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Osteoarthritis of the HandAka: Hand Osteoarthritis, Heberden's Node, Bouchard's Node

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  1. See Also
    1. Osteoarthritis
    2. Knee Osteoarthritis
  2. Epidemiology
    1. Hand less commonly affected in Osteoarthritis
    2. Hand most disabling of joints to be involved
  3. Signs
    1. Most common site
      1. Trapeziometacarpal joint (base of thumb)
    2. Heberden's Nodes
      1. Distal interphalangeal joint (ITP) nodular swelling
    3. Bouchard's Nodes
      1. Proximal interphalangeal joint (PIP) nodular swelling
    4. Mucous cysts may develop at interphalangeal joints
    5. First metacarpal-phalangeal joint (MCP) involvement
      1. Other MCP joints are generally spared
    6. Wrist spared
      1. Contrast with Rheumatoid Arthritis
  4. Diagnostic Criteria (American College Rheumatology)
    1. Hand pain, aching or stiffness and
    2. Two DIP or PIP joints with hard tissue enlargement and
    3. Less than 3 swollen MCP joints
    4. One of the following
      1. Two DIP joints with hard tissue enlargement or
      2. Deformity of two DIP, PIP, or MCP joints
    5. Altman (1990) Arthritis Rheum 33:1601
  5. Radiology
    1. See Hand XRay in Osteoarthritis
  6. Management
    1. NSAIDs
    2. Intermittent splinting
    3. Moist heat
    4. Local Corticosteroid Injection
    5. Contrast Baths
    6. Surgery for resistant cases
      1. Arthroplasty
      2. Arthrodesis

Osteoarthritis of the hand (C0263746)

ConceptsDisease or Syndrome (T047)
EnglishDegenerative joint disease of hand, HAND OSTEOARTHRITIS, HOA, Osteoarthritis - hand joint, Osteoarthritis of the hand
Spanishartrosis - articulacion de la mano, artrosis de la mano, osteoartritis - articulacion de la mano
Parent ConceptsArthropathies NOS (C0022408), Degenerative polyarthritis (C0029408), Duplicate concept (C1274013), Disorder of hand (C1290871)
SourcesMTH, OMIM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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