Universität zu Köln

Spies, Christian Karl, Langer, Martin, Hahn, Peter, Mueller, Lars Peter and Unglaub, Frank (2018). The Treatment of Primary Arthritis of the Finger and Thumb Joint. Dtsch. Arztebl. Int., 115 (16). S. 269 - 282. COLOGNE: DEUTSCHER AERZTE-VERLAG GMBH. ISSN 1866-0452

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Abstract

Background: Primary finger and thumb joint arthritis is common, with a markedly rising prevalence from age 50 onward. As the population as a whole ages, the need for effective, stage-appropriate treatment of this condition is increasing. Methods: This review is based on pertinent publications retrieved by a selective search in the PubMed and Cochrane Library databases. Results: Pain on movement and morning stiffness are commonly reported symptoms. Thorough physical examination and plain x-rays are mandatory. In the early stages of primary finger and thumb joint arthritis, a conservative, multimodal treatment approach involving the use of splints, physiotherapy, and non-steroidal anti-inflammatory drugs can be helpful. The intra-articular injection of hyaluronic acid or cortisone seems to relieve pain in the short term, but its long-term efficacy in primary finger and thumb joint arthritis is questionable. Arthrodesis (joint fusion) is a reliable surgical treatment option for arthritis of the metacarpophalangeal and interphalangeal joints of the thumb. For mobility-preserving surgery of the metacarpophalangeal joints of the second through fifth fingers, silicone implant arthroplasty remains the gold standard. Symptomatic, advanced arthritis of the distal interphalangeal joint is most effectively treated with arthrodesis. Conclusion: The efficacy of conservative treatment has been documented in high-quality clinical trials, while that of surgical treatment has not. The various surgical methods have yielded benefits in routine clinical use, but these remain to be assessed in randomized and controlled trials.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Spies, Christian Karl UNSPECIFIED UNSPECIFIED UNSPECIFIED Langer, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Hahn, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-189136
DOI:	10.3238/arztebl.2018.0269
Journal or Publication Title:	Dtsch. Arztebl. Int.
Volume:	115
Number:	16
Page Range:	S. 269 - 282
Date:	2018
Publisher:	DEUTSCHER AERZTE-VERLAG GMBH
Place of Publication:	COLOGNE
ISSN:	1866-0452
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PROXIMAL INTERPHALANGEAL JOINT; RANDOMIZED CONTROLLED-TRIAL; HEADLESS COMPRESSION SCREW; HAND OSTEOARTHRITIS; CARPOMETACARPAL JOINT; TRAPEZIOMETACARPAL OSTEOARTHRITIS; LIGAMENT RECONSTRUCTION; FOLLOW-UP; INTERPOSITION ARTHROPLASTY; SILICONE ARTHROPLASTY Multiple languages Medicine, General & Internal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18913