Cases reported "Joint Diseases"

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1/46. Locking of metacarpophalangeal joints in a patient with acromegaly.

    A 39-year-old man with acromegaly exhibited locking of metacarpophalangeal (MCP) joints of both index fingers. Large osteophytes were found at the metacarpal heads by radiography and computerized tomography (CT). Magnetic resonance (MR) images revealed hypertrophy of volar plates. We suggest that these characteristic acromegalic features caused locking of MCP joints. Surgery was required on one of the joints to release the locking.
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keywords = finger
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2/46. Dactylitis in a patient with brucellosis.

    Dactylitis is an important feature of inflammatory arthritis and unusual complication of osteoarticular brucellosis. We report a case of dactylitis of the index finger in a female patient with brucellosis.
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3/46. Chondrolysis and joint destruction secondary to snake envenomation.

    Although snakebite injuries to the hand are common, intra-articular envenomation has rarely been reported. In this article, we describe a patient who was bitten by a rattlesnake and whose left-index-finger distal interphalangeal joint sustained intra-articular envenomation that resulted in aseptic chondrolysis and severe joint destruction 1.5 years later. Multiple cultures and biopsies were negative, and histology was consistent with nonspecific degenerative changes secondary to necrosis of the articular cartilage from retained toxins. The patient chose arthrodesis; 24 months postoperatively, he was pain-free and had returned to work.
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keywords = finger
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4/46. Destructive arthropathy of fingers in primary hypothyroidism without chondrocalcinosis. Report of 3 cases.

    Three cases of undiagnosed primary hypothyroidism with high thyroid stimulating hormone values presented destructive arthropathy of the proximal interphalangeal joints. None had chondrocalcinosis, neuropathy, myopathy or sicca complex. Quick improvement followed hormonal therapy, which suggests that hormonal imbalance could be responsible for this particular rheumatic condition.
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keywords = finger
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5/46. A case of hypertrophic osteoarthropathy associated with nasopharyngeal carcinoma in a child.

    Hypertrophic osteoarthropathy is characterized by clubbing of the digital tips and periosteal reaction of long bones. Most of the cases are associated with malignancy or other conditions such as congenital heart disease, liver cirrhosis, pulmonary fibrosis, biliary atresia, and gastrointestinal polyps. Hypertrophic osteoarthropathy associated with malignancy is rare in children. A few cases of hypertrophic osteoarthropathy in children with nasopharyngeal carcinoma have been reported, however, there has been no report of such case in korea. We present a case of hypertrophic osteoarthropathy associated with nasopharyngeal carcinoma with lung metastasis in a 14-yr-old boy. In this case, hypertrophic osteoarthropathy regressed after intensive chemotherapy, but subsequently the patient died of progressive lung metastasis.
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ranking = 1307.8988277137
keywords = osteoarthropathy
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6/46. Finger metacarpophalangeal joint disease: the role of resection arthroplasty and arthrodesis.

    When finger MP joint arthrosis exists, it is indeed infrequent that implant arthroplasty is not the most optimal treatment alternative. When post-traumatic bone loss or postinfectious dysfunction require surgical intervention, however, the hand surgeon may need to consider the options of resection arthroplasty and arthrodesis. So long as the MP joint is pain-free and relatively stable, most patterns of functional prehension can be maintained.
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7/46. Surgical treatment for a congenitally stiff metacarpophalangeal joint of the small finger: report of four cases.

    We report 4 cases of a congenitally stiff metacarpophalangeal joint of the small finger that were treated satisfactorily with surgical release.
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keywords = finger
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8/46. Locked finger due to foreign body in the flexor sheath.

    A patient is described in whom a wooden splinter penetrated the finger and impaled the flexor tendons. It was pulled out but part remained inside and the finger could not be moved until an operation was performed and the remaining part of the splinter removed.
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9/46. Fingernail deformities secondary to ganglions of the distal interphalangeal joint (mucous cysts).

    Twenty-six nail deformities secondary to ganglions of the distal interphalangeal joint were retrospectively reviewed to assess the important aspects of their management. The patients' ages ranged from 41 to 79 years. The long and index fingers were most commonly involved. A depression or groove was present in 23 of 26 digits reviewed. Two had gross disruption of the nail. Fifty-eight percent of the cysts had spontaneously drained or had been drained by the patient or a physician preoperatively. Degenerative arthritic changes were seen in 87 percent of those with x-rays or a radiology report available. Most underwent surgical removal of the cyst and debridement of associated osteophytes of the distal interphalangeal joint. The cyst was located above the germinal matrix in all but two digits. Osteophytes were found in all 20 digits in which the joint was explored. No recurrences were seen in those available for postoperative follow-up (22 of 25). Normal nail growth was found in 14 of 22, although follow-up was short in one. All eight postoperative nail deformities were quite mild and of little concern to the patient. There was no correlation between preoperative cyst drainage and aesthetic postoperative nail growth. Nail removal at the time of surgery appeared to be unnecessary unless the nail was grossly disrupted.
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10/46. The triggering role of physical injury in the onset of peripheral arthritis in seronegative spondyloarthropathy.

    Three more cases of B27-positive patients who developed peripheral arthritis immediately after trauma are reported. The first had an exacerbation of arthritis in the right hip after falling from her motor-bike. The second had arthritis of the distal interphalangeal (DIP) joint of the right forefinger after shutting his finger in the door of his car. The third had arthritis of the right sternoclavicular joint after a road-accident while fastening her safety belt.
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