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[Arthrosis of the hand]
La Semaine Des Hopitaux : Organe Fonde Par L'Association D'Enseignement Medical Des Hopitaux De Paris
|December 23, 1982
Summary
Degenerative joint disease commonly affects hand joints like the distal interphalangeal joints. Treatment involves anti-inflammatory drugs and physiotherapy, with surgery rarely needed for this common condition.
Area of Science:
- Orthopedics
- Rheumatology
- Hand Surgery
Background:
- Degenerative joint disease (DJD) is a prevalent condition affecting hand joints.
- The specific joints involved and their frequency are important for understanding disease progression.
- Differential diagnosis, such as distinguishing DJD from psoriatic arthropathy, is crucial.
Purpose of the Study:
- To outline the most frequently affected joints in degenerative hand disease.
- To discuss the etiology, clinical presentation, and management of degenerative joint disease of the hand.
Main Methods:
- Review of common hand joint involvement in degenerative processes.
- Discussion of etiological factors, including genetics and microtrauma.
- Summary of current treatment modalities.
Main Results:
- The distal interphalangeal joints are most commonly affected, followed by the trapezo-metacarpal and thumb's metacarpophalangeal joints.
- Degenerative joint disease of the hand is more prevalent in women.
- Recurrent microtrauma is the widely accepted cause, though genetics are considered.
Conclusions:
- Degenerative joint disease predominantly impacts specific hand joints, with a higher incidence in women.
- Management typically involves anti-inflammatory drugs and physiotherapy.
- Surgical intervention is infrequently required for this condition.