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Annals of the Rheumatic Diseases logoLink to Annals of the Rheumatic Diseases
. 1991 Sep;50(9):627–630. doi: 10.1136/ard.50.9.627

Osteophytes in the osteoarthritic hand: their incidence, size, distribution, and progression.

J C Buckland-Wright 1, D G Macfarlane 1, J A Lynch 1
PMCID: PMC1004506  PMID: 1929585

Abstract

Quantitative microfocal radiographic assessment of osteophytes in osteoarthritic hands showed that their number and area were greatest at joint margins, in the dominant hand, in the second and third compared with fourth and fifth phalanges, in the third phalanx, and in the second distal interphalangeal joint respectively. These sites correspond with those for the largest forces exerted in the hand: the dominant side, the finger tripod used in the precision grip, power grip, and pulp-pinch respectively. The greater osteophytosis on the trapezium of the nondominant first carpometacarpal joint was probably related to forces exerted during power grip. Osteophytes increased significantly in number and area during the 18 month study period.

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Selected References

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

  1. AUNE S. Osteo-arthritis in the first carpo-metacarpal joint; an investigation of 22 cases. Acta Chir Scand. 1955 Oct 29;109(6):449–456. [PubMed] [Google Scholar]
  2. 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]
  3. Altman R. D., Fries J. F., Bloch D. A., Carstens J., Cooke T. D., Genant H., Gofton P., Groth H., McShane D. J., Murphy W. A. Radiographic assessment of progression in osteoarthritis. Arthritis Rheum. 1987 Nov;30(11):1214–1225. doi: 10.1002/art.1780301103. [DOI] [PubMed] [Google Scholar]
  4. Buckland-Wright J. C. A new high-definition microfocal X-ray unit. Br J Radiol. 1989 Mar;62(735):201–208. doi: 10.1259/0007-1285-62-735-201. [DOI] [PubMed] [Google Scholar]
  5. Buckland-Wright J. C. Advances in the radiological assessment of rheumatoid arthritis. Br J Rheumatol. 1983 Aug;22(3 Suppl):34–43. doi: 10.1093/rheumatology/xxii.suppl_1.34. [DOI] [PubMed] [Google Scholar]
  6. Buckland-Wright J. C., Carmichael I., Walker S. R. Quantitative microfocal radiography accurately detects joint changes in rheumatoid arthritis. Ann Rheum Dis. 1986 May;45(5):379–383. doi: 10.1136/ard.45.5.379. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Buckland-Wright J. C., Macfarlane D. G., Lynch J. A., Clark B. Quantitative microfocal radiographic assessment of progression in osteoarthritis of the hand. Arthritis Rheum. 1990 Jan;33(1):57–65. doi: 10.1002/art.1780330107. [DOI] [PubMed] [Google Scholar]
  8. Buckland-Wright J. C. Microfocal radiographic examination of erosions in the wrist and hand of patients with rheumatoid arthritis. Ann Rheum Dis. 1984 Apr;43(2):160–171. doi: 10.1136/ard.43.2.160. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Buckland-Wright J. C. X-ray assessment of activity in rheumatoid disease. Br J Rheumatol. 1983 Feb;22(1):3–10. doi: 10.1093/rheumatology/22.1.3. [DOI] [PubMed] [Google Scholar]
  10. Danielsson L., Hernborg J. Clinical and roentgenologic study of knee joints with osteophytes. Clin Orthop Relat Res. 1970 Mar-Apr;69:302–312. doi: 10.1097/00003086-197003000-00035. [DOI] [PubMed] [Google Scholar]
  11. Dickson R. A., Morrison J. D. The pattern of joint involvement in hands with arthritis at the base of the thumb. Hand. 1979 Oct;11(3):249–255. doi: 10.1016/s0072-968x(79)80046-7. [DOI] [PubMed] [Google Scholar]
  12. Hernborg J., Nilsson B. E. The relationship between osteophytes in the knee joint, osteoarthritis and aging. Acta Orthop Scand. 1973;44(1):69–74. doi: 10.3109/17453677308988675. [DOI] [PubMed] [Google Scholar]
  13. Jones A. R., Unsworth A., Haslock I. A microcomputer controlled hand assessment system used for clinical measurement. Eng Med. 1985 Oct;14(4):191–198. doi: 10.1243/emed_jour_1985_014_044_02. [DOI] [PubMed] [Google Scholar]
  14. Moskowitz R. W., Goldberg V. M. Osteophyte evolution: studies in an experimental partial meniscectomy model. J Rheumatol. 1987 May;14(Spec No):116–118. [PubMed] [Google Scholar]
  15. NAPIER J. R. The form and function of the carpo-metacarpal joint of the thumb. J Anat. 1955 Jul;89(3):362–369. [PMC free article] [PubMed] [Google Scholar]
  16. Radin E. L., Parker H. G., Paul I. L. Pattern of degenerative arthritis. Preferential involvement of distal finger-joints. Lancet. 1971 Feb 20;1(7695):377–379. doi: 10.1016/s0140-6736(71)92213-6. [DOI] [PubMed] [Google Scholar]
  17. VERAGUTH P. C. La tête fémorale du vieillard; études de ses transformations séniles et de leurs rapports avec la coxarthrose. Rev Chir Orthop Reparatrice Appar Mot. 1955;41(1 Suppl):39–111. [PubMed] [Google Scholar]

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