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[Hand Osteoarthritis - Clinical Picture and Current Management]
1Kliniken Valens, Valens, Schweiz.
Praxis
|September 14, 2022
Summary
Hand osteoarthritis (HOA) is a common, age-related condition causing painful hand and finger dysfunction. Management prioritizes lifestyle changes and exercise, with medications and surgery considered for persistent symptoms.
Area of Science:
- Rheumatology
- Orthopedics
- Gerontology
Background:
- Hand osteoarthritis (HOA) is a prevalent, age-associated degenerative joint disease.
- It commonly affects distal finger joints, thumb carpometacarpal, proximal interphalangeal, and metacarpophalangeal joints.
- Clinical presentation includes painful functional limitations of the hand and fingers.
Purpose of the Study:
- To outline the clinical presentation of hand osteoarthritis.
- To review current management strategies for HOA.
- To discuss the efficacy of various therapeutic interventions.
Main Methods:
- Review of current literature on hand osteoarthritis.
- Analysis of clinical manifestations and etiological factors.
- Evaluation of conservative and interventional treatment options.
Main Results:
- Lifestyle modifications and exercise are primary therapeutic recommendations.
- Topical or oral non-steroidal anti-inflammatory drugs (NSAIDs) are first-line pharmacotherapy.
- Chondroitin preparations, intra-articular corticosteroids, and surgical interventions are options for refractory cases.
Conclusions:
- HOA management focuses on conservative measures, with pharmacotherapy and surgery reserved for specific indications.
- The role of laser therapy and fractionated radiation in HOA treatment remains uncertain.
- Disease-modifying drugs for inflammatory arthritis are ineffective for HOA.
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