Osteoarthritis (Hand & Wrist)

Question 1

Who is DIP OA common in ?

Answer 1

Post-menopausal women

Question 2

Signs and symptoms of DIP OA?

Answer 2

• Painful
• Swollen
• Tender
• Eventually affecting all fingers
• Stiffness & bony thickening
• Dorsal ganglion cyst (mucous cyst may be present)

Question 3

What is a term for stiffness and bony thickening in DIP OA?

Answer 3

Heberden’s nodes

Question 4

TreatmeNt of DIP OA?

Answer 4

Mild/moderate= removal of osteophytes & excision of mucous cyst
-Severe: arthrodesis

Question 5

Signs/symptoms of PIP OA?

Answer 5

• Painful
• Swollen
• Tender
• Eventually affecting all fingers
• Stiffness and bony thickening

Question 6

What is the term for stiffness and bony thickening in PIP OA?

Answer 6

Bouchard’s nodes

Question 7

Treatment of PIP OA in index finger?

Answer 7

Arthrodesis to preserve pinch grip

Question 8

Treatmnet of PIP OA in other fingers?

Answer 8

Replacement arthroplasty may be required

Question 9

Aetiology of MCP OA?

Answer 9

Rare

Usually a specific cause such as injury, gout, infection

Question 10

Signs and symptoms of MCP OA?

Answer 10

• Painful
• Swollen
• Tender

Question 11

Treatmnet of MCP OA?

Answer 11

Surgical treatment possible: joint replacements

• Relieve pain
• Improve ROM

Question 12

Complications of treatment for MCP OA?

Answer 12

• Ulnar drift

- Extensor tendon subluxation

Question 13

1st carpo-metacarpal joint OA (trapxiometacarpal joint)

Answer 13

• Especially occurs in women
• Treat with
• Injection of steroid
• Excision arthroplasty
• Fusion