Hypermobility associated with osteoarthritis of the thumb base: a clinical and radiological subset of hand osteoarthritis
Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Issue Date
1996-08-01
Metadata
Show full item recordCitation
Ann. Rheum. Dis. 1996, 55(8):540-3Abstract
OBJECTIVES: To study the impact of articular hypermobility on the clinical and radiological features of hand osteoarthritis (OA) and to investigate whether hand osteoarthritis associated with hypermobility should be considered a separate subset of hand OA. METHODS: Fifty consecutive female patients with clinical hand OA and thumb base symptoms were examined for hypermobility according to the Beighton criteria. RESULTS: Thirty one of the 50 patients had hypermobility features (Beighton score > or = 2) and 17 patients fulfilled four or more Beighton criteria. Corresponding figures for 94 control patients were 30 (p < 0.05) and nine (p < 0.001) respectively. Patients with hypermobility features were characterised clinically and radiologically by fewer and less severely involved interphalangeal joints. Radiologically, two fairly distinct subsets could be identified: Severe interphalangeal OA in which the prevalence of hypermobility was similar to controls, and patients with predominant involvement of the first carpometacarpal joint (CMC 1), most of whom had evidence of hypermobility. CONCLUSION: A causal relation exists between articular hypermobility and development of thumb base OA, and hypermobility associated hand OA constitutes a definite clinical and radiological subset of hand OA. In the clinical setting, the easily applied hypermobility criterion of passive dorsiflexion of the fifth finger > or = 90 degrees is useful in identifying most patients with hand OA and hypermobility.Description
To access publisher full text version of this article. Please click on the hyperlink in Additional Links fieldAdditional Links
http://dx.doi.org/10.1136/ard.55.8.540ae974a485f413a2113503eed53cd6c53
10.1136/ard.55.8.540
Scopus Count
Collections
Related articles
- Articular hypermobility is a protective factor for hand osteoarthritis.
- Authors: Kraus VB, Li YJ, Martin ER, Jordan JM, Renner JB, Doherty M, Wilson AG, Moskowitz R, Hochberg M, Loeser R, Hooper M, Sundseth S
- Issue date: 2004 Jul
- Hypermobility features in patients with hand osteoarthritis.
- Authors: Jónsson H, Valtýsdóttir ST
- Issue date: 1995 Mar
- Joint hypermobility is not positively associated with prevalent multiple joint osteoarthritis: a cross-sectional study of older adults.
- Authors: Gullo TR, Golightly YM, Flowers P, Jordan JM, Renner JB, Schwartz TA, Kraus VB, Hannan MT, Cleveland RJ, Nelson AE
- Issue date: 2019 Apr 11
- Radiographic laxity of the trapeziometacarpal joint is correlated with generalized joint hypermobility.
- Authors: Wolf JM, Schreier S, Tomsick S, Williams A, Petersen B
- Issue date: 2011 Jul
- Inverse association of general joint hypermobility with hand and knee osteoarthritis and serum cartilage oligomeric matrix protein levels.
- Authors: Chen HC, Shah SH, Li YJ, Stabler TV, Jordan JM, Kraus VB
- Issue date: 2008 Dec