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Injection and aspiration of the finger joints: preservation of function is critical to maintaining the hand's essential roles.

Publication: The Journal of Musculoskeletal Medicine
Publication Date: 01-FEB-09 		Format: Online
Delivery: Immediate Online Access

Article Excerpt
This is the twelfth in a special series of articles on joint aspiration and injection.

The hand--the chief sensory organ of touch--performs grasping and fine manipulations that are essential for dexterity and performance of activities of daily living. Critical to maintaining these roles is preservation of finger joint function. For patients who present with finger pain or swelling, a comprehensive plan of evaluation and management may require diagnostic aspiration or therapeutic injection or both.

Finger joints may be affected by the full array of arthritides, focal or systemic and inflammatory or noninflammatory. Although specific diseases often affect certain joints (eg, the distal interphalangeal [DIP] joints in osteoarthritis [OA] or the metacarpophalangeal [MCP] joints in rheumatoid arthritis), there...

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