https___precisionmedicalarts.com_osteoarthritis-of-the-hand_.xml
http___forreststanley.com_618-bol-i-oticanje-u-zglobu-prsta.php_1.xml
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What is arthritis? Arthritis literally means “inflamed joint.” Normally a joint consists of two smooth cartilage-covered bone surfaces that fit together as a matched set and that move smoothly against one other. Arthritis results when these smooth surfaces become regular and don’t fit together well anymore and essentially “wear out.” Arthritis can affect any joint in the body, but it is most noticeable when it affects the hands and fingers. Each hand has 19 bones plus 8 small bones and the two forearm bones that form the wrist. Arthritis of the hand can be both painful and disabling. The most common forms of arthritis in the hand are osteoarthritis, post-traumatic arthritis (after an injury), and rheumatoid arthritis. Other causes of arthritis of the hand are infection, gout, and psoriasis. Osteoarthritis of the hand Osteoarthritis is a degenerative joint disease in which the cushioning cartilage that covers the bone surfaces at the joints begins to wear out. It may be caused by simple “wear and tear” on joints or it may develop after an injury to a joint. In the hand, osteoarthritis most often develops in three sites (see Figure 1): - At the base of the thumb, where the thumb and wrist come together (the trapezio-metacarpal, or basilar, joint) - At the end joint closest to the finger tip (the distal interphalangeal or DIP joint) - At the middle joint of a finger (the primal interphalangeal or PIP joint) It also often develops in the wrist. Signs and symptoms of arthritis of the hand Stiffness, swelling, and pain are symptoms common to all forms of arthritis in the hand. With osteoathritis, bony nodules may develop at the middle, or PIP, joint of the finger (Bouchard’s nodes), and at the end-joints, or DIP, of the finger (Heberden’s nodes) (see Figure 2). A deep, aching pain at the base of the thumb is typical of osteoarthritis of the basilar joint. Swelling and a bump at the base of the thumb where it joins the wrist may also be observed. Grip and pinch strength may be diminished, causing difficulty with activities such as opening jars or turning keys. Pain, swelling, stiffness, and diminished strength are also seen with osteoarthritis of the wrist. How is osteoarthritis diagnosed? Your doctor will examine you and determine whether you have similar symptoms in other joints and assess the impact of the arthritis on your life and activities. The clinical appearance of the hands and fingers helps to diagnose the type of arthritis. X-rays will also show certain characteristics of osