Arthritis Cure

🔥+ Arthritis Cure 09 Jul 2020 How should you treat these common causes of nontraumatic thumb pain? ... (CMC) joint is the gold standard for surgical treatment of thumb CMC osteoarthritis, ...

Arthritis Cure In the hands, this damage causes enlarged joints and crooked fingers. Symptoms of Hand Osteoarthritis. Many symptoms of hand osteoarthritis are similar to the ...

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Dr Henry KnipeArthritis Curehow to Arthritis Cure for ◈ and Dr Yuranga Weerakkody et al.

Erosive (inflammatory) osteoarthritis is a form of hand osteoarthritis (OA) where, as the name implies, there is an additional erosive/inflammatory component.

Epidemiology

There is marked female predilection (F:M ~12:1), typically presenting in the postmenopausal patient.

Arthritis Curehow to Arthritis Cure for Clinical presentation

Clinically the presentation mimics inflammatory arthropathies such as psoriatic arthritis (PsA) or rheumatoid arthritis (RA). Patients complain of a relatively the 1 last update 2020/07/09 acute or subacute onset of morning stiffness in the fingers of both hands. Systemic symptoms, however, are absent.Clinically the presentation mimics inflammatory arthropathies such as psoriatic arthritis (PsA) or rheumatoid arthritis (RA). Patients complain of a relatively acute or subacute onset of morning stiffness in the fingers of both hands. Systemic symptoms, however, are absent.

Pathology

Erosive osteoarthritis exhibits a combination of degenerative cartilage changes as well as a rheumatoid arthritis-like proliferative synovitis 7. Erosive osteoarthritis is a subset of non-erosive OA, rather than a disease in its own right 8,9.

Arthritis Curehow to Arthritis Cure for Markers

Radiographic features

Plain radiograph

Erosive osteoarthritis has a predilection for the hands. The dominant features are those of osteoarthritis, particularly in terms of distribution:

  • distal interphalangeal (DIP) joints
  • proximal interphalangeal (PIP) joints
  • first carpometacarpal (CMC) joint

Additional characteristic features include:

  • diffuse cartilage loss, with joint space narrowing
  • subchondral erosions (at least two central erosions affecting separate interphalangeal joints); typical central location of the erosions produces the classic ""/articles/gull-wing-appearance-phalanges-1?lang=us""internal"" appearance
  • joint ankylosis
  • absence of 2
    • marginal erosions
    • fusiform soft-tissue swelling
    • osteopenia

Treatment and prognosis

Treatment is conservative unless the disease advances to joint destruction and/or contractures, which may require surgical arthrodesis, arthroplasty, or tendon repair.

The prognosis is good with remission after several years being seen in most patients. The degenerative changes of course remain and are then merely those of osteoarthritis.

Differential diagnosis

Arthritis Curehow to Arthritis Cure for Imaging differential considerations include:

References

  • 1. Martel W, Stuck KJ, Dworin AM et-al. Erosive osteoarthritis and psoriatic arthritis: a radiologic comparison in the hand, wrist, and foot. AJR Am J Roentgenol. 1980;134 (1): 125-35. AJR Am J Roentgenol (abstract) - Pubmed citation
  • 2. Chew FS. Radiology of the hands: review and self-assessment module. AJR Am J Roentgenol. 2005;184 (6): S157-68. AJR Am J Roentgenol (full text) - Pubmed citation
  • 3. Belhorn LR, Hess EV. Erosive osteoarthritis. Semin. Arthritis Rheum. 1993;22 (5): 298-306. Pubmed citation for 1 last update 2020/07/09
  • 4. Bryant LR, des Rosier KF, Carpenter MT. Hydroxychloroquine in the treatment of erosive osteoarthritis. J. Rheumatol. 1995;22 (8): 1527-31. Pubmed citation
  • 5. Smith D, Braunstein EM, Brandt KD et-al. A radiographic comparison of erosive osteoarthritis and idiopathic nodal osteoarthritis. J. Rheumatol. 1992;19 (6): 896-904. Pubmed citation
  • 6. Ulusoy H. Turkish Journal of Rheumatology. 2011;26 (1): . doi:10.5606/tjr.2011.008
  • 7. Punzi L, Ramonda R, Sfriso P. Erosive osteoarthritis. Best Pract Res Clin Rheumatol. 2004;18 (5): 739-58. doi:10.1016/j.berh.2004.05.010 - Pubmed citation for 1 last update 2020/07/09
  • 8. Marshall M, Nicholls E, Kwok WY, Peat G, Kloppenburg M, van der Windt D, Myers H, Dziedzic K. Erosive osteoarthritis: a more severe form of radiographic hand osteoarthritis rather than a distinct entity?. (2015) Annals of the rheumatic diseases. 74 (1): 136-41. doi:10.1136/annrheumdis-2013-203948 - Pubmed
  • 9. Zhang W, Doherty M, Leeb BF, Alekseeva L, Arden NK, Bijlsma JW, Dincer F, Dziedzic K, Hauselmann HJ, Kaklamanis P, Kloppenburg M, Lohmander LS, Maheu E, Martin-Mola E, Pavelka K, Punzi L, Reiter S, Smolen J, Verbruggen G, Watt I, Zimmermann-Gorska I. EULAR evidence-based recommendations for the diagnosis of hand osteoarthritis: report of a task force of ESCISIT. (2009) Annals of the rheumatic diseases. 68 (1): 8-17. doi:10.1136/ard.2007.084772 - Pubmed the 1 last update 2020/07/09

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Article information

rID: 10756
Synonyms or Alternate Spellings:
  • Inflammatory osteoarthritis
  • EOA
  • Erosive osteoarthritis (EOA)
  • Erosive OA
  • Inflammatory OA
  • Erosive osteoarthosis
  • Inflammatory osteoarthrosis

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Cases and figures

  • Figure 1: distribution in the handFigure 1: distribution in the the 1 last update 2020/07/09 handFigure 1: distribution in the hand
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  • Imaging differential diagnosis

  • Rheumatoid arthritisRheumatoid arthritis
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  • Non erosive osteoarthritisNon erosive osteoarthritis
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  • Psoriatic arthritisArthritis Curehow to Arthritis Cure for Psoriatic arthritis
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