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Trapeziometacarpal osteoarthritis (TMC OA) is, also known as osteoarthritis at the base of the thumb, thumb carpometacarpal osteoarthritis, basilar (or basal) joint arthritis, or as rhizarthrosis. [ 3 ] [ 1 ] [ 2 ] This joint is formed by the trapezium bone of the wrist and the metacarpal bone of the thumb.
De Quervain syndrome is diagnosed clinically based on patient history and physical examination, though diagnostic imaging may be used to rule out fracture, arthritis, or other causes. The modified Eichoff maneuver , commonly referred to as the Finkelstein test , is a physical exam maneuver used to diagnose de Quervain syndrome. [ 2 ]
With gamekeeper's thumb, where the ulnar collateral ligament (UCL) is damaged, thumb functional abilities may be diminished. [4] For fingertip deformities, such as in mallet finger, pain and fingernail disruption may also be observed. [13] Rheumatoid arthritis of the hands may cause hand deformities.
Inflammatory arthritis can sometimes cause symptoms in parts of the body other than the joints, like the eyes, heart, or lungs. As arthritis progresses, joint damage can get worse.
Rarer causes which usually behave differently but may cause joint pains: [93] Sarcoidosis, amyloidosis, and Whipple's disease can also resemble RA. Hemochromatosis may cause hand joint arthritis. Acute rheumatic fever can be differentiated by a migratory pattern of joint involvement and evidence of antecedent streptococcal infection.
Finkelstein's test was described by Harry Finkelstein (1865–1939), an American surgeon, in 1930. [5]A similar test was previously described by Eichhoff, in which the thumb is placed in the palm of the hand and held with the fingers, and the hand is then ulnar deviated (see images), causing intense pain over the radial styloid which disappears if the thumb is released.
By DR. KAREN LATIMER My ten-year-old has this very annoying habit of cracking her joints – all of them – knuckles, back, wrists, ankles. If it can bend, she can crack it. The sound itself ...
Gross clubbing – Thickening of the whole distal (end part of the) finger (resembling a drumstick) Hypertrophic osteoarthropathy – Shiny aspect and striation of the nail and skin Schamroth's sign or Schamroth's window test (originally demonstrated by South African cardiologist Leo Schamroth on himself) [ 16 ] is a popular test for clubbing.
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