OperaV1, PascalFrancis, Checkpoint, bibRecord, 000748

Assessment of mutilans-like hand deformities in chronic inflammatory joint diseases. A radiographic study of 52 patients

Identifieur interne : 000748 ( PascalFrancis/Checkpoint ); précédent : 000747; suivant : 000749

Assessment of mutilans-like hand deformities in chronic inflammatory joint diseases. A radiographic study of 52 patients

Auteurs : E. A. Belt [Finlande] ; K. Kaarela [Finlande] ; M. J. Kauppi [Finlande] ; H. A. Savolainen [Finlande] ; H. J. Kautiainen [Finlande] ; M. U. K. Lehto [Finlande]

Source :

Annals of the rheumatic diseases [ 0003-4967 ] ; 1999.

RBID : Pascal:99-0263593

Descripteurs français

Pascal (Inist)
- Arthrite chronique juvénile, Symptomatologie, Main, Polyarthrite rhumatoïde, Exploration, Déformation, Main en lorgnette, Classification, Echelle mesure, Radiographie, Homme, Chronique, Membre supérieur.
Wicri :
- topic : Classification, Homme.

English descriptors

KwdEn :
- Chronic, Classification, Deformation, Exploration, Hand, Human, Juvenile rheumatoid arthritis, Measurement scale, Opera glass hand, Radiography, Rheumatoid arthritis, Symptomatology, Upper limb.

Abstract

Objectives-To evaluate patients with mutilans-like hand deformities in chronic inflammatory joint diseases and to determine radiographic scoring systems for arthritis mutilans (AM). Methods-A total of 52 patients with severe hand deformities were collected during 1997. A Larsen hand score of 0-110 was formed to describe destruction of the hand joints. Secondly, each ray of the hand was assessed individually by summing the Larsen grade of the wrist and the grades of the MCP and PIP joints. When the sum of these grades was ≥ 13, the finger was considered to be mutilated. A mutilans hand score of 0-10 was formed according to the number of mutilans fingers. Surgical treatment and spontaneous fusions were recorded. Results-The study consisted of 22 patients with juvenile rheumatoid arthritis (JRA), nine with rheumatoid factor (RF) positive and 13 with RF negative arthritis, 27 patients with RF positive RA, and three adult patients with other diagnoses. The mean age of patients with adult rheumatic diseases was 27 years at the onset of arthritis. The mean disease duration in all patients was 30 years. The mean Larsen hand score was 93. Four patients had no mutilans fingers and in 15 patients all 10 fingers were mutilated. The Larsen hand score of 0-110 and the mutilans hand score of 0-10 correlated well (r. = 0.90). Fourteen patients showed spontaneous fusions in the peripheral joints. A total of 457 operations were performed on 48 patients. Conclusion-Both the Larsen hand score of 0-110 and the mutilans hand score of 0-10 improve accuracy in evaluating mutilans-like hand deformities, but in unevenly distributed hand deformities the mutilans hand score is better in describing deformation of individual fingers.

Affiliations:

