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Related Concept Videos

Bones of the Upper Limb: Radius01:09

Bones of the Upper Limb: Radius

The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a short...
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

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Knee Joint01:23

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...

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Related Experiment Video

Updated: May 21, 2026

Erosion Identification in Metacarpophalangeal Joints in Rheumatoid Arthritis using High-Resolution Peripheral Quantitative Computed Tomography
06:31

Erosion Identification in Metacarpophalangeal Joints in Rheumatoid Arthritis using High-Resolution Peripheral Quantitative Computed Tomography

Published on: October 6, 2023

[Erosive hand osteoarthritis].

Emmanuel Maheu1

  • 1Hôpital Saint-Antoine, AP-HP, service de rhumatologie (Pr F. Berenbaum), 75012 Paris. emaheu@wanadoo.fr

La Revue Du Praticien
|June 27, 2012
PubMed
Summary

Erosive hand osteoarthritis, characterized by bone erosions and synovitis, causes severe joint damage and functional decline. Early diagnosis and management are crucial for improving quality of life in affected individuals.

Area of Science:

  • Rheumatology
  • Osteoarthritis Research
  • Medical Imaging

Background:

  • Erosive hand osteoarthritis (EHO) is a subtype of hand osteoarthritis.
  • Its classification as a distinct entity or a phase of osteoarthritis is debated.
  • Radiographic definition involves central subchondral bone collapse and erosions.

Purpose of the Study:

  • To discuss the diagnostic advancements in erosive hand osteoarthritis.
  • To highlight the clinical presentation and consequences of EHO.
  • To emphasize the importance of early diagnosis and management strategies.

Main Methods:

  • Review of current literature on erosive hand osteoarthritis.
  • Comparison of diagnostic sensitivities of conventional radiography, ultrasonography, and MRI.

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Erosion Identification in Metacarpophalangeal Joints in Rheumatoid Arthritis using High-Resolution Peripheral Quantitative Computed Tomography
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  • Description of clinical features and imaging findings, including synovitis via Doppler ultrasonography.
  • Main Results:

    • Ultrasonography and MRI demonstrate higher sensitivity in detecting erosions and osteophytes compared to radiographs.
    • Synovitis is a frequent finding in EHO, detectable by Doppler ultrasonography.
    • EHO leads to severe joint destruction, deformities, ankylosis, and significant functional impairment.

    Conclusions:

    • Erosive hand osteoarthritis is more prevalent than previously thought, with advanced imaging improving detection.
    • The condition presents with inflammatory flares, severe pain, and functional limitations.
    • Prompt diagnosis and comprehensive management, including anti-inflammatory therapies, are essential to mitigate the impact on quality of life.