Skip to main content
OrthoVellum
Knowledge Hub

Study

  • Topics
  • MCQs
  • ISAWE
  • Operative Surgery
  • Flashcards

Company

  • About Us
  • Editorial Policy
  • Contact
  • FAQ
  • Blog

Legal

  • Terms of Service
  • Privacy Policy
  • Cookie Policy
  • Medical Disclaimer
  • Copyright & DMCA
  • Refund Policy

Support

  • Help Center
  • Accessibility
  • Report an Issue
OrthoVellum

© 2026 OrthoVellum. For educational purposes only.

Not affiliated with the Royal Australasian College of Surgeons.

Hand & Upper Limb
intermediate
X-Type

PIP Joint Arthritis - Surgical Options

Hand Arthritis

A 62-year-old retired manual worker presents with painful, stiff middle and index finger PIP joints. He has Bouchard's nodes and radiographs demonstrate Grade III osteoarthritis with significant joint space loss. He is right-hand dominant and wishes to maintain grip function. Regarding PIP joint arthritis and surgical management:

Mark each as TRUE or FALSE

A

The optimal arthrodesis angle varies by digit: index finger 40 degrees (for pinch), middle finger 45...

B

Silicone arthroplasty is best indicated for low-demand patients, elderly patients, or those requirin...

C

Surface replacement arthroplasty is the treatment of choice for high-demand manual workers; intact c...

D

Surface replacement arthroplasty requires intact collateral ligaments and is best suited for younger...

E

Arthrodesis is preferred for high-demand patients, index finger involvement (pinch stability critica...

Answer the questions to see explanations

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