Rheumatoid arthritis of the hand: a five-year longitudinal analysis of clinical and radiographic findings

Toyama, Shogo; Tokunaga, Daisaku; Fujiwara, Hiroyoshi; Oda, Ryo; Kobashi, Hiroaki; Okumura, Hisashi; Nakamura, Satoru; Taniguchi, Daigo; Kubo, Toshikazu

doi:10.3109/14397595.2013.854054

Cited by 24 publications

(15 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a 5-year follow up of RA hands, we similarly found progression of joint destruction regardless of disease activity [23]. Our results indicated that joint destruction might be progressing in patients in remission who show synovitis on MRI-MIP images.…”

Section: Discussionsupporting

confidence: 80%

Prediction of radiographic progression in synovitis-positive joints on maximum intensity projection of magnetic resonance imaging in rheumatoid arthritis

et al. 2016

Self Cite

View full text Add to dashboard Cite

Contrast-enhanced magnetic resonance imaging with maximum intensity projection (MRI-MIP) is an easy, useful imaging method to evaluate synovitis in rheumatoid hands. However, the prognosis of synovitis-positive joints on MRI-MIP has not been clarified. The aim of this study was to evaluate the relationship between synovitis visualized by MRI-MIP and joint destruction on X-rays in rheumatoid hands. The wrists, metacarpophalangeal (MP) joints, and proximal interphalangeal (PIP) joints of both hands (500 joints in total) were evaluated in 25 rheumatoid arthritis (RA) patients. Synovitis was scored from grade 0 to 2 on the MRI-MIP images. The Sharp/van der Heijde score and Larsen grade were used for radiographic evaluation. The relationships between the MIP score and the progression of radiographic scores and between the MIP score and bone marrow edema on MRI were analyzed using the trend test. As the MIP score increased, the Sharp/van der Heijde score and Larsen grade progressed severely. The rate of bone marrow edema-positive joints also increased with higher MIP scores. MRI-MIP imaging of RA hands is a clinically useful method that allows semi-quantitative evaluation of synovitis with ease and can be used to predict joint destruction.

show abstract

Section: Discussionsupporting

confidence: 80%

Prediction of radiographic progression in synovitis-positive joints on maximum intensity projection of magnetic resonance imaging in rheumatoid arthritis

et al. 2016

Self Cite

View full text Add to dashboard Cite

show abstract

“…It is a generally known and well-documented fact that hand function decreases in the course of RA [7–9]. Seyfried recorded a sixfold decrease in the strength of a hand affected by RA when compared with a healthy hand [10].…”

Section: Discussionmentioning

confidence: 99%

Benefits of wrist splinting in patients with rheumatoid arthritis

Sadura-Sieklucka¹,

Sokołowska²,

Prusinowska³

et al. 2018

Reumatologia

View full text Add to dashboard Cite

ObjectivesThe goal was to present the use of a functional wrist splint and its impact on hand function in patients with rheumatoid arthritis (RA).Material and methodsThe study group comprised 104 women aged 18–65 and diagnosed with RA, who were treated in the Rheumatology Clinic and Outpatient Department of the National Institute of Geriatrics, Rheumatology and Rehabilitation in Warsaw. The control group consisted of 40 healthy women in the same age group. Assessment of the hand function was the research method.ResultsOur results revealed substantially deteriorated function of the rheumatoid hand in relation to the healthy hand. The use of a wrist stabiliser is justified in patients with RA due to its beneficial impact, such as improved hand strength and dexterity and reduced pain. Based on the results obtained, it may be assumed that it is mainly patients with moderate and high disease activity who require stabilisation. The small number of patients in remission and with low disease activity was a limitation of the study. Hands with RA require an individual approach, and the most effective methods slowing down development of deformation should be sought. The results presented in this article may provide a starting point for further research on the most favourable wrist stabilisation in order to improve hand function in RA.ConclusionsOur study showed that the hand function of women with RA is limited due to deteriorated grip quality and manual dexterity in comparison to healthy persons. Wrist stabilisation improves hand function in patients with RA.

show abstract

“…The most frequent rheumatoid thumb deformity is the type I (boutonniere) deformity [4] [5] [12]. It is initiated by proliferative MP joint synovitis bulging dorsally.…”

Section: Discussionmentioning

confidence: 99%

Function Assessment for Rheumatoid Thumb Deformity

Oda

Taniguchi²,

Fujiwara³

et al. 2015

OJRA

Self Cite

View full text Add to dashboard Cite

Objective: Nalebuff's type I deformity of the rheumatoid thumb, which is the most common thumb deformity with rheumatoid arthritis, can be classified into three stages according to the range of motion of the thumb. However, a functional assessment for each stage has never been undertaken. Methods: The ranges of motion of the thumb metacarpophalangeal and interphalangeal joints were evaluated to determine Nalebuff's clinical stage, and both the Modified Kapandji Index (MKI) and the simple test for evaluating hand function (STEF) were used to evaluate hand function in 32 rheumatoid arthritis patients with type I deformity. We assessed hand function in each stage, and examined the relationship between the three clinical stages and dysfunction of the hand. Results: The scores for both MKI and STEF were significantly reduced in parallel with advancing stage of thumb deformity. Conclusion: Nalebuff's staging system is also useful for reflecting the level of thumb function.

show abstract

Rheumatoid arthritis of the hand: a five-year longitudinal analysis of clinical and radiographic findings

Cited by 24 publications

References 19 publications

Prediction of radiographic progression in synovitis-positive joints on maximum intensity projection of magnetic resonance imaging in rheumatoid arthritis

Prediction of radiographic progression in synovitis-positive joints on maximum intensity projection of magnetic resonance imaging in rheumatoid arthritis

Benefits of wrist splinting in patients with rheumatoid arthritis

Function Assessment for Rheumatoid Thumb Deformity

Contact Info

Product

Resources

About