OBJECTIVES To determine the clinical benefit of dextrose prolotherapy (injection of growth factors or growth factor stimulators) in osteoarthritic finger joints. DESIGN Prospective randomized double-blind placebo-controlled trial. SETTINGS/LOCATION Outpatient physical medicine clinic. SUBJECTS Six months of pain history was required in each joint studied as well as one of the following: g...

Arthrodesis of the distal interphalangeal (DIP) joint is a reliable means of achieving pain relief in a symptomatic DIP joint afflicted by a variety of degenerative, inflammatory, or posttraumatic conditions. Successful arthrodesis is more reproducible when rigid compression of the joint is achieved. The emergence of an increasing number of commercially available headless or variable pitch comp...

We report a rare case of osteochondritis dissecans involving the fourth proximal interphalangeal joint in a young Japanese drummer. We treated it successfully with the removal of loose body and drilling of the donor site.

Simultaneous dislocation of both interphalangeal (IP) joints of same finger is a highly uncommon finding. And dislocation of metacarpophalangeal (MCP) joint along with interphalangeal joints of thumb are reported in literatures if, scarcely. Here we are reporting the three cases, comprising of double dislocation of IP joints in little finger in two patients and simultaneous MCP and IP joint dis...

BACKGROUND The mapping from muscle activation to joint torque production can be difficult to determine for the multi-articular muscles of the fingers. This relationship was examined in vivo as a function of posture in the index finger. METHODS Five healthy adults participated in an experiment in which the seven muscles of the index finger were sequentially electrically stimulated using intram...

Complex fracture subluxations of the proximal interphalangeal joint are often difficult to treat and their outcome variable. A number of methods for treatment of these injuries have been described. We have used a ligamentotaxis device (Ligamentotaxor, Arex, Palaiseau Cedex, France) since 2008. We performed 28 operations in 28 patients with complex proximal interphalangeal joint injuries over a ...

Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting approximately 1% of the world’s population (Lee and Weinblatt, 2001). Although inflammatory lesions in the skin, lungs, and other organs are common, the disease hallmark is severe, often destructive, inflammation of peripheral joints. Although manifestations vary among patients, RA is usually a symmetric polyarthritis affecti...