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. 1989 Dec;48(12):978–982. doi: 10.1136/ard.48.12.978

A controlled study of hand function in nodal and erosive osteoarthritis.

M Pattrick 1, S Aldridge 1, E Hamilton 1, A Manhire 1, M Doherty 1
PMCID: PMC1003934  PMID: 2619358

Abstract

Hand function using a standardised test of activities of daily living was assessed in (a) 57 patients (53 female, four male; mean age 69 years) with established (that is, symptom onset greater than 10 years before) nodal generalised osteoarthritis (NGOA); (b) 10 patients (nine female, one male; mean age 70 years) with established erosive osteoarthritis (EOA); and (c) 52 matched controls (48 female, four male; mean age 71 years) with asymptomatic, clinically normal hands. Although significant differences between controls and patient groups were observed for individual tasks, only minor global impairment was seen, the worst function occurring in patients with EOA. There was no consistent correlation between tested aspects of hand function and extent of radiographic change assessed by summated graded score for separate osteoarthritic features in individual joints. In controls increasing age correlated with longer time to complete all tasks and weaker power grip; a similar, less pronounced correlation occurred in patients. Differences between controls and patients with NGOA were most apparent in younger subjects; in the elderly (greater than 80 years) hand function was essentially the same. This study shows good functional outcome for patients with NGOA, and suggests that the OA process is of little functional importance to the aging hand.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Acheson R. M., Chan Y. K., Clemett A. R. New Haven survey of joint diseases. XII. Distribution and symptoms of osteoarthrosis in the hands with reference to handedness. Ann Rheum Dis. 1970 May;29(3):275–286. doi: 10.1136/ard.29.3.275. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Acheson R. M., Ginsburg G. N. New Haven survey of joint diseases. XVI. Impairment, disability, and arthritis. Br J Prev Soc Med. 1973 Aug;27(3):168–176. doi: 10.1136/jech.27.3.168. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Agnew P. J., Maas F. Hand function related to age and sex. Arch Phys Med Rehabil. 1982 Jun;63(6):269–271. [PubMed] [Google Scholar]
  4. Baron M., Dutil E., Berkson L., Lander P., Becker R. Hand function in the elderly: relation to osteoarthritis. J Rheumatol. 1987 Aug;14(4):815–819. [PubMed] [Google Scholar]
  5. COBB S., MERCHANT W. R., RUBIN T. The relation of symptoms to osteoarthritis. J Chronic Dis. 1957 Feb;5(2):197–204. doi: 10.1016/0021-9681(57)90135-2. [DOI] [PubMed] [Google Scholar]
  6. Evans D. M., Lawton D. S. Assessment of hand function. Clin Rheum Dis. 1984 Dec;10(3):697–725. [PubMed] [Google Scholar]
  7. Gresham G. E., Rathey U. K. Osteoarthritis in knees of aged persons. Relationship between roentgenographic and clinical manifestations. JAMA. 1975 Jul 14;233(2):168–170. [PubMed] [Google Scholar]
  8. KELLGREN J. H., MOORE R. Generalized osteoarthritis and Heberden's nodes. Br Med J. 1952 Jan 26;1(4751):181–187. doi: 10.1136/bmj.1.4751.181. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lawrence J. S., Bremner J. M., Bier F. Osteo-arthrosis. Prevalence in the population and relationship between symptoms and x-ray changes. Ann Rheum Dis. 1966 Jan;25(1):1–24. [PMC free article] [PubMed] [Google Scholar]
  10. Liang M. H., Cullen K. E., Larson M. G. Measuring function and health status in rheumatic disease clinical trials. Clin Rheum Dis. 1983 Dec;9(3):531–539. [PubMed] [Google Scholar]
  11. Lundgren-Lindquist B., Sperling L. Functional studies in 79-year-olds. II. Upper extremity function. Scand J Rehabil Med. 1983;15(3):117–123. [PubMed] [Google Scholar]
  12. Mankin H. J. The response of articular cartilage to mechanical injury. J Bone Joint Surg Am. 1982 Mar;64(3):460–466. [PubMed] [Google Scholar]
  13. Peter J. B., Pearson C. M., Marmor L. Erosive osteoarthritis of the hands. Arthritis Rheum. 1966 Jun;9(3):365–388. doi: 10.1002/art.1780090302. [DOI] [PubMed] [Google Scholar]
  14. Potvin A. R., Syndulko K., Tourtellotte W. W., Lemmon J. A., Potvin J. H. Human neurologic function and the aging process. J Am Geriatr Soc. 1980 Jan;28(1):1–9. doi: 10.1111/j.1532-5415.1980.tb00115.x. [DOI] [PubMed] [Google Scholar]
  15. Williams T. F. Assessment of mobility and hand function in the elderly. Isr J Med Sci. 1986 Mar-Apr;22(3-4):220–224. [PubMed] [Google Scholar]
  16. Wood P. H. Radiology in the diagnosis of arthritis and rheumatism. Trans Soc Occup Med. 1972 Jul;22(3):69–73. doi: 10.1093/occmed/22.1.69. [DOI] [PubMed] [Google Scholar]

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