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At least 325 records · Page 18Linked to original sources
PubMed1984

[Early arthrosis of the finger joints. The results of soft-ray pictures in 3 views].

Arthrosis of the digital joints begins predominantly on the volar joint surface and the volar-proximal margin of the head. Because of this localisation, and in order to obtain adequate contrast and definition, these early changes are best shown by means of low R.V. radiographs in three views. The early changes consist of the following local processes: intrachondral sclerosis, exomarginal and endomarginal subchondral sclerosis, discreet increase in the spongiosa; this leads to disrounding and hooklike form of the head; thickening or disappearance of the sub-marginal spongiosa and marginal defects. Artifacts produced by the projections or local bone variants must be recognised, as well as diffuse idiopathic skeletal hyperostosis.

Cartilage Diseases↗
PubMed2002

Multicentric reticulohistiocytosis: a rare cause of erosive arthropathy of the distal interphalangeal finger joints.

BACKGROUND: Multicentric reticulohistiocytosis (MRH) is a rare systemic disease, presenting with typical skin abnormalities and erosive polyarthritis, which is often associated with malignancy. CASE REPORT: A case of MRH arthropathy, in which the typical nodular skin manifestation of the disease was absent, is described in a patient with a past history of breast cancer and no evidence of recurrent or new malignancy. RESULTS: Careful clinical and roentgenological evaluation disclosed important clues to differentiate this condition from other more common distal interphalangeal arthritides--namely, osteoarthritis and its "erosive" variant, rheumatoid arthritis, psoriatic arthritis, tophaceous gout, dialysis related hand arthropathy, and from the rarer fibroblastic rheumatism, all of which can be mimicked by MRH. Histopathology showed the characteristic histiocytic and multinucleated giant cell infiltrate with ground glass cytoplasm, and immunohistochemical analysis showed markers evocative of a monocyte/macrophage origin of MRH.

Aged↗
PubMed2006

[Clinical outcome measures in hand- and finger joint osteoarthritis from the patient perspective].

Osteoarthritis (OA) is the most common joint disease. While research activities in OA have concentrated on the knee and hip in recent years, knowledge and research results in the field of hand OA are still limited. In order to measure the effects of treatment or to obtain information on the course of a disease and the health status of a patient, outcome measures are commonly used in rheumatology. Such measures are variables which can be quantified and which represent either the perspective of health professionals or the perspective of patients or both. The aim of this article is to evaluate clinical outcome measures and corresponding instruments which are currently used for patients with hand OA, and to examine whether these measures and instruments represent the perspective of patients. For hand OA, measurements of disease activity and inflammation, function and performance, pain, mobility and stiffness, deformity and aesthetic damage are recommended by experts. Corresponding instruments are available for most of these outcome measures, but these often do not sufficiently represent the perspective of the patients. Some instruments lack reliability because standardized protocols for measurement have not yet been developed.

Arthralgia↗
PubMed1985

Limited finger joint mobility in insulin-dependent and non-insulin-dependent Ethiopian diabetics.

The prevalence of limited joint mobility (LJM) was studied in 110 insulin-dependent (IDDM) and 190 non-insulin-dependent (NIDDM) consecutive Ethiopian African diabetics and 300 age- and sex-matched controls at the Tikur Anbassa Teaching Hospital in Addis Ababa over a period of 18 months. Mean ages +/- S.D. of the IDDM, NIDDM, and controls were 35 +/- 9.9, 49.4 +/- 12.0, and 43.3 +/- 14.0 years, respectively. LJM was found in 44.5% of IDDM, 25.3% of NIDDM, and 6.7% of controls, being significantly commoner in IDDM than NIDDM (p less than 0.001) and in the diabetics than in controls (p less than 0.001). In IDDM those with LJM were significantly younger (p less than 0.05), had a higher prevalence of median fasting blood glucose (FBG) levels of 15 mmol/l and above (p less than 0.01), and retinopathy (p less than 0.05), but did not differ from those without LJM in duration of diabetes, or prevalence of neuropathy and nephropathy. In NIDDM those with LJM had a significantly longer duration of diabetes (p less than 0.005) and a higher prevalence of nephropathy (p less than 0.005), but did not differ from those without LJM in age at onset of diabetes, prevalence of neuropathy, and retinopathy or median FBG level.

Adolescent↗
PubMed1995

Swanson silicone finger joint implants: a review of the literature regarding long-term complications.

A review of the English-language literature pertaining to complications associated with Swanson Silastic (Dow Corning, Midland, MI) finger implants was performed. The review focused on seven broad categories of complications: synovitis, lymphadenopathy, bone change, implant fracture, implant loosening, infection, and implant removal. Outcome data on 15,556 small joint implants were identified in 70 pertinent articles. The prevalence rates of complications associated with finger implants were all very low. Implant fracture and bone changes occurred in 2% and 4% (respectively) of finger implants. Each of the other complications developed in 1% or less of implants, including particulate synovitis (0.06% of implants). Particle-wear lymphadenopathy was reported in 0.08% of implants. The literature review identified no reports of immunologic reactions, connective tissue disease, or other systemic effects associated with the use of Swanson finger implants.

Finger Joint↗
PubMedDate not supplied

Finger flexor tendon forces are a complex function of finger joint motions and fingertip forces.

In vivo tendon forces provide a view inside the musculoskeletal system revealing muscle function and potential injury etiologies. The studies presented here measured the in vivo tendon force of the flexor digitorum superficialis of the long finger during open carpal tunnel release surgery in ten adult patients. Forces were measured during passive movement of the finger, isometric pinch, and dynamic tapping of the finger. The tendon forces during passive movement of the finger were the largest with the finger fully extended. During isometric pinch, tendon force was linearly related to fingertip force, and was on average 3.3 times larger than the fingertip force. During dynamic activities, however, the relationship between tip and tendon force was nonlinear and often remained elevated when the finger was moving but with no applied force. Tendon forces were the highest with the isometric finger pinch. In conclusion, tendon force is a completed function of both fingertip load and motion of the joints that the tendons cross. A comparison of these results with others published in the literature indicated that rehabilitation processes need to incorporate a systems approach rather than rely on one specific physiologic relationship to minimize finger flexor tendon forces.

Biomechanical Phenomena↗
PubMed1989

Dark skin discoloration of finger joints in juvenile arthritis.

We examined the frequency of a known but poorly described finding, darkened skin over the proximal interphalangeal joints in patients with polyarticular juvenile arthritis. Examining a consecutive group of patients we found that 77% showed this sign. It reflects the presence of or previous episodes of inflammation of these joints. The reason for this finding is unknown.

Adolescent↗
PubMed1975

A preliminary report: biofeedback training for early finger joint mobilization.

Using a newly developed, small, portable EMG biofeedback device for facilitating training, restoration of finger function after surgical repair of tendons was quickly achieved in three patients. Their case reports are discussed and are offered to encourage wider use of biofeedback in the therapy of such patients.

Adult↗