New Haven survey of joint diseases. XII. Distribution and symptoms of osteoarthrosis in the hands with reference to handedness.

Acheson, R. M.; Chan, Yick‐Kwong; Clemett, Arthur R.

doi:10.1136/ard.29.3.275

Cited by 143 publications

(58 citation statements)

References 10 publications

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“…The term metacarpophalangeal arthropathy associated with manual labor is suggested for this arthropathy because it appeared to be related to prolonged labor that involved gripping with both hands. We concluded that MCP arthropathy, mimicking that seen in hemochromatosis and pyrophosphate arthropathy, occurred in the absence of underlying metabolic (38) * R = right; CMC = carpometacarpal; L = left; MTP = metatarsophalangeal.…”

Section: _____mentioning

confidence: 91%

Metacarpophalangeal arthropathy associated with manual labor (missouri metacarpal syndrome). clinical, radiographic, and pathologic characteristics of an unusual degenerative process

Williams¹,

Cope²,

Wd³

et al. 1987

Arthritis & Rheumatism

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We describe 7 manual laborers with painful, palpably enlarged metacarpophalangeal joints. Characteristic radiographic changes were joint space loss, prominent osteophytes, and cystic metacarpal heads most prominent in the second and third metacarpophalangeal joints. In 3 of 4 patients, joint biopsy specimens showed subsynovial fibrosis and villous hyperplasia. All 7 patients had similar backgrounds of heavy work demanding sustained gripping motions of both hands, for periods that exceeded 30 years. We designated their Degenerative joint disease involving the fingers typically affects the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints, with relative sparing of the metacarpophalangeal (MCP) joints (I ,2). Clinicians evaluating severe osteoarthritic changes in the MCP joints tend to consider diagnoses of secondary osteoarthritis (OA) resulting from hemochromatosis (3-8) or calcium pyrophosphate dihydrate (CPPD) crystal deposition (9-13). Both disorders are associated with bilateral degenerative arthropathy usually involving the second and third MCP joints, with loss of articular space, sclerosis, and cyst formation (3-15).We recently identified painful degenerative MCP arthropathy in a group of 7 farmers and laborers, aged 51 years or older. The most prominent clinical feature was restricted range of motion, and radiographic abnormalities included loss of joint space and large osteophytes in the second and third MCP joints. Because MCP arthropathy may be a prominent manifestation of hemochromatosis (6,16-18) or pyrophosphate arthropathy (9-13), metabolic diseases were considered and were excluded after thorough clinical evaluations and MCP joint biopsies. The term metacarpophalangeal arthropathy associated with manual labor is suggested for this arthropathy because it appeared to be related to prolonged labor that involved gripping with both hands. We concluded that MCP arthropathy, mimicking that seen in hemochromatosis and pyrophosphate arthropathy, occurred in the absence of underlying metabolic disorders. Although factors such as generalized OA

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Section: _____mentioning

confidence: 91%

Metacarpophalangeal arthropathy associated with manual labor (missouri metacarpal syndrome). clinical, radiographic, and pathologic characteristics of an unusual degenerative process

Williams¹,

Cope²,

Wd³

et al. 1987

Arthritis & Rheumatism

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“…Differences between right and left hands were previously detected in an extensive (1,127 subjects) cross-sectional epidemiological study in a general urban population (9). That study utilized radiographic DJD scores as we did, as well as assessing symptoms.…”

Section: Discussionmentioning

confidence: 99%

Hand structure and function in an industrial setting.

Hadler

Gillings²,

Imbus³

et al. 1978

Arthritis & Rheumatism

149

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The influence of patterns of usage on the structure and function of the hands was formally tested. Three groups of female textile workers, each employed in a distinct and defined, atraumatic, repetitive, stereotyped manual task for at least 20 years, were identified in a single rural mill. Replicate data were obtained for the following measures of structure and function: range of motion, a score for the degree of radiographic degenerative changes at each hand joint, malalignment at digital joints determined radiographically, and a quantitative measure of osteophyte formation. Significant and consistent differences in the right hand when compared to the left were detected. Furthermore, highly significant task-related differences were demonstrated. These task-related differences in the structure and function of the hands were consistent with the pattern of usage. Therefore these three patterns of usage influence hand structure and function in the population studied.Primary degenerative joint disease (DJD) of the hand as a clinical entity is clearly multifactorial in pathogenesis. Literature spanning several decades documents the heritability of the condition (1,2) and the distinctive clinical patterns of involvement (3,4). Such data have appropriately focused research efforts on understanding the pathobiology of the diarthrodial joint and, more particularly, the underlying biochemical derangements in hyaline cartilage (5,6). The role of use in pathogenesis is less clear. It has been argued that the microtrauma of use might have a primary role in the pathogenesis of DJD (7) including DJD of the hand (8,9).The hypothesis of a more primary pathogenetic role for usage leads to a corollary hypothesis: The pattern of usage should influence structure and function of the hand in a fashion compatible with the clinical definition of DJD. Furthermore, such a corollary hypothesis lends itself to formal testing, that is, the formulation and testing of the null hypothesis that there is no clinically detectable difference in the structure and function of the hands of groups of subjects, each with distinct and dif-

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“…The thumb is critical to hand function with nearly all of the basic activities of daily living requiring painless positioning of the thumb against resistance to accomplish manipulative tasks [13,14]. Loss of thumb function imparts a 40% to 50% impairment to the upper extremity as a result of its central role in nearly all grasp and handling maneuvers [1]. The role of compensatory motion of adjacent and contiguous joints is well known in musculoskeletal impairment [2,3,16,20] but the interdependence has not been quantified in diseases and arthritis of the hand.…”

Section: Introductionmentioning

confidence: 99%

“…Abnormal biomechanical loading has been identified as a risk factor for the development of OA in the wrist and hand [1]. The data implicating altered biomechanics with CMC arthritis, however, are largely empirical based on associations between CMC osteoarthritis and sex, trauma (acute and repetitive), and ligamentous hypermobility [15].…”

Section: Introductionmentioning

confidence: 99%

Functional Task Kinematics of the Thumb Carpometacarpal Joint

Luker¹,

Aguinaldo

Kenney³

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Abnormal biomechanical loading has been identified as an associated risk factor of osteoarthritis in the wrist and hand. Empirical data to date are insufficient to describe the role of altered biomechanics in thumb carpometacarpal (CMC) arthritis. Questions/purposes This is a pilot study to evaluate motion analysis of the upper extremity while performing functional tasks. We wished to describe the in vivo kinematics of the thumb and hand in relation to the larger joints of the upper extremity in subjects without arthritis in functional positions at rest and while loading the CMC joint. If reproducible, we then planned to compare kinematics between these subjects and a subject with advanced thumb CMC arthritis.

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New Haven survey of joint diseases. XII. Distribution and symptoms of osteoarthrosis in the hands with reference to handedness.

Cited by 143 publications

References 10 publications

Metacarpophalangeal arthropathy associated with manual labor (missouri metacarpal syndrome). clinical, radiographic, and pathologic characteristics of an unusual degenerative process

Metacarpophalangeal arthropathy associated with manual labor (missouri metacarpal syndrome). clinical, radiographic, and pathologic characteristics of an unusual degenerative process

Hand structure and function in an industrial setting.

Functional Task Kinematics of the Thumb Carpometacarpal Joint

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