Osteoarthritis in the hand

Swanson, Alfred B.; Swanson, Genevieve deGroot

doi:10.1016/s0363-5023(83)80242-1

Cited by 37 publications

(18 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Idiopathic nodes are easily identifiable from the clinical history, which usually consists of a node, which slowly and gradually increases in size on one finger and then spreads to other fingers. Reports from patients about pain associated with the nodes are inconsistent, with some reporting painful growth of the nodes whereas others report the growth as painless [30]. Stecher [29] described the progression of Heberden's nodes having observed around 7,000 individuals with Heberden's nodes.…”

Section: Heberden's Nodes: a Historical Perspectivementioning

confidence: 99%

See 1 more Smart Citation

Hand Osteoarthritis — Clinical Presentation, Phenotypes and Management

Sofat¹,

Jeyabaladevan²

2015

Osteoarthritis - Progress in Basic Research and Treatment

View full text Add to dashboard Cite

Section: Heberden's Nodes: a Historical Perspectivementioning

confidence: 99%

“…It is well established that Heberden's nodes are associated with underlying radiographic changes [30]. More recent studies have shown that Heberden's nodes, which are more developed and affecting both sides of the joint show joint space narrowing as opposed to Heberden's nodes in their initial stages.…”

Section: Heberden's Nodes: a Historical Perspectivementioning

confidence: 99%

Hand Osteoarthritis — Clinical Presentation, Phenotypes and Management

Sofat¹,

Jeyabaladevan²

2015

Osteoarthritis - Progress in Basic Research and Treatment

View full text Add to dashboard Cite

“…La définition la plus souvent utilisée était celle de Kellgren et Lawrence (76 %), mais elle pouvait être appliquée à des nombres et des types d'articulations très différents (Tableau 5). Les scores utilisés pour les études épidémiologiques étaient ceux de KL, de Bergström et celle de Swanson [5,25,26]. Dans les autres études cliniques, chaque auteur a le plus souvent utilisé son propre score, souvent extrapolé de ce qui existait au genou.…”

Section: Arthrose Digitale Et Arthrose De La Mainunclassified

Critères de diagnostic et de suivi de l’arthrose

Pham

2010

Revue du Rhumatisme Monographies

View full text Add to dashboard Cite

“…The grind test is perhaps the most commonly referenced diagnostic tool to evaluate and confirm osteoarthritis. [2][3][4]6,14,15,17 To perform the grind test, the examiner applies axial compression along the plane of the thumb metacarpal and simultaneously rotates the thumb metacarpal base (Figure 1). The test is positive if it reproduces pain in the joint.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Physical Examination Tests for Thumb Basal Joint Osteoarthritis

Model

Liu

Kang

et al. 2016

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background:We compare the ability of 3 diagnostic tests to reproduce the pain of basilar joint arthritis (BJA): the grind test, the lever test (grasping the first metacarpal just distal to the basal joint and shucking back and forth in radial and ulnar directions), and the metacarpophalangeal extension test. Methods: Sixty-two patients with thumb BJA were enrolled. The 3 tests were performed in a random order on both hands of each patient. Prior to testing, patients reported their typical pain level and subsequently rated their pain after each test on a 0 to 10 scale, also specifying the extent to which the test reproduced their thumb pain (fully, partially, not at all). All patients had radiographs that displayed basal joint arthritis. A test was defined as positive for BJA if pain produced was greater than 0. Sensitivity and specificity for each test were calculated using the patients' history of pain localized to the basal joint and BJA diagnosis on radiographs as the gold standard. Results:The lever test produced the greatest level of pain and best reproduced the presenting pain. The lever test also had the highest sensitivity, high specificity, and the lowest false-negative rate. The grind test had the lowest sensitivity, highest specificity, and highest false-negative rate. Conclusions: The lever test was the diagnostic test that best reproduced the pain caused by thumb basal joint osteoarthritis. We recommend using the lever physical examination test when evaluating the patient with suspected basal joint osteoarthritis. The often-quoted grind test is of limited diagnostic value.

show abstract

Osteoarthritis in the hand

Cited by 37 publications

References 12 publications

Hand Osteoarthritis — Clinical Presentation, Phenotypes and Management

Hand Osteoarthritis — Clinical Presentation, Phenotypes and Management

Critères de diagnostic et de suivi de l’arthrose

Evaluation of Physical Examination Tests for Thumb Basal Joint Osteoarthritis

Contact Info

Product

Resources

About