneous psoriasis, to differentiate it from other possible arthritis, thus having the possibility to improve patient prognosis by prompt intervention and through collaboration with the rheumatologist. Read More

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http://dx.doi.org/10.3892/etm.2019.8322DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271732PMC

Proteoglycan loss in the articular cartilage is associated with severity of joint inflammation in psoriatic arthritis-a compositional magnetic resonance imaging study.

Arthritis Res Ther 2020 05 29;22(1):124. Epub 2020 May 29.

Department and Hiller Research Unit for Rheumatology, UKD, Heinrich Heine University Düsseldorf, Moorenstrasse 5, 40225, Düsseldorf, Germany.

Background: Even though cartilage loss is a known feature of psoriatic arthritis (PsA), little is known about its role in the pathogenesis of PsA. Using delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) as a non-invasive marker of the tissue's proteoglycan content, such early (i.e. Read More

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http://dx.doi.org/10.1186/s13075-020-02219-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7257142PMC
May 2020
3.753 Impact Factor

Self-healing juvenile cutaneous mucinosis, a sclerodermoid disorder simulating juvenile dermatomyositis: a case-based review.

Rheumatol Int 2020 Apr 22. Epub 2020 Apr 22.

Department of Pediatric Clinical Immunology and Rheumatology, Allergy Immunology Unit, Postgraduate Institute of Medical Education and Research, Advanced Pediatric Center, Chandigarh, 160012, India.

Self-healing juvenile cutaneous mucinosis (SHJCM) is a rare childhood disease with characteristic cutaneous and rheumatic manifestations. Cutaneous manifestations include a combination of nodules affecting peri-articular (especially interphalangeal joints) and head and neck areas; and linearly arranged ivory white papules over an erythematous indurated skin. Despite a benign course, an abrupt onset of symptoms with extensive cutaneous involvement often leads to parental anxiety, overenthusiastic evaluation and sometimes aggressive treatment. Read More

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http://dx.doi.org/10.1007/s00296-020-04578-5DOI Listing
April 2020
1.627 Impact Factor

The Long-term Results of Proximal Interphalangeal Joint Arthroplasty of the Osteoarthritic Index Finger.

Hand (N Y) 2020 May 26:1558944720921468. Epub 2020 May 26.

Morriston Hospital, Swansea, UK.

Arthroplasty of the proximal interphalangeal (PIP) joint is a widely performed procedure for patients with osteoarthritis. Its use in the index finger is often discouraged due to concerns over implant longevity and stability secondary to coronal forces this digit is exposed to during pinch. We analyzed 47 consecutive index finger silastic interposition arthroplasties, performed through a dorsal approach, at a mean follow-up of 5. Read More

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http://dx.doi.org/10.1177/1558944720921468DOI Listing

Spontaneous Rupture of Extensor Pollicis Longus Tendon: Clinical and Occupational Implications, Treatment Approaches and Prognostic Outcome in Non-Rheumatoid Arthritis Patients: A Retrospective Study.

Open Access Rheumatol 2020 28;12:47-54. Epub 2020 Apr 28.

Department of Special Surgery, Division of Orthopedics, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.

Background: Spontaneous rupture of extensor pollicis longus (EPL) tendon is a rare condition often found in patients actively having regular extensive use of hands and fingers especially the thumb. In this article, we report 7 cases of spontaneous rupture of EPL tendon and investigate the associated factors and treatment outcome.

Methods: Retrospectively, the databases for the 7 cases were retrieved and studied. Read More

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http://dx.doi.org/10.2147/OARRR.S253583DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196201PMC

Tocilizumab treatment in Felty's syndrome.

Rheumatol Int 2020 Jul 28;40(7):1143-1149. Epub 2020 Apr 28.

Department of Rheumatology and Immunology, Jingzhou Central Hospital, Jingzhou Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Jingzhou, 434000, China.

Felty's syndrome (FS) is a deforming disease, characterized by the triad of rheumatoid arthritis (RA), neutropenia, and splenomegaly. Currently, FS patients are treated mainly with immunosuppressants, such as methotrexate and glucocorticoids, which however are not suitable to some patients and may cause severe side effects. Here we report a clinical FS case that was treated with Tocilizumab (TCZ) successfully. Read More

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http://dx.doi.org/10.1007/s00296-020-04588-3DOI Listing

Structural characteristics associated with radiographic severity of first metatarsophalangeal joint osteoarthritis.

Arthritis Care Res (Hoboken) 2020 Apr 27. Epub 2020 Apr 27.

La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, 3086, Australia.

Objective: To determine whether foot structure varies according to the presence and radiographic severity of first metatarsophalangeal joint osteoarthritis (first MTPJ OA).

Methods: Weight-bearing dorso-plantar and lateral radiographs were obtained for the symptomatic foot of 185 participants (105 females, aged 22 to 85 years) with clinically diagnosed first MTPJ OA. A validated atlas was used to classify participants as having radiographic first MTPJ OA and to stratified into three categories of severity (none/mild, moderate, severe). Read More

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http://dx.doi.org/10.1002/acr.24227DOI Listing

The Influence of Hand Dominance on the Degree of Deformities in Patients With Systemic Lupus Erythematosus and Jaccoud Arthropathy.

J Clin Rheumatol 2020 Apr 23. Epub 2020 Apr 23.

From the Escola Bahiana de Medicina e Saúde Pública.

Background/objective: Joint deformities in Jaccoud arthropathy (JA), associated with systemic lupus erythematosus (SLE), can lead to a reduction in articular function and an impaired quality of life. There is controversy in the literature as to whether hand dominance contributes to deformities observed in rheumatoid arthritis and other forms of rheumatism. The purpose of this study was to assess whether hand dominance has any influence on the degree of deformity or joint range of motion in patients with JA associated with SLE. Read More

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http://dx.doi.org/10.1097/RHU.0000000000001392DOI Listing

[A teenager with painless swelling of the PIP-joints].

Ned Tijdschr Geneeskd 2020 Apr 9;164. Epub 2020 Apr 9.

LUMC, afd. Kindergeneeskunde, Leiden.

A 13-year-old boy was seen with symmetric bilateral swelling around the proximal interphalangeal joints. He did not have pain or loss of function or other signs of arthritis. Inflammation parameters and rheumatologic markers were negative. Read More

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Color fraction as a useful method of imaging synovium vascularization in patients with high activity of rheumatoid arthritis.

Reumatologia 2020 28;58(1):42-47. Epub 2020 Feb 28.

Early Arthritis Clinic, National Institute of Geriatric, Rheumatology and Rehabilitation, Warsaw, Poland.

Rheumatoid arthritis (RA) is an autoimmune disease with joint inflammation and destruction as the main features that appears with prevalence of 1 to 2% of the general population. Women are three times more likely to suffer from RA than men. Rheumatoid arthritis occurs at any age but commonly over 40-50 years old. Read More

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http://dx.doi.org/10.5114/reum.2020.93513DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174790PMC
February 2020

Factors Influencing Bone Union in Finger Distal Interphalangeal and Thumb Interphalangeal Joint Arthrodesis.

J Hand Surg Asian Pac Vol 2020 Jun;25(2):184-191

Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

Finger joint arthrodesis is a common operation which has many indications including acute trauma, post traumatic condition, osteoarthritis, and rheumatoid joint deformity. The objective of this study was to evaluate factors which may influence bone union in arthrodesis of the distal interphalangeal (DIP) joint of the fingers and interphalangeal (IP) joint of the thumb. A total of 310 arthrodesis (221 finger DIP and 89 thumb IP joint) were analysed retrospectively. Read More

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http://dx.doi.org/10.1142/S2424835520500216DOI Listing

Disease features associated with a low disease impact in patients with psoriatic arthritis: results of a cross-sectional multicenter study.

Arthritis Res Ther 2020 04 15;22(1):82. Epub 2020 Apr 15.

Medical Department, Pfizer, Avenida Europa 20B, Parque Empresarial La Moraleja, 28108, Madrid, Spain.

Background: Patient-reported outcomes measures, such as those provided by the Psoriatic Arthritis Impact of Disease (PsAID) questionnaire, have been found to be a reliable indicator of change during treatment, predictive of long-term outcomes, and the impact of psoriatic arthritis (PsA) on patients' lives. The objective of the study was to describe the demographic and clinical characteristics of PsA patients with a low disease impact and to analyze predictive factors for that state.

Methods: Post hoc analysis of a cross-sectional multicenter study that included 223 consecutive patients. Read More

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http://dx.doi.org/10.1186/s13075-020-02168-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161121PMC

Postoperative Dorsal Proximal Interphalangeal Joint Subluxation in Volar Base Middle Phalanx Fractures.

J Hand Microsurg 2020 Apr 2;12(1):32-36. Epub 2019 Nov 2.

Department of Orthopedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States.

 This study was designed to assess factors associated with postoperative dorsal proximal interphalangeal (PIP) joint subluxation after operative treatment of volar base middle phalanx fractures. Our second purpose was to study the association between postoperative dorsal subluxation with postoperative arthritis.  We identified 44 surgically treated volar base PIP joint fractures with available pre- and postoperative radiographs between 2002 and 2015 at two academic medical systems with a median follow-up of 3. Read More

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http://dx.doi.org/10.1055/s-0039-1697063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141896PMC

Pyoderma Gangrenosum as a Presenting Feature of Undifferentiated Spondyloarthropathy with Erosive Inflammatory Arthritis.

Case Rep Rheumatol 2020 26;2020:1848562. Epub 2020 Mar 26.

Department of Rheumatology, University of Florida Health, 653 W 8 Street, Jacksonville, 32209 Florida, USA.

Pyoderma gangrenosum is a rare inflammatory condition with varying clinical presentations and severity. It is commonly seen in association with an underlying condition, most common of which is inflammatory bowel disease. We report a case of a 26-year-old male who came to the emergency department with increasing lower extremity ulcers, intermittent hematochezia, and pain in the small joints of his hands. Read More

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http://dx.doi.org/10.1155/2020/1848562DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136808PMC

Association between Leeds Dactylitis Index and ultrasonographic features: a multicentre study on psoriatic hand dactylitis.

Clin Exp Rheumatol 2020 Apr 3. Epub 2020 Apr 3.

Rheumatology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Italy.

Objectives: The aim of this study was to explore the link between specific sonographic findings and Leeds Dactylitis Index basic (LDI-b) score in psoriatic arthritis (PsA) patients with hand dactylitis.

Methods: Ninety-one hand dactylitis were evaluated in a multicentre study for the presence of pain, functional limitation and tenderness (2-point scale) and LDI-b score. Dactylitic fingers were investigated using high-frequency US in grey scale (GS) and power Doppler (PD). Read More

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Thumb interphalangeal joint arthrodesis angles in patients with carpometacarpal osteoarthritis.

J Orthop 2020 Sep-Oct;21:53-57. Epub 2020 Feb 8.

St. Luke's University Health Network, Bethlehem, PA, USA.

Purpose: Previous studies have shown that thumb interphalangeal (IP) joint arthrodesis is typically performed between 0 and 30° of flexion, with a recent study in healthy subjects having recommended a range of 15-30° to be an ideal functional IP joint fusion angle for various activities of daily living. The current study aimed to evaluate the ideal thumb IP fusion angle in patients with thumb carpometacarpal (CMC) osteoarthritis (OA).

Methods: Twenty-seven patients with thumb CMC OA were evaluated; five patients had bilateral pathology, for a total of thirty-two thumbs included. Read More

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http://dx.doi.org/10.1016/j.jor.2020.01.034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029342PMC
February 2020

Incidence and progression of hand osteoarthritis in a large community-based cohort: the Johnston County Osteoarthritis Project.

Osteoarthritis Cartilage 2020 04 19;28(4):446-452. Epub 2020 Feb 19.

Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, USA; Department of Medicine, University of North Carolina at Chapel Hill, USA. Electronic address:

Objective: To describe the incidence and progression of radiographic and symptomatic hand osteoarthritis (rHOA and sxHOA) in a large community-based cohort.

Design: Data were from the Johnston County OA Project (1999-2015, 12 ± 1.2 years follow-up, age 45+). Read More

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http://dx.doi.org/10.1016/j.joca.2020.02.028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108963PMC

[Musculoskeletal ultrasound findings of symptomatic joints in patients with systemic lupus erythematosus].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Feb;52(1):163-168

Department of Rheumatology, Peking University First Hospital, Beijing 100034, China.

