Osteoarthritis – Hand and Wrist-Proximal Interphalangeal Joint Arthritis

Proximal Interphalangeal Joint Arthritis

Pdf Summary

Proximal interphalangeal (PIP) joint arthritis can greatly impair hand function and cause considerable hand impairment. There are several types of PIP joint arthritis, including nonerosive and erosive osteoarthritis (OA), posttraumatic arthritis, and inflammatory arthritis. Nonerosive OA is considered idiopathic or primary OA, while erosive OA has an inflammatory component. Inflammatory OA occurs when connective tissues are diseased, allowing for normal use to incite arthritic damage. The treatment options for PIP joint arthritis are currently limited. Medications, such as anti-inflammatory drugs, can provide symptomatic relief, but proactive measures to modify the natural history of the disease are not yet available. Surgical treatment, such as arthroplasty or arthrodesis, is often necessary for severe cases. Arthroplasty is the mainstay of surgical treatment, but the choice of implants can vary. Silicone and pyrocarbon implants are commonly used, but each has its advantages and disadvantages. Other treatment options include vascularized joint transfer and modified volar plate arthroplasty. Further research is needed to better understand the genetic and environmental risk factors for PIP joint arthritis and to develop more effective treatment strategies. Advanced imaging modalities, such as MRI and ultrasound, may also provide valuable insights into the disease process. Overall, the diagnosis and treatment of PIP joint arthritis remains challenging, and more research is needed to improve patient outcomes.

Keywords

PIP joint arthritis

hand function impairment

hand impairment

nonerosive osteoarthritis

erosive osteoarthritis

posttraumatic arthritis

inflammatory arthritis

treatment options

medications

surgical treatment