Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\24876685
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Hand+Microsurg
2014 ; 6
(1
): 18-25
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The pisotriquetral joint: osteoarthritis and enthesopathy
#MMPMID24876685
Kofman KE
; Schuurman AH
; Mulder MC
; Verlinde SA
; Gierman LM
; van Diest PJ
; Bleys RL
J Hand Microsurg
2014[Jun]; 6
(1
): 18-25
PMID24876685
show ga
Pisotriquetral (PT) osteoarthritis (OA) and enthesopathy of the flexor carpi
ulnaris (FCU) are pathologies of the hypothenar eminence which both often remain
undiagnosed, but can cause ulnar wrist pain. This study determined the prevalence
of these pathologies in an older donor population. Twenty wrists were obtained
from 10 cadavers with an age ranging from 65 to 94 years. Radiographs were taken
of all wrists with the hand in pisotriquetral view and were assessed for
osteoarthritic changes of the PT joint and signs of enthesopathy of the FCU. Ten
wrists were grossly dissected and the other ten wrists were sagitally sectioned
at a thickness of 10 ?m. The wrists were analyzed for type and grade of
osteoarthritis and signs of enthesopathy. On radiology, 2 out of 20 wrists showed
no signs of osteoarthritis, 5 wrists showed severe changes. One wrist showed
signs of enthesopathy. On macroscopy, 9 out of 10 wrists showed osteoartritic
changes; 5 of these were severely osteoarthritic. On microscopy, all wrists
showed some degree of osteoarthritis of which five showed severe changes. Signs
of enthesopathy were seen in seven wrists. Pisotriquetral osteoarthritis has a
high prevalence in the older donor population and may therefore be a cause of
ulnar sided wrist pain. It should therefore always be considered in the
differential diagnosis of ulnar sided wrist pain. By performing clinical
examination with these pathologies in mind, diagnosis could be a lot faster.
Furthermore, based on our results, radiographs seem to be not accurate in
diagnosing osteoarthritis of the PT joint and enthesopathy of the FCU.
free
free
free