Objective: To investigate the types and distribution of musculoskeletal ultrasonographic changes of the symptomatic joints, their correlations with clinical manifestations in systemic lupus erythematosus (SLE) patients, as well as the differences of ultrasonographic changes from Rhupus syndrome [SLE overlapping with rheumatoid arthritis (RA)] patients.

Methods: In the study, 114 SLE patients who complained of arthralgia or arthritis from May 2014 to August 2017 and 15 Rhupus syndrome patients were recruited for ultrasound evaluation. Ultrasound scans of the symptomatic joint areas were completed. Read More

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February 2020

A successful surgical treatment of a closed rupture of flexor digitorum superficialis in surgeon's hand. A case report and review of literature.

Int J Surg Case Rep 2020 6;67:235-238. Epub 2020 Feb 6.

Department of Plastic Surgery, King Abdulaziz Medical City-Riyadh, Riyadh 11426, P.O. Box 22490, Saudi Arabia.

Introduction: Isolated closed rupture or avulsion of the flexor digitomm superficialis (FDS) tendon at its insertion is a rare diagnosis. It can be related to a pathology such as rheumatoid arthritis, bony abnormalities, tenosynovitis, fractures, or tuberculosis. A review of the literature identified only few cases of closed avulsion or rupture of FDS tendons nonpathologically. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.01.041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7025954PMC
February 2020

Experience of musculoskeletal ultrasound scanning improves physicians' physical examination skills in assessment of synovitis.

Clin Rheumatol 2020 Apr 1;39(4):1091-1099. Epub 2020 Feb 1.

Department of Allergy and Clinical Immunology, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba, 260-8670, Japan.

Objective: Musculoskeletal ultrasound (US) is more sensitive than physical examination in detecting synovitis and helps physicians to understand its pathophysiology. In this study, we aimed to determine if the experience in musculoskeletal US scanning is independently associated with improved physical examination skills to detect synovitis.

Method: Seventy patients with rheumatoid arthritis and twenty-three physicians were enrolled. Read More

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http://dx.doi.org/10.1007/s10067-020-04960-5DOI Listing

Trends in Proximal Interphalangeal and Metacarpophalangeal Joint Arthroplasty Utilization Using Statewide Databases.

J Hand Surg Asian Pac Vol 2020 Mar;25(1):39-46

Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.

Arthritis can have profound debilitating effects on the hand secondary to finger deformities and pain. Arthroplasty of the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) can be performed to reduce pain while maintaining joint range of motion. We used outpatient surgery registries from the states of California and Florida to assess the trends of arthroplasty across several recent years and to determine if the outcomes differ based on disease etiology. Read More

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http://dx.doi.org/10.1142/S2424835520500058DOI Listing

Relative prevalence and distribution of knee, hand and foot symptomatic osteoarthritis subtypes in an English population.

Musculoskeletal Care 2020 Jun 29;18(2):219-224. Epub 2020 Jan 29.

Primary Care Centre Versus Arthritis, School of Primary, Community, and Social Care, Keele University, UK.

In this brief report, we used data from a series of three related cohorts on pain and osteoarthritis (OA) of the knee, hand and foot, which were conducted in North Staffordshire, England. We used a common approach for sampling, data collection and coding, to estimate the relative prevalence of 10 different symptomatic radiographic OA subtypes in the knee, hand and foot and to compare their association with age, sex, socioeconomic position and body mass index. Overall, symptomatic hand OA was more common than knee or foot OA (22. Read More

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http://dx.doi.org/10.1002/msc.1457DOI Listing

Ultrasound Versus Contrast-Enhanced Magnetic Resonance Imaging for Subclinical Synovitis and Tenosynovitis: A Diagnostic Performance Study.

Clinics (Sao Paulo) 2020 20;75:e1500. Epub 2020 Jan 20.

Department of Imaging, First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, 350000, China.

Objectives: Radiographic manifestations of synovitis (e.g., erosions) can be observed only in the late stage of rheumatoid arthritis. Read More

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http://dx.doi.org/10.6061/clinics/2020/e1500DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6963161PMC

Classification and Assessment of Hand Arthritis Stage using Support Vector Machine.

