Symptoms target characteristic sites: distal interphalangeal, PIP, thumb base, index, and metacarpophalangeal joints
and are commonly present intermittently.
A 31-year-old female patient who had been followed up with the diagnosis of FMF was admitted to our clinic with complaints of pain and swelling in her metacarpophalangeal joints
, wrists, and ankles symmetrically.
The locations of the markers were predetermined bony anatomical landmarks, where subcutaneous tissue was thin and relatively fixed to the underlying skeleton, that were on the trunk and the upper limb of the subject, including the seventh cervical vertebra, clavicle, right shoulder marker, right lateral elbow, right medial elbow, processus styloideus radius, processus styloideus ulna, and metacarpophalangeal joints
of the right middle finger; these locations were used to define the segments that define position and orientation in 3-D space and were chosen for their minimal skin motion (Table 3).
The main complication of this flap is finger stiffness and is thus often avoided in patients who are over 50 years old or who have arthritis of the interphalangeal or metacarpophalangeal joints
histolyticum into palpable cords of Dupuytren's contracture resulted in a mean 81% reduction in the degree of fixed-flexion contracture in treated metacarpophalangeal joints
and a 66% decrease in proximal interphalangeal joints.
Hemochromatosis creates characteristic prominent osteophytosis and hypertrophic degenerative appearance in the metacarpophalangeal joints
Haemochromatosis, rheumatoid metacarpophalangeal joints
arthritis Prolonged stiffness after rest Inflammatory arthropathy including rheumatoid arthritis Rheumatoid factor positive Rheumatoid arthritis but low titre RF is often seen in the elderly Chondrocalcinosis on plain Calcium pyrophosphate disease X-rays
Vary the contact (use your thumbs sometimes, knuckles and elbows at other times) and avoid flexion and extension, especially of metacarpophalangeal joints
or interphalangeal joints when applying pressure (see 6.
The combined protocol was effective for a group of patients who had moderate to severe spasticity in the elbow, wrist and/or finger flexors, as well as enough strength to be able to produce 10 degrees of active extension of the interphalangeal and metacarpophalangeal joints
and 20 degrees of active wrist extension.
The hands in carpo-pedal spasm adopt a characteristic position: metacarpophalangeal joints
are flexed and interphalangeal joints of the fingers and thumb are extended and there is an apposition of the thumb and fingers (main'd' accoucheur).
Plain radiographs (Figure 1) revealed inflammatory arthritis related to lupus, with subluxations at the metacarpophalangeal joints
and radial deviation of the fingers.
86% of metacarpophalangeal joints
, MCP joints (12 of 14), and 100% of proximal interphalangeal joints, PIP joints (9 of 9), were successfully treated.