Finlande

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Pascal:99-0263593

Le document en format XML

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<term>Juvenile rheumatoid arthritis</term>
<term>Measurement scale</term>
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<front><div type="abstract" xml:lang="en">Objectives-To evaluate patients with mutilans-like hand deformities in chronic inflammatory joint diseases and to determine radiographic scoring systems for arthritis mutilans (AM). Methods-A total of 52 patients with severe hand deformities were collected during 1997. A Larsen hand score of 0-110 was formed to describe destruction of the hand joints. Secondly, each ray of the hand was assessed individually by summing the Larsen grade of the wrist and the grades of the MCP and PIP joints. When the sum of these grades was ≥ 13, the finger was considered to be mutilated. A mutilans hand score of 0-10 was formed according to the number of mutilans fingers. Surgical treatment and spontaneous fusions were recorded. Results-The study consisted of 22 patients with juvenile rheumatoid arthritis (JRA), nine with rheumatoid factor (RF) positive and 13 with RF negative arthritis, 27 patients with RF positive RA, and three adult patients with other diagnoses. The mean age of patients with adult rheumatic diseases was 27 years at the onset of arthritis. The mean disease duration in all patients was 30 years. The mean Larsen hand score was 93. Four patients had no mutilans fingers and in 15 patients all 10 fingers were mutilated. The Larsen hand score of 0-110 and the mutilans hand score of 0-10 correlated well (r. = 0.90). Fourteen patients showed spontaneous fusions in the peripheral joints. A total of 457 operations were performed on 48 patients. Conclusion-Both the Larsen hand score of 0-110 and the mutilans hand score of 0-10 improve accuracy in evaluating mutilans-like hand deformities, but in unevenly distributed hand deformities the mutilans hand score is better in describing deformation of individual fingers.</div>
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<fC01 i1="01" l="ENG"><s0>Objectives-To evaluate patients with mutilans-like hand deformities in chronic inflammatory joint diseases and to determine radiographic scoring systems for arthritis mutilans (AM). Methods-A total of 52 patients with severe hand deformities were collected during 1997. A Larsen hand score of 0-110 was formed to describe destruction of the hand joints. Secondly, each ray of the hand was assessed individually by summing the Larsen grade of the wrist and the grades of the MCP and PIP joints. When the sum of these grades was ≥ 13, the finger was considered to be mutilated. A mutilans hand score of 0-10 was formed according to the number of mutilans fingers. Surgical treatment and spontaneous fusions were recorded. Results-The study consisted of 22 patients with juvenile rheumatoid arthritis (JRA), nine with rheumatoid factor (RF) positive and 13 with RF negative arthritis, 27 patients with RF positive RA, and three adult patients with other diagnoses. The mean age of patients with adult rheumatic diseases was 27 years at the onset of arthritis. The mean disease duration in all patients was 30 years. The mean Larsen hand score was 93. Four patients had no mutilans fingers and in 15 patients all 10 fingers were mutilated. The Larsen hand score of 0-110 and the mutilans hand score of 0-10 correlated well (r. = 0.90). Fourteen patients showed spontaneous fusions in the peripheral joints. A total of 457 operations were performed on 48 patients. Conclusion-Both the Larsen hand score of 0-110 and the mutilans hand score of 0-10 improve accuracy in evaluating mutilans-like hand deformities, but in unevenly distributed hand deformities the mutilans hand score is better in describing deformation of individual fingers.</s0>
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</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Diseases of the osteoarticular system</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Sistema osteoarticular patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Rhumatisme inflammatoire</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Inflammatory joint disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Reumatismo inflamatorio</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Immunopathologie</s0>
<s5>47</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Immunopathology</s0>
<s5>47</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Inmunopatología</s0>
<s5>47</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Maladie autoimmune</s0>
<s5>48</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Autoimmune disease</s0>
<s5>48</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Enfermedad autoinmune</s0>
<s5>48</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Main pathologie</s0>
<s5>54</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Disease of the hand</s0>
<s5>54</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Mano patología</s0>
<s5>54</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Radiodiagnostic</s0>
<s5>61</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Radiodiagnosis</s0>
<s5>61</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Radiodiagnóstico</s0>
<s5>61</s5>
</fC07>
<fN21><s1>165</s1>
</fN21>
</pA>
</standard>
</inist>
<affiliations><list><country><li>Finlande</li>
</country>
</list>
<tree><country name="Finlande"><noRegion><name sortKey="Belt, E A" sort="Belt, E A" uniqKey="Belt E" first="E. A." last="Belt">E. A. Belt</name>
</noRegion>
<name sortKey="Kaarela, K" sort="Kaarela, K" uniqKey="Kaarela K" first="K." last="Kaarela">K. Kaarela</name>
<name sortKey="Kauppi, M J" sort="Kauppi, M J" uniqKey="Kauppi M" first="M. J." last="Kauppi">M. J. Kauppi</name>
<name sortKey="Kautiainen, H J" sort="Kautiainen, H J" uniqKey="Kautiainen H" first="H. J." last="Kautiainen">H. J. Kautiainen</name>
<name sortKey="Lehto, M U K" sort="Lehto, M U K" uniqKey="Lehto M" first="M. U. K." last="Lehto">M. U. K. Lehto</name>
<name sortKey="Savolainen, H A" sort="Savolainen, H A" uniqKey="Savolainen H" first="H. A." last="Savolainen">H. A. Savolainen</name>
</country>
</tree>
</affiliations>
</record>

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Assessment of mutilans-like hand deformities in chronic inflammatory joint diseases. A radiographic study of 52 patients

Assessment of mutilans-like hand deformities in chronic inflammatory joint diseases. A radiographic study of 52 patients

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