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Pseudoarthroplastic' hand in arthritis mutilans
T W O'Neill1, G Evison, A K Bhalla
1Department of Rheumatology, Royal National Hospital for Rheumatic Diseases, Upper Borough Walls, Bath.
British Journal of Rheumatology
|August 1, 1992
Summary
This study describes a unique radiographic finding in a patient with arthritis mutilans, proposing the term "pseudoarthroplastic hand" for this condition. This terminology aids in identifying specific post-surgical changes in affected hands.
Area of Science:
- Rheumatology
- Orthopedic Surgery
- Radiology
Background:
- Arthritis mutilans is a severe, destructive form of psoriatic arthritis.
- Radiographic evaluation is crucial for diagnosing and monitoring arthritis mutilans.
- Previous surgical interventions can alter the typical radiographic appearance of hand deformities.
Observation:
- A 46-year-old male patient presented with clinical and radiographic features of arthritis mutilans.
- The hand radiographs revealed an unusual appearance suggestive of prior surgical procedures.
- This specific radiographic pattern was not previously well-defined in the literature.
Findings:
- The study proposes a new term, 'pseudoarthroplastic hand,' to describe this distinct radiographic finding.
- This finding represents a unique radiological manifestation in the context of arthritis mutilans and prior surgery.
- The term aims to improve communication and recognition of these specific radiological changes.
Implications:
- The 'pseudoarthroplastic hand' designation can enhance diagnostic accuracy in complex cases.
- This terminology may aid in differentiating post-surgical changes from disease progression in arthritis mutilans.
- Further research is warranted to validate and explore the prevalence of this radiographic finding.