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Radiographic thumb osteoarthritis: frequency, patterns and associations with pain and clinical assessment findings in a community-dwelling population.

Marshall, Michelle; Myers, Helen; Dziedzic, Krysia; Nicholls, Elaine; Van Der Windt, Danielle

Radiographic thumb osteoarthritis: frequency, patterns and associations with pain and clinical assessment findings in a community-dwelling population. Thumbnail


Authors

Helen Myers



Abstract

OBJECTIVES: The aim of this study was to investigate: (i) the frequency and patterns of radiographic OA (ROA) in the thumb joints; and (ii) associations between thumb ROA and the clinical characteristics of thumb OA in older adults with hand pain or problems. METHODS: Participants were 592 community-dwelling older adults with hand pain or hand problems who attended a research clinic. Hand X-rays were taken and 32 joints were scored for the presence of ROA. The occurrence and pattern of ROA in the hand were examined. Univariable and multivariable associations of thumb pain and clinical assessments (nodes, deformity, enlargement, thenar muscle wasting, grind test, Kapandji index, Finkelstein's test and thumb extension) with ROA were investigated. RESULTS: The first CMC and thumb IP joints were the hand joints most frequently affected with ROA. The thumb (thumb IP, first MCP, first CMC, trapezioscaphoid) was the most commonly affected joint group (n?=?412). Isolated thumb ROA occurred more frequently than in any other isolated joint group. Multivariable analyses showed that older age, thumb pain, thenar muscle wasting and presence of nodes, deformity or enlargement best determined the presence of thumb ROA. CONCLUSION: The first CMC and thumb IP joints were frequently affected with ROA. Prevalence estimates of ROA would be underestimated if these were not scored. One-third of the individuals with thumb ROA did not have involvement of the first CMC joint. The presence of thumb ROA was strongly associated with a combination of older age, thumb pain and clinical features of OA.

Citation

Marshall, M., Myers, H., Dziedzic, K., Nicholls, E., & Van Der Windt, D. (2010). Radiographic thumb osteoarthritis: frequency, patterns and associations with pain and clinical assessment findings in a community-dwelling population. Rheumatology, 50(4), 735 - 739. https://doi.org/10.1093/rheumatology/keq371

Journal Article Type Article
Acceptance Date Dec 6, 2010
Online Publication Date Dec 6, 2010
Publication Date 2010-04
Publicly Available Date May 26, 2023
Journal Rheumatology
Print ISSN 1462-0324
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 50
Issue 4
Pages 735 - 739
DOI https://doi.org/10.1093/rheumatology/keq371
Keywords Epidemiology, Osteoarthritis, Thumb, Radiography, Pain, Clinical features, Clinical assessment
Publisher URL https://academic.oup.com/rheumatology/article/50/4/735/1777938

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