[Hand osteoarthritis]

Cas Lek Cesk. 2016 Fall;155(6):305-309.
[Article in Czech]

Abstract

Hand osteoarthritis (OA) is a common chronic disorder causing pain and limitation of mobility of affected joints. The prevalence of hand OA increases with age and more often affects females. Clinical signs obviously do not correlate with radiographic findings - symptomatic hand OA affects approximately 26 % of adult subjects, but radiographic changes can be found in up to two thirds of females and half of males older than 55 years.Disease course differ among individual patients. Hand OA is a heterogeneous disease. Nodal hand OA is the most common subtype affecting interphalangeal joints, thumb base OA affects first carpometacarpal joint. Erosive OA represents a specific subtype of hand OA, which is associated with joint inflammation, more pain, functional limitation and erosive findings on radiographs.Treatment of OA is limited. Analgesics and nonsteroidal anti-inflammatory drugs are the only agents reducing symptoms. New insights into the pathogenesis of disease should contribute to the development of novel effective treatment of hand OA.

Keywords: hand osteoarthritis; thumb base osteoarthritis erosive changes..

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Carpometacarpal Joints / diagnostic imaging
  • Carpometacarpal Joints / pathology*
  • Female
  • Hand Joints / diagnostic imaging
  • Hand Joints / pathology*
  • Hand Strength
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis / diagnosis*
  • Osteoarthritis / diagnostic imaging
  • Osteoarthritis / epidemiology*
  • Osteoarthritis / pathology*
  • Prevalence
  • Radiography
  • Risk Assessment
  • Treatment Outcome