Conf Proc IEEE Eng Med Biol Soc 2019 07;2019:4080-4083

Arthritis is one of the most common health problems affecting people around the world. The goal of the work presented work is to classify and categorizing hand arthritis stages for patients, who may be developing or have developed hand arthritis, using machine learning. Stage classification was done using finger border detection, developed curvature analysis, principal components analysis, support vector machine and K-nearest neighbor algorithms. Read More

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http://dx.doi.org/10.1109/EMBC.2019.8857022DOI Listing

National Prevalence of Complications and Cost of Small Joint Arthroplasty for Hand Osteoarthritis and Post-Traumatic Arthritis.

J Hand Surg Am 2020 Jun 8;45(6):553.e1-553.e12. Epub 2020 Jan 8.

Section of Plastic Surgery, Michigan Medicine, Ann Arbor, MI. Electronic address:

Purpose: Osteoarthritis (OA) of the hand is commonly treated using implant arthroplasty. Despite the increasing prevalence of hand OA, population-based evidence regarding the complication profile and associated cost for patients undergoing proximal interphalangeal (PIP) joint and metacarpophalangeal (MCP) joint arthroplasty are lacking. Therefore, we aimed to evaluate the complication profiles and variation in cost of care for patients undergoing PIP and MCP joint arthroplasty. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.11.002DOI Listing

The Masquelet technique for septic arthritis of the small joint in the hands: Case reports.

Trauma Case Rep 2020 Feb 17;25:100268. Epub 2019 Dec 17.

Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Density and Pharmaceutical Sciences, Okayama, Japan.

Septic arthritis in distal interphalangeal (DIP) joints sometimes occurs in association with mucous cysts or after the surgical treatment of mallet fingers. Recently, several studies have demonstrated the effectiveness of the Masquelet technique in the treatment of bone defects caused by trauma or infection. However, only few studies have reported the use of this technique for septic arthritis in small joints of the hand, and its effectiveness in treating septic arthritis in DIP joints remains unclear. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926348PMC
February 2020

Interpositional Arthroplasty of the First Metatarsophalangeal Joint with Bioresorbable Pldla Implant in the Treatment of Hallux Rigidus and Arthritic Hallux Valgus: A 9-Year Case Series Follow-Up.

Scand J Surg 2019 Dec 29:1457496919893597. Epub 2019 Dec 29.

Department of Orthopaedics and Traumatology, Tampere University Hospital, Tampere, Finland.

Background And Aims: The interpositional arthroplasty was developed to retain foot function and to relieve pain due to the arthritis of the first metatarsophalangeal joint. The bioabsorbable poly-L-D-lactic acid RegJoint interpositional implant provides temporary support to the joint, and the implant is subsequently replaced by the patient's own tissue. In this study, we retrospectively examined the results of the poly-L-D-lactic acid interpositional arthroplasty in a 9-year follow-up study among patients with hallux valgus with end-stage arthrosis or hallux rigidus. Read More

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http://dx.doi.org/10.1177/1457496919893597DOI Listing
December 2019

Open reduction and compression with double Kirschner wires for the treatment of old bony mallet finger.

J Orthop Surg Res 2019 Dec 21;14(1):459. Epub 2019 Dec 21.

Department of Orthopedics, The Forth Medical Center of the General Hospital of People's Liberation Army of China, Haidian District, Beijing, China.

Background: The management of old bony mallet fingers is complicated. The aim of the study is to present a new method of open reduction and compression with double Kirschner wires (K-wires) in treating old bony mallet fingers.

Methods: This was a retrospective analysis of patients with old closed bony mallet fingers treated between June 2013 and December 2016. Read More

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http://dx.doi.org/10.1186/s13018-019-1513-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925853PMC
December 2019
1.577 Impact Factor

Assessing spectral imaging of the human finger for detection of arthritis.

Biomed Opt Express 2019 Dec 26;10(12):6555-6568. Epub 2019 Nov 26.

Faculty of Mathematics and Physics, University of Ljubljana, Ljubljana, Slovenia.

