Haussmann P
Abteilung für Handchirurgie, Plastische und Rekonstruktive Chirurgie, DRK-Klinik Baden-Baden.
Ther Umsch. 1995 Jan;52(1):35-40.
Degenerative arthritis of the finger joints is a very common disease in middle-aged and elderly patients, in females more frequently than in males. Concerning differential diagnosis rheumatoid arthritis and related conditions, gout, calcinosis, tumors and tumor-like lesions must be considered. Therapy is not necessary in every case. Usually treatment is required if the disease causes pains, joint instability or disabling deformity. Conservative treatment such as diet, physiotherapy, orthotics, local physical and antiphlogistic drug treatment or systemic application of non-steroid antiphlogistics should be preferred. Operative procedures such as removal of osteophytes, arthrodesis or arthroplasty are indicated if conservative treatment fails.
手指关节退行性关节炎在中老年患者中是一种非常常见的疾病，女性比男性更易患病。在鉴别诊断方面，必须考虑类风湿关节炎及相关病症、痛风、钙质沉着症、肿瘤及肿瘤样病变。并非每种情况都需要治疗。通常，如果疾病导致疼痛、关节不稳定或致残性畸形，则需要进行治疗。应优先选择保守治疗，如饮食、物理治疗、矫形器、局部物理和抗炎药物治疗或全身应用非甾体抗炎药。如果保守治疗失败，则需采取手术治疗，如切除骨赘、关节融合术或关节成形术。
