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Osteoarthritis of Wrist and Hand
B.J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Osteoarthritis (OA)
            • Synonyms

              • Degenerative joint disease (DJD), osteoarthrosis
              • Variant: Erosive osteoarthritis (EOA)
                • Inflammatory osteoarthritis
            • Definitions

              • OA: Noninflammatory arthritis due to progressive loss of cartilage
                • Resultant hypertrophic change in bone
              • EOA: Inflammatory variant of OA

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Berger AJ et al: Management of Osteoarthrosis of the Thumb Joints. J Hand Surg Am. 40(4):843-850, 2015
                                        2. Haugen IK et al: Increasing synovitis and bone marrow lesions are associated with incident joint tenderness in hand osteoarthritis. Ann Rheum Dis. ePub, 2015
                                        3. Mathiessen A et al: Ultrasound-detected inflammation predicts radiographic progression in hand osteoarthritis after 5 years. Ann Rheum Dis. ePub, 2015
                                        4. Saltzherr MS et al: Computed tomography for the detection of thumb base osteoarthritis: comparison with digital radiography. Skeletal Radiol. 42(5):715-21, 2013
                                        5. Filková M et al: Increased serum adiponectin levels in female patients with erosive compared with non-erosive osteoarthritis. Ann Rheum Dis. 68(2):295-6, 2009
                                        6. Matsos M et al: Ultrasound of the hands and feet for rheumatological disorders: influence on clinical diagnostic confidence and patient management. Skeletal Radiol. 38(11):1049-54, 2009
                                        7. El-Sherif HE et al: Hand osteoarthritis and bone mineral density in postmenopausal women; clinical relevance to hand function, pain and disability. Osteoarthritis Cartilage. 16(1):12-7, 2008
                                        8. Grainger AJ et al: MR imaging of erosions in interphalangeal joint osteoarthritis: is all osteoarthritis erosive? Skeletal Radiol. 36(8):737-45, 2007
                                        9. Magnano MD et al: A pilot study of tumor necrosis factor inhibition in erosive/inflammatory osteoarthritis of the hands. J Rheumatol. 34(6):1323-7, 2007
                                        10. Mas AJ et al: Erosive osteoarthritis of the feet: description of two patients. Joint Bone Spine. 74(3):296-8, 2007
                                        11. Silvestri T et al: Elevated serum levels of soluble interleukin-4 receptor in osteoarthritis. Osteoarthritis Cartilage. 14(7):717-9, 2006
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Osteoarthritis (OA)
                                                  • Synonyms

                                                    • Degenerative joint disease (DJD), osteoarthrosis
                                                    • Variant: Erosive osteoarthritis (EOA)
                                                      • Inflammatory osteoarthritis
                                                  • Definitions

                                                    • OA: Noninflammatory arthritis due to progressive loss of cartilage
                                                      • Resultant hypertrophic change in bone
                                                    • EOA: Inflammatory variant of OA

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Ultrasonographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Berger AJ et al: Management of Osteoarthrosis of the Thumb Joints. J Hand Surg Am. 40(4):843-850, 2015
                                                                              2. Haugen IK et al: Increasing synovitis and bone marrow lesions are associated with incident joint tenderness in hand osteoarthritis. Ann Rheum Dis. ePub, 2015
                                                                              3. Mathiessen A et al: Ultrasound-detected inflammation predicts radiographic progression in hand osteoarthritis after 5 years. Ann Rheum Dis. ePub, 2015
                                                                              4. Saltzherr MS et al: Computed tomography for the detection of thumb base osteoarthritis: comparison with digital radiography. Skeletal Radiol. 42(5):715-21, 2013
                                                                              5. Filková M et al: Increased serum adiponectin levels in female patients with erosive compared with non-erosive osteoarthritis. Ann Rheum Dis. 68(2):295-6, 2009
                                                                              6. Matsos M et al: Ultrasound of the hands and feet for rheumatological disorders: influence on clinical diagnostic confidence and patient management. Skeletal Radiol. 38(11):1049-54, 2009
                                                                              7. El-Sherif HE et al: Hand osteoarthritis and bone mineral density in postmenopausal women; clinical relevance to hand function, pain and disability. Osteoarthritis Cartilage. 16(1):12-7, 2008
                                                                              8. Grainger AJ et al: MR imaging of erosions in interphalangeal joint osteoarthritis: is all osteoarthritis erosive? Skeletal Radiol. 36(8):737-45, 2007
                                                                              9. Magnano MD et al: A pilot study of tumor necrosis factor inhibition in erosive/inflammatory osteoarthritis of the hands. J Rheumatol. 34(6):1323-7, 2007
                                                                              10. Mas AJ et al: Erosive osteoarthritis of the feet: description of two patients. Joint Bone Spine. 74(3):296-8, 2007
                                                                              11. Silvestri T et al: Elevated serum levels of soluble interleukin-4 receptor in osteoarthritis. Osteoarthritis Cartilage. 14(7):717-9, 2006