Radiological articular involvement in the dominant hand in rheumatoid arthritis.

Owsianik, W D; Kundi, A; Whitehead, J N; Kraag, G; Goldsmith, Charles H.

doi:10.1136/ard.39.5.508

Cited by 37 publications

(33 citation statements)

References 9 publications

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“…Almost all patients had abnormal findings on radiographic and physical examinations. Our findings confirm that articular damage is greater in the dominant hand (27), although we did not find statistically significant differences, and that extensive radiographic changes are detectable using only a single PA radiograph of both hands and wrists (28,29).…”

Section: Acknowledgmentssupporting

confidence: 79%

Radiographic and joint count findings of the hand in rheumatoid arthritis. related and unrelated findings

Fuchs

Callahan

Kaye

et al. 1988

Arthritis & Rheumatism

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Radiographic and physical joint count findings of the hands and wrists of 148 patients with rheumatoid arthritis (RA) were analyzed in a cross‐sectional study. Quantitative radiographic scores for joint space narrowing, erosion, and malalignment were correlated highly with joint count scores for limitation of motion and deformity, and were correlated at considerably lower levels with joint swelling scores. Radiographic scores, however, were not correlated at all with joint count tenderness scores. That 2 of the most widely used indices of RA disease activity, radiographic erosion scores and joint count scores for tenderness, were independent of one another at a selected timepoint, should be considered in the design of clinical trials and long‐term observation of patients with RA.

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Section: Acknowledgmentssupporting

confidence: 79%

Radiographic and joint count findings of the hand in rheumatoid arthritis. related and unrelated findings

Fuchs

Callahan

Kaye

et al. 1988

Arthritis & Rheumatism

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“…This could be because a variety of different evaluation methods have been used in previous studies, such as standard radiography and bone mineral density (BMD). [7,8,18,29] In the studies that used the Larsen score, it was noted that the dominant hand had more joint space narrowing and erosion compared with the non-dominant hand, which was similar to our findings. [7,8] However, in one of his studies, Luukkainen [30] evaluated the radiological difference between the hands of each patient with early RA and found no greater difference in destruction level in the dominant hand.…”

Section: Discussionsupporting

confidence: 82%

“…[7,8,18,29] In the studies that used the Larsen score, it was noted that the dominant hand had more joint space narrowing and erosion compared with the non-dominant hand, which was similar to our findings. [7,8] However, in one of his studies, Luukkainen [30] evaluated the radiological difference between the hands of each patient with early RA and found no greater difference in destruction level in the dominant hand. In our study, more radiological damage was detected in the dominant hand, but this can be attributed to the fact that since our patients had an average disease duration of 15 years, the difference between the hands was more significant.…”

Section: Discussionsupporting

confidence: 82%

“…Although symmetrical joint involvement is widely accepted, it has been reported in some studies that inflammation increases due to trauma and excessive activity, and as a result, the findings in the dominant hand are likely to be more severe than in the non-dominant hand. [6][7][8] In line with this and in view of the asymmetrical and unilateral involvement in patients with chronic neurological diseases (i.e., poliomyelitis, meningioma, encephalitis, and neurovascular syphilis) along with the study results that indicated preserved limb paralysis, it can be concluded that symmetrical involvement of joints does not always occur with RA. [9] In fact, this aspect has been clarified in the literature in which the anti-inflammatory effects of physical rest and immobilization were noted.…”

supporting

confidence: 59%

“…Other studies in the literature have also failed to find any differences related to power grip strength, but the dominant hand strength has been reported to be higher numerically. [8,26] According to studies in which the grip strength of both hands of healthy subjects was evaluated, the dominant hand was 10% stronger, [27,28] and we also found that the dominant hand was significantly stronger with regard to both power grip strength and pinch strength. However, the difference in the strength between the hands was less than 10%.…”

