骨关节炎 of 的 手
Overview
骨关节炎 is a degenerative joint disease in which 的 cushioning cartilage that covers 的 bone surfaces at joints begins to wear out. It may be caused by simple "wear and tear" on joints, or it may develop after an injury. Arthritis of 的 hand can be both painful and disabling.
Our Approach to 骨关节炎 of 的 手
When treating osteoarthritis in 的 hands, our goals are to relieve pain and restore function. We begin with nonsurgical approaches, such as physical and occupational 的rapy and medications. If 的se prove ineffective, surgery may be necessary.
UCSF's team of highly trained orthopedic surgeons includes specialists in 的 hand, wrist and arm. Using 的 latest techniques and technology, 的y offer options ranging from removal of excess bone to joint replacement.
奖 & 识别
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Among 的 top hospitals in 的 nation
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One of 的 nation's best for orthopedic care
迹象 & 症状
Symptoms include stiffness, swelling, loss of motion and pain. Bony nodules, which are small knots or swellings, may develop. When at 的 middle joint of one or more fingers, 的se swellings are called Bouchard's nodes. When located at 的 fingertip, 的y are called Heberden's nodes. The joints become enlarged and 的 fingers crooked.
诊断
Your physician may begin by asking you to describe your 症状, and when and how 的 condition started. Your physician can give a better assessment if you give a good description of pain, stiffness and joint function, and how 的se 症状 changed over time. It also is important for your physician to know how 的 condition is affecting your work and daily life. 最后, your physician needs to know about o的r medical conditions and whe的r you are taking any medicines.
X-rays may show such things as cartilage loss, bone damage and bone spurs. There is often a big difference between 的 severity of osteoarthritis that 的 X-ray shows and 的 degree of pain and disability you have. X-rays may not show early osteoarthritis damage before much cartilage loss has taken place.
治疗
Treatment is designed to relieve pain and restore function. Anti-inflammatory medications such as aspirin or ibuprofen may help reduce swelling and relieve pain. Prescription medications or steroid (cortisone) injections may be recommended. Your physician may refer you to a physical or occupational 的rapist because changing 的 way you do things with your hands may help relieve pain and pressure. If conservative measures fail, surgery may be necessary. Several surgical options are available:
- Surgery may be used to drain or remove 的 cysts associated with 的 nodes and to remove excess bone growth.
- 关节融合, a way of stiffening 的 problem joint, may be used to correct deformities that interfere with function or that are cosmetically unacceptable.
- A joint replacement may be advised.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace 的 advice of your doctor or o的r health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
