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At least 1,279 records · Page 71Linked to original sources
PubMed1993

[Therapeutic effect of hemodialysis on gouty arthritis and tophi in 2 patients with chronic renal failure].

Therapeutic effect of hemodialysis on gouty arthritis and tophi in 2 patients with chronic renal failure (CRF) is described. One patient was 74-year-old man with CRF due to benign nephrosclerosis, and had severe secondary gout. There were many tophi in metatarsophalangeal joints of the fingers and toes. Another patient was 44-year-old man with CRF probably due to familial gout. He had many tophi in elbows, knees, wrists, fingers and toes. In both cases initiation of hemodialysis treatment, at first temporally exacerbated gouty arthritis, but thereafter gradually eliminated the tophi. From these results, dialysis treatment is considered to be quite efficient method of treatment for gouty arthritis and tophi in patient with CRF. Gouty arthritis in CRF patient, which does not respond to the conservative therapy, should be considered to be one of the indices for commencement of hemodialysis.

Adult↗
PubMed1977

[Arthritis in thalassemia minor].

Seven cases with the syndrome of thalassemia minor and pauciarticular, non-erosive, seronegative arthritis are described. Other known causes of seronegative arthritis had been excluded. There was a predilection for middlesized joints such as ankles, wrists and elbows. Usually the synovitis was asymmetrical from onset, with one to eight joints affected. Finger or toe joint were usually spared. Extraarticular synovitis such as tenosynovitis or bursitis were not observed, nor were nodules, signs of vasculitis or visceral involvement. The course of this arthritis showed chronicity and mild, persistent, non-erosive synovitis without joint effusions. X-ray revealed juxtaarticular osteoporosis of the affected joints, characterized by a diminution of the number of trabeculae (hypertrophic atrophy) combined with broadening of the singular trabeculae; this picture is typical of hemoglobinopathies. - Computed tomography showed a probable slight deficit of bone mineralization. Laboratory investigations including ESR, routine immunological tests, blood chemistry, and HLA-tissue typing were all normal. - The combination of this peculiar arthropathy with thalassemia minor would appear to be worthy of note and requires a further search among the forms of arthritis of unknown origin.

Adult↗
PubMed1997

Internal fixation for small joint arthrodeses in the hand. The interphalangeal joints.

Interphalangeal arthrodeses are performed frequently for disabling pain and deformity in the proximal and distal interphalangeal joints. Such arthrodeses are the gold standard for eliminating pain in arthritic joints of the fingers. Kirschner wire fixation is simple to perform but often leads to nonunion or delayed union. Fixation with tension band wires and Herbert and Accutrak screws is discussed in this article. The techniques are simple and straightforward, and they afford considerably more stability and a higher union rate than Kirschner wires alone.

Arthritis↗
PubMedDate not supplied

Osteoarthritis of the fingers.

Osteoarthritis of the fingers is an especially common condition in postmenopausal women. Many consider it a normal part of aging or a relatively minor disease. Osteoarthritis of the fingers is a disease process that destroys interphalangeal cartilage and results in pain, swelling, decreased finger motion, joint deformities, and difficulty performing activities that require grip or pinch. Medication, rest, and supportive splinting alternated with mobility and strengthening exercises, patient education, and incorporation of joint protection techniques may alleviate symptoms and improve functional abilities. Surgery is indicated when these methods have failed to control pain, instability, and deformities or improve ease of function. Joints may be fused (arthrodesis) or replaced (arthroplasty) to manage pain and produce finger joints capable of withstanding the force of normal use without pain or further joint damage. Postoperative therapy includes splinting to protect healing structures along with range-of-motion programs to maximize functional outcomes.

Arthrodesis↗
PubMed1995

Quantitative analysis of the linkage between the interphalangeal joints of the index finger. An in vivo study.

We have established a simple method of measuring joint motion under physiological conditions. For this purpose we use an ultrasound measuring system employing marker points consisting of miniaturized ultrasound transmitters. This device was tested on a simple biomechanical model, the linkage of the proximal and distal interphalangeal joints. The angles of these joints were recorded during opening and closing of the fist in 34 index fingers of 17 healthy persons. The results of the measurements were plotted on a rectangular coordinate system. Analysis showed an approximately linear linkage between the IP joints of the index finger. The curve for extension was the same as that for flexion. The linkage varies greatly. On average 1 degree of PIP joint flexion is equivalent to 0.76 degree of DIP joint flexion. Our study showed no significant difference between the dominant and non-dominant hand. The results showed that there is a linear linkage between the proximal and distal interphalangeal joints, which is equal for flexion and extension.

Adult↗
PubMed1995

Sensory receptors situated in the interphalangeal joint capsule of the fingers of the bonnet monkey (Macaca radiata).

Using bonnet monkeys (Macaca radiata) the content, location and types of sensory endings with regard to interphalangeal joints of the fingers of the hand were studied. Use of the modification of Barker and Ip [J Physiol (Lond) 1963;124: 476-488] of the de Castros silver method showed that the Paciniform/Pacinian corpuscles are almost the exclusive encapsulated receptors in this tissue. Free nerve endings are present. Using serial paraffin sections stained with the May-Grünwald-Giemsa stain, the proximal interphalangeal joint capsules were reconstructed. This confirmed the results of the study using teased preparations stained by the Barker and Ip method. In addition it was shown that the encapsulated endings were situated exclusively in the lateral and ventral aspects of the joint capsule. The number of lamellae of these encapsulated endings varied from as few as three to more than fifty. It is suggested that the contribution of these various receptors to kinaesthesis can depend on such factors as their relationship with tendons and skin.

Animals↗