Symptomatic hand osteoarthritis involved mostly DIP joints (92.
The same study reported that DIP joint OA prevalence was significantly higher in women (p<0.
Since the joints used in the calculation of DAS28 do not include the foot and DIP joints
, a number of investigators have advocated that its use with PsA should be limited.
On the third post-operative day, the physiotherapist applies the lightest possible dressing to the wound to promote the mobilization and makes a palmar resting splint, which maintains the PIP and the DIP joints
in full extension (0 degrees) with MCF (Meta Carpo phalangeal) free, and applies tape or strapping directly over the dorsum of the joint to avoid any risk of slippage of the splint.
Part of primary generalised osteoarthritis (OA) with Heberden's nodes of DIP joints
Thus, a flexion and valgus deformity occurred in the little-finger DIP joints
A common constraint used based on the hand anatomy states that to bend the DIP joints
of the index, middle, ring, and little fingers, the corresponding PIP joints must also be bent (Figure 6) [13-14].
26) Using the Strickland formula of total active motion of the PIP and DIP joints
, Chow and colleagues reported 80%, excellent; 18%, good; and 2%, fair results.
Erosive osteoarthritis usually begins abruptly with pain and morning stiffness in the DIP joints
before advancing to the PIP joints, whereas OA has a more insidious, generalized onset.
Involvement of the wrists along with the MCP (mainly the second and third digits), and PIP joints, which mimicks OA, are the most characteristic findings, but the preservation of the DIP joints
is important in order to discriminate the arthropathy from primary OA.
The DIP joints
are virtually never involved in RA, but inflammatory changes at this site may be seen in psoriatic arthritis (PsA) or gout.
The majority of procedures performed were DIP joint
arthrodeses, while hip and knee arthroplasty were quite rare.