Metacarpophalangeal impairment in hand osteoarthritis is com
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
A Study was conducted to determine the prevalence, distribution and characteristics associated with radiographic metacarpophalangeal (MCP) osteoarthritis (OA).

Patients with symptomatic hand OA were included in this cross-sectional analysis (HOA). The prevalence of radiographic MCP OA was assessed, which was described as having more than two MCP joints with a Kellgren and Lawrence score of more than 2. The prevalence of MCP OA was compared in the dominant and non-dominant hands. Using univariable and multivariable logistic regression, associations between radiographic MCP OA and patient characteristics were investigated.

Results:
--Radiographic MCP OA was present in 138 of the 425 patients but was not severe. Patients with MCP OA had a mean age of 69.2±6.9 years, a BMI of 25±4.2 kg/m2, and 86.2% were women.

--MCP OA was more frequent in the dominant hand and predominated at the 1st and 2nd MCP joints. In the multivariable analysis, MCP OA was associated with older age (OR 1.05 for each year), manual occupation (OR 3.74), scaphotrapezial OA (OR 2.18), and a high number of proximal interphalangeal joints with radiographic OA. MCP OA was not associated with metabolic syndrome or HOA symptoms.

Conclusively, using a hospital-based HOA cohort, radiographic MCP OA was frequent and associated with structural HOA features rather than with symptom severity. These results suggest that the involvement of MCP joints in HOA is predominantly related to mechanical rather than systemic factors in this population.

Source: https://onlinelibrary.wiley.com/doi/10.1002/acr.24642?af=R
Like
Comment
Share