title: [Osteoarthritis of the thumb and fingers].
abstract: Most commonly affected joints of the hand in osteoarthritis include the carpometacarpal joint of the thumb (CMC 1) and the distal (DIP) and proximal (PIP) interphalangeal joints. Ageing, female gender, genotype, heavy work causing pressure on the hands, and injuries predispose to osteoarthritis in the hand. The pain is likely to be due to secondary synovitis caused by molecules released from the joint cartilage. Initial treatment of osteoarthritis is always conservative: analgesic medication, splint and physiotherapy. Surgery is considered for severe symptoms. The most common procedures include arthrodeses and arthroplasties with autogenous grafts or implants.
authors.affiliation: HYKS, Töölön sairaala, käsikirurgian klinikka.
authors.forename: Eero
authors.initials: E
authors.lastname: Waris
authors.forename: Ville
authors.initials: V
authors.lastname: Waris
authors.forename: Yrjö T
authors.initials: YT
authors.lastname: Konttinen
mesh_terms: D000367:Age Factors; D000700:Analgesics / Q000627:therapeutic use; D001174:Arthrodesis; D001178:Arthroplasty; D005260:Female; D005384:Finger Joint / Q000473:pathology*; D006801:Humans; D008297:Male; D010003:Osteoarthritis / Q000473:pathology* / Q000628:therapy*; D026741:Physical Therapy Modalities; D019736:Prostheses and Implants; D012307:Risk Factors; D012737:Sex Factors; D013165:Splints; D013933:Thumb / Q000473:pathology* / Q000601:surgery*
chemical_list: D000700:Analgesics