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The joints of the hand that is involved in psoriasis are the proximal interphalangeal, the distal interphalangeal, the metacarpophalangeal joint, and the wrist. Involvement of the distal interphalangeal joints is a characteristic feature present in many cases. [6] Enthesitis pain can spread over a wider area around the joint. [7]
Hypertrophic osteoarthropathy is a medical condition combining clubbing and periostitis of the small hand joints, especially the distal interphalangeal joints and the metacarpophalangeal joints. Distal expansion of the long bones as well as painful, swollen joints [ 3 ] and synovial villous proliferation are often seen.
Heberden's nodes are hard or bony swellings that can develop in the distal interphalangeal joints (DIP) (the joints closest to the end of the fingers and toes). [1] They are a sign of osteoarthritis and are caused by formation of osteophytes (calcific spurs) of the articular (joint) cartilage in response to repeated trauma at the joint.
Age. The risk of most causes of joint pain increases with age. This may be due to increased wear and stress on joints over time and a higher likelihood of other underlying medical conditions ...
The only movements permitted in the joints of the digits are flexion and extension; these movements are more extensive between the first and second phalanges than between the second and third. The flexor hallucis longus and flexor digitorum longus flex the interphalangeal joint of the big toe and lateral four toes, respectively. The tendons of ...
RS3PE typically involves the joints of the extremities, specifically the metacarpophalangeal and proximal interphalangeal joints, wrists, shoulders, elbows, knees and ankles. [4] It is more common in older adults, with the mean age between 70 and 80 years in most studies. [4] [5] It occurs more often in men than in women with a 2:1 ratio.
Other symptoms may include joint swelling, decreased range of motion, and, when the back is affected, weakness or numbness of the arms and legs. [1] The most commonly involved joints are the two near the ends of the fingers and the joint at the base of the thumbs, the knee and hip joints, and the joints of the neck and lower back. [1]
Activities which cause pain should be avoided, and resumed slowly as the toe heals. [4] To reduce pain and swelling, [3] rest, ice, elevation and over-the-counter pain medication are used. The toe is chilled with ice 20 minutes of every hour for the first waking day, and 2-3 times a day afterwards. Ice is not put directly on the skin. [4]