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Motion deficit in nodal interphalangeal joint osteoarthritis by digital goniometer in housewives

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Abstract

Range of motion (ROM) measured objectively in nodal hand osteoarthritis (NHOA) is missing. Evaluation of collateral ligaments by ultrasound (US) is unknown in NHOA also. To compare ROM in interphalangeal joints in housewives with nodal OA, with a control group by a digital system using angle to voltage (Multielgon). The second objective was to assess correlation between collateral radial and ulnar ligaments thickness and ROM. For this cross-sectional observational study, we assessed 60 hands with symptomatic NHOA and 30 hands of healthy housewives matched for age. We obtained clinical and demographic characteristics (a complete standardized physical examination of hand joints, DASH questionnaire, pain surveys, gross grasp hand goniometer, and ROM measurements by Multielgon. Presence of synovitis, power Doppler signal, osteophytes, and collateral ligaments thickness was evaluated by US. We used descriptive statistics, Spearman correlation, X2 test, t test and odds ratio. Significant less gross grasp and ROM in the right hand were observed in NHOA (p = 0.01 for both). Presence of OA, painful joints, disease duration, and score DASH were significant correlated with reduced ROM (OR 4.12, 4.12, 1.04 and 1.09, respectively). Reduced ROM was statistical significant in thumb MCP and IP joints, second and third DIP in dominant hand. There was no association between collateral radial and ulnar ligaments and reduced ROM. Synovitis and osteophytes were more prevalent in OA group. Multielgon demonstrated the pattern of reduced ROM in nodal OA of housewives particularly in MCP and IP thumb joints, second and third distal interphalangeal joints.

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Acknowledgements

We thank Dr. Carlos Pineda for his comments and suggestions in the design of this study.

Funding

The authors declare no funding source.

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Authors and Affiliations

  1. Laboratorio de Ultrasonido Musculoesquelético y Articular, Instituto Nacional de Rehabilitación, Luis Guillermo Ibarra Ibarra, Calzada México-Xochimilco 289, Arenal de Guadalupe, Tlalpan, 14389, Mexico City, Mexico

    L. Ventura-Ríos, L. González-Ramírez & C. Hernández-Díaz

  2. Servicio de Reumatología, Hospital Escuela y de Clínicas “Virgen María de Fátima”, La Rioja, Argentina

    M. Hayes-Salinas

  3. Servicio de Reumatología, Hospital General de Tláhuac, Mexico City, Mexico

    D. Ferrusquia-Toriz

  4. División de Investigación Biomédica, Subdirección de Investigación Tecnológica, Instituto Nacional de Rehabilitación, Luis Guillermo Ibarra Ibarra, Mexico City, Mexico

    R. I. Cariño-Escobar & J. Gutiérrez-Martínez

  5. Unidad de Vigilancia Epidemiológica-Investigación Sociomédica, Instituto Nacional de Rehabilitación, Luis Guillermo Ibarra Ibarra, Mexico City, Mexico

    E. Cruz-Arenas

Authors
  1. L. Ventura-Ríos
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  2. M. Hayes-Salinas
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  3. D. Ferrusquia-Toriz
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  4. R. I. Cariño-Escobar
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  5. E. Cruz-Arenas
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  6. J. Gutiérrez-Martínez
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  7. L. González-Ramírez
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  8. C. Hernández-Díaz
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Corresponding author

Correspondence to L. Ventura-Ríos.

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Informed consent was obtained for all participants and an institutional review board (40/14) approved the protocol.

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Ventura-Ríos, L., Hayes-Salinas, M., Ferrusquia-Toriz, D. et al. Motion deficit in nodal interphalangeal joint osteoarthritis by digital goniometer in housewives. Clin Rheumatol 37, 1645–1652 (2018). https://doi.org/10.1007/s10067-018-3981-x

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  • DOI: https://doi.org/10.1007/s10067-018-3981-x

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