Bony enlargements such as Bouchard's nodes on the PIP joints
and Heberden's nodes on the distal interphalangeal are commonly found in hand OA.
Fabrication of this type of PIP joints
is accomplished with swaged connectors or forged tulips and is much easier than using the donut rings.
Periarticular osteoporosis was noticed in the bilateral MCP and PIP joints
on the hand radiographies (Figure 2).
High severity proximal interphalangeal ("PIP") joints (those with baseline contractures > 40 degrees) had a higher recurrence rate than low severity PIP joints
(71 percent versus 58 percent, respectively) at four years.
When the cable is pulled, torque is applied to the MCP and PIP joints
The first injection resulted in a mean 81% reduction in the degree of fixed-flexion contracture in treated MP joints, and a 66% decrease in PIP joints
In RA of the hands there is soft-tissue swelling of the PIP joints
and metacarpophalangeal (MCP) joints.
The results for both MP and PIP joints
that were treated with XIAFLEX are compelling and compare favorably to surgery from both an efficacy and safety point of view," said Dr.
41) The investigators recommended a postoperative splint extending to the PIP joints
Joint swelling was noted in the left second, left third, right first, and right second PIP joints
On examination, he was a pleasant gentleman with obvious contractures of the MCP and PIP joints
of both fourth fingers, reduced range of motion in his shoulder joints and neck, as well as marked loss of motion of bilateral hips.
Strikingly, the distal interphalangeal (DIP) and PIP joints
were intact, and hook-like osteophytic formations on the heads of the metacarpal bones were seen, which is typical of hemochromatosis.