Finger Arthrosis and Thumb Joint Arthrosis

Finger and Thumb Joint Osteoarthritis: Or something else? Differential Diagnosis

Musculoskeletal system and connective tissue (M00-M99). Arthritis (joint inflammation) Osteoarthritis of the sesamoid bones (small bones, embedded in a tendon; lat. Os sesamoideum). Osteoarthritis of the scaphoid joint (STT joint; joint between the scaphoid (scaphoid bone), trapezium (large polygonal bone) and the trapezoideum (small polygonal bone))/carpal osteoarthritis. Gout (arthritis urica/uric acid-related joint inflammation or tophic … Finger and Thumb Joint Osteoarthritis: Or something else? Differential Diagnosis

Finger and Thumb Joint Osteoarthritis: Consequential Diseases

The following are the most important diseases or complications that may be contributed to by finger and thumb joint osteoarthritis: Musculoskeletal system and connective tissue (M00-M99). Arthritis (joint inflammation) – this is characterized by inflammatory changes that take as synovitis (synovial inflammation) their origin in the joint capsule. Movement restriction Joint malpositions Contractures – permanent … Finger and Thumb Joint Osteoarthritis: Consequential Diseases

Finger and Thumb Joint Osteoarthritis: Classification

Native radiological classification of osteoarthritis according to the Kellgren and Lawrence score. Osteophytes (new bone formations) Joint space Sclerosis Deformation Points none or questionable none or questionable narrowed none none 0 unique unique light light 1 large advanced light with cysts distinctly 2 cancelled strong with cyst formation 3 Interpretation According to the Kellgren-Lawrence score, … Finger and Thumb Joint Osteoarthritis: Classification

Finger and Thumb Joint Osteoarthritis: Medical History

Medical history (history of illness) represents an important component in the diagnosis of osteoarthritis. Family History Are there any diseases of the bones and joints in your family that are common? What is the general health of your relatives? Social history What is your profession? Do you have heavy physical workload in your job? Current … Finger and Thumb Joint Osteoarthritis: Medical History

Finger and Thumb Joint Osteoarthritis: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Body or joint posture (upright, bent, gentle posture). Malpositions (deformities, contractures, shortenings). Muscle atrophies (side comparison!, if necessary … Finger and Thumb Joint Osteoarthritis: Examination

Finger and Thumb Joint Osteoarthritis: Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate) [osteoarthritis: normal; reactive osteoarthritis: + /-] Uric acid Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification. Examination of the … Finger and Thumb Joint Osteoarthritis: Test and Diagnosis

Finger and Thumb Joint Osteoarthritis: Drug Therapy

Therapy target Relief of symptoms Therapy recommendations For non-active finger and thumb joint arthrosis and rhizarthrosis: analgesic paracetamol (best tolerated). In activated finger and thumb joint arthrosis as well as rhizarthrosis: non-steroidal anti-inflammatory drugs (NSAIDs), e.g. selective COX-2 inhibitors (e.g. etoricoxib)or diclofenac [no long-term therapy!]Note: No diclofenac in cardiovascular risk! Affected are patients with heart … Finger and Thumb Joint Osteoarthritis: Drug Therapy

Finger and Thumb Joint Osteoarthritis: Diagnostic Tests

Obligatory medical device diagnostics Radiographs of the affected joint [radiographic signs of arthritic joint remodeling: osteophytes, narrowed joint space, increased subchondral sclerosis, and deformity; see below Kellgren and Lawrence score]. Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic … Finger and Thumb Joint Osteoarthritis: Diagnostic Tests

Finger and Thumb Joint Osteoarthritis: Surgical Therapy

Surgical measures are considered only if conservative measures do not lead to the desired success: Rhizarthrosis: resecting arthroplasty – gold standard; in long-term studies, very good to good results were achieved in 80-95%; the procedure (see below thumb saddle arthrosis (rhizarthrosis)/operative therapy); if necessary, also arthrodesis (stiffening surgery) or endoprosthetic replacement of the thumb saddle … Finger and Thumb Joint Osteoarthritis: Surgical Therapy

Finger and Thumb Joint Osteoarthritis: Prevention

To prevent finger and thumb joint osteoarthritis, attention must be paid to reducing individual risk factors. Behavioral risk factors Physical activity Underloading of the cartilage: Lack of physical activity – since cartilage gets its micronutrients from the synovial fluid, it relies on the joint being moved for cartilage growth Nutritive damage (eg, long rest in … Finger and Thumb Joint Osteoarthritis: Prevention

Finger and Thumb Joint Osteoarthritis: Symptoms, Complaints, Signs

Typical of osteoarthritis is the usually slowly increasing onset of joint pain. The following symptoms and complaints may indicate finger and thumb joint arthritis: Feeling of tension in the affected joints Joint swelling* Joint stiffness Pain on exertion Continuous pain Muscle tension due to gentle posture Crepitation in the joint (joint noises) Increased sensitivity of … Finger and Thumb Joint Osteoarthritis: Symptoms, Complaints, Signs

Finger and Thumb Joint Osteoarthritis: Causes

Pathogenesis (development of disease) Age-related wear and tear is not the cause of osteoarthritis; rather, acute damage to the articular cartilage from trauma or infection is usually at the beginning of joint destruction. Insufficient matrix synthesis and/or increased apoptosis (programmed cell death) of the chondrocytes (cartilage cells) are discussed as pathogenetic mechanisms. In osteoarthritis, the … Finger and Thumb Joint Osteoarthritis: Causes