PIP Arthritis

synonyms: proximal interphalageal joint arthritis

PIP Arthritis ICD-9

PIP Arthritis Etiology / Epidemiology / Natural History

• Etiology: osteoarthritis, posttraumatic arthritis, rheumatoid arthritis

PIP Arthritis Anatomy

• see Hand anatomy.

PIP Arthritis Clinical Evaluation

• Pain and loss of motion in PIP joint of affected digit. RA patients often have gross deformity / subluxation

PIP Arthritis Xray / Diagnositc Tests

• P/A, lateral and oblique views of affected finger / thumb demonstrate varying degrees of Joint space narrowing, sclerosis, osteophytosis

PIP Arthritis Classification / Treatment

• Index Finger
  Treatment = PIP arthrodesis (maintains pinch strength)
• Long, Ring, Small Finger with soft-tissue laxity
  Treatment = semiconstrained silicone PIP arthroplasty
• Long, Ring, Small Finger with stable joint
  Treatment =nonconstrained pyrolytic carbon or metal-plastic PIP arthroplasty

PIP Arthritis Associated Injuries / Differential Diagnosis

• PIP Dislocation
• DIP Arthritis
• MCP arthritis

PIP Arthritis Complications

• Instability
• Infection
• Flexion deformity
• Squeaking
• Loss of motion

PIP Arthritis Follow-up Care

• Pyrolytic carbon implants: Average postoperative ROM 18° to 71°. 83% of patients would have the surgery again (Tuttle HG, J Hand Surg 2006;31A:930).

PIP Arthritis Review References

• Greens Hand Surgery
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