Rheumatoid arthritis causes changes in the optical properties of tissues in the joints, which could be detected using spectral imaging. This has the potential for development of low cost, non-contact method for early detection of the disease. In this work, hyperspectral imaging system was used to obtain 24 images of proximal interphalangeal joints of 12 healthy volunteers. Read More

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http://dx.doi.org/10.1364/BOE.10.006555DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6913408PMC
December 2019

The value of MRI examination on bilateral hands including proximal interphalangeal joints for disease assessment in patients with early rheumatoid arthritis: a cross-sectional cohort study.

Arthritis Res Ther 2019 12 11;21(1):279. Epub 2019 Dec 11.

Department of Rheumatology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, People's Republic of China.

Background: Bilateral hands including proximal interphalangeal joints (PIPJs) are recommended on physical, X-ray radiographic, or ultrasonographic examination by clinical guidelines of rheumatoid arthritis (RA), but MRI still tends to examine unilateral wrists and/or MCPJs. We aimed to demonstrate the advantages of MRI examination on bilateral hands including PIPJs for disease assessment in early RA patients.

Methods: Active early RA patients received 3. Read More

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http://dx.doi.org/10.1186/s13075-019-2061-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6907274PMC
December 2019

Prolonged Fever, Diarrhea, Abdominal Pain, and Joint Pain in a 9-Year- Old Boy.

Pediatrics 2020 01 6;145(1). Epub 2019 Dec 6.

Akron Children's Hospital, Akron, Ohio; and.

A 9-year-old African American boy was admitted to hospital with a 12-day history of fevers, diarrhea, abdominal pain and a 1-day history of joint pain. His abdominal pain and diarrhea resolved within the first few days of admission, but he continued with high-grade fevers and intermittent joint pain. The joints affected included the right first interphalangeal joint, right wrist, right elbow, and left knee joint. Read More

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http://dx.doi.org/10.1542/peds.2018-3607DOI Listing
January 2020

Radiotriquetral arthrodesis for rheumatoid wrist with flexor tendon rupture: A case report.

J Orthop Surg (Hong Kong) 2019 Sep-Dec;27(3):2309499019886376

Department of Orthopaedic Surgery, Seikeikai Hospital, Osaka, Japan.

Flexor tendon rupture in the wrist of patients with rheumatoid arthritis is a rare complication, and there is no standard treatment for the wrist joint. Here, we present the case of a rupture of the flexor digitorum profundus of the left index finger owing to a rheumatoid wrist. Plain radiography and computed tomography showed carpal collapse, especially lunate, and arthrosis between the capitate and lunate. Read More

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http://dx.doi.org/10.1177/2309499019886376DOI Listing
December 2019

Correlation of ultrasonography synovitis with disease activity and clinical response to etanercept treatment in juvenile idiopathic arthritis patients.

Authors:
Li Zhou Xiaojie Gu

Braz J Med Biol Res 2019 25;52(12):e8565. Epub 2019 Nov 25.

Department of Ultrasound, Children's Hospital of Nanjing Medical University, Nanjing, China.

This study aimed to investigate the correlation of ultrasonography (US) of synovitis with disease activity and clinical response to etanercept (ETN) in juvenile idiopathic arthritis (JIA) patients. Eighty-two JIA patients who underwent ETN treatment for 24 weeks were consecutively enrolled. US evaluations of 28 joints (shoulder, elbow, wrist, metacarpophalangeal, and proximal interphalangeal of hands and knee) at baseline were performed using grey-scale US and power doppler (PD) US, and US synovitis was defined as grey-scale abnormalities or PD abnormalities. Read More

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http://dx.doi.org/10.1590/1414-431X20198565DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886362PMC
January 2020

Effect of an orthosis on foot center of pressure translation for treatment of hallux valgus in patients with rheumatoid arthritis: A report of 17 cases.

Asia Pac J Sports Med Arthrosc Rehabil Technol 2020 Jan 19;19:7-10. Epub 2019 Nov 19.

Department of Orthopedic Surgery, Tokyo Women's Medical University, Tokyo, Japan.

Objectives: We aimed to investigate the change in the center of pressure (COP) path and distribution with or without orthosis for hallux valgus (HV) in patients with rheumatoid arthritis (RA).

Methods: In total, 17 patients and 21 feet were enrolled. We measured the COP path using the COP path measurement device (F-Scan II system). Read More

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http://dx.doi.org/10.1016/j.asmart.2019.10.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6872804PMC
January 2020