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synonyms: proximal interphalageal joint arthritis
PIP Arthritis ICD-10
PIP Arthritis ICD-9
- 715.14 Osteoarthritis, localized, primary; hand
PIP Arthritis Etiology / Epidemiology / Natural History
- Etiology: osteoarthritis, posttraumatic arthritis, rheumatoid arthritis
PIP Arthritis Anatomy
- see Hand anatomy.
- PIP joint arthroplasty is dependent upon radial collateral ligament stability
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, better reliability over long term compared to arthroplasty for the index finger.
- 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
PIP Arthritis Review References
- Greens Hand Surgery
- Pellegrini VD Jr, Burton RI. Osteoarthritis of the proximal interphalangeal joint of the hand: arthroplasty or fusion? J Hand Surg Am. 1990 Mar;15(2):194-209. PubMed PMID: 2133611
- Branam BR, Tuttle HG, Stern PJ, Levin L. Resurfacing arthroplasty versus silicone arthroplasty for proximal interphalangeal joint osteoarthritis. J Hand Surg Am. 2007 Jul-Aug;32(6):775-88. PubMed PMID: 17606054
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