These protocols also recommended gradual progression with active flexion to reach 90[degrees] at the PIP joint and 60[degrees] at the DIP joint
by 1 month postoperatively.
There were multiple areas of joint space narrowing with osteophyte formation; these were most notable at the left third DIP joint
and the right second PIP interphalangeal joint.
X-ray of the left hand showed the left index finger amputation at distal phalanx distal to DIP joint
While some professional bowlers use a fingertip grip in which the fingers extend into the holes of their own balls only to the level of the DIP joint
, most amateur bowlers use a conventional grip in a rental ball in which the fingers extend into the holes to the level of the PIP joint.
The majority of procedures performed were DIP joint
arthrodeses, while hip and knee arthroplasty were quite rare.
In our patient, the distribution of articular lesions ruled out the diagnosis of RA as DIP joint
involvement occurs less commonly.
OA had a significant relation with (p<0.
Psoriatic arthritis patient distribution according to the Moll and Wright criteria n % Types Spondylitis 23 46 DIP joint
involvement 2 4 Asymmetrical oligoarthritis 28 56 Symmetrical polyarthritis 8 16 Arthritis mutilans 2 4 Isolated and overlapped subtypes Isolated spondylitis 10 20 DIP joint
involvement 2 4 Asymmetrical oligoarthritis 15 30 Symmetrical polyarthritis 8 16 Arthritis mutilans 1 2 Spondylitis + asymmetrical oligoarthritis 12 24 Spondylitis + arthritis mutilans 1 2 Asymmetrical oligoarthritis + arthritis mutilans 1 2 Total 50 100 DIP: Distal interphalangeal.
This splint initially allows 30[degrees] of PIP and DIP joint
flexion, increasing it by 10 [degrees] per week.
DIP] refers to the flexion angle of the DIP joint
Involvement of the wrists along with the MCP (mainly the second and third digits), and PIP joints, which mimicks OA, are the most characteristic findings, but the preservation of the DIP joints
is important in order to discriminate the arthropathy from primary OA.
The DIP joints
are virtually never involved in RA, but inflammatory changes at this site may be seen in psoriatic arthritis (PsA) or gout.