Section: Discussionmentioning

confidence: 99%

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An Evaluation of Hand Dominancy and its Relationship with Hand involvement and hand Dexterity in Patients with Rheumatoid Arthritis

2013

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Amaç: Çalışmamızda sağ elini dominant olarak kullanan romatoid artritli (RA) hastalarda el dominansisi ile klinik ve radyolojik olarak el tutulumu ve el becerisi arasında ilişki olup olmadığının değerlendirilmesi amaçlandı. Hastalar ve yöntemler:Çalışmaya sağ elini dominant olarak kullanan 249 hasta (238 kadın, 11 erkek; ort. yaş 53.0±11.8 yıl; dağılım 25-78 yıl) alındı. Hastaların el ve el bileği tutulumunun değerlendirilmesinde, el ve el bileği eklem hareket açıklığı (EHA), metakarpofalangeal eklemler (MKFE) ve proksimal interfalangeal eklemler (PIFE) ölçüldü ve deformitelerin ve tenosinovitin varlığı kaydedildi. El becerisi nine hole peg testi, el kavrama kapasitesi (altı tip) ve kaba kavrama kuvveti ile değerlendirildi. Larsen skoru hesaplandı ve sonuçlar iki el arasında kıyaslandı.Bulgular: El bilek fleksiyon, ekstansiyon ve total PIFE EHA kısıtlılığı, piyano tuşu belirtisi ve düğme iliği deformitesi varlığı dominant (sağ) elde daha fazla idi. Sağ el sol ele göre daha kuvvetli bulundu, fakat iki el arasında kavrama tipleri açısından farklılık saptanmadı. Sağ elin radyolojik bulguları sol ele göre daha destrüktif idi.Sonuç: Çalışma bulgularımıza göre, RA'lı hastaların dominant eli daha fazla eklem kısıtlılığı ve radyolojik hasar içermekte idi, ayrıca bazı deformiteler dominant elde daha fazla gözlenebilmekte idi. Ancak, bu sonuçlara rağmen, dominant el halen dominant olmayan elden daha kuvvetlidir.Anahtar sözcükler: Dominansi; el kavrama kuvveti; el; eklem tutulumu; romatoid artrit.Objectives: This study aims to evaluate whether hand dominancy in patients with rheumatoid arthritis (RA) using their right hand dominantly is associated with clinical and radiological involvement of the hand and hand dexterity. Patients and methods:Two hundred and forty-nine patients (238 females, 11 males; mean age 53.0±11.8 years; range 25 to 78 years) with right-hand dominance were included in this study. In the evaluation of hand and wrist involvement in the patients, the range of motion (ROM) of the wrist, metacarpophalangeal joints (MCPJs) and proximal interphalangeal joints (PIPJs) were measured and the presence of deformities and tenosynovitis was recorded. Hand dexterity was assessed using the nine hole peg test, hand grip capacity (six types), and grip strength. The Larsen score was calculated, the results were compared between two hands.Results: Range of motion limitation in wrist flexion, extension and total number of PIPJs, piano key sign, and boutonniere deformity were more common in the dominant (right) hand. The right hand was stronger than the left; however, there was no difference between the hands in terms of their grip types. The radiological findings of the right hand were more destructive than those of the left hand. Conclusion:Our study results suggest that patients with RA have a higher incidence of joint limitation and radiological damage in the dominant hand and some deformities can be observed more frequently in the dominant hand. However, the dominant hand is still stronger than the non-dominant hand.

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Orthopedic surgery

1983

Arthritis & Rheumatism

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Radiological articular involvement in the dominant hand in rheumatoid arthritis.

Cited by 37 publications

References 9 publications

Radiographic and joint count findings of the hand in rheumatoid arthritis. related and unrelated findings

Radiographic and joint count findings of the hand in rheumatoid arthritis. related and unrelated findings

An Evaluation of Hand Dominancy and its Relationship with Hand involvement and hand Dexterity in Patients with Rheumatoid Arthritis

Orthopedic surgery

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