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Hand & Upper Limb
intermediate
X-Type

DIP Joint Arthritis

Finger Arthritis

A 62-year-old woman presents with progressive pain and deformity of her index finger DIP joint over 5 years. Examination reveals bony nodular swelling at the DIP joint, lateral deviation, and a 3mm tender translucent cystic lesion over the dorsum of the joint with skin thinning. Range of motion is restricted to 20 degrees arc with crepitus. Regarding DIP joint osteoarthritis:

Mark each as TRUE or FALSE

A

Heberden nodes are bony osteophytic swellings at the DIP joints and represent the most common site o...

B

Mucous cysts (digital myxoid cysts) are ganglion-like lesions arising from the DIP joint, containing...

C

DIP joint arthritis is best treated with early surgical intervention; conservative management is ine...

D

DIP joint fusion (arthrodesis) is the gold standard surgical treatment for symptomatic DIP arthritis...

E

Conservative management for DIP arthritis includes activity modification, NSAIDs, splinting, and cor...

Answer the questions to see explanations

Click T (True) or F (False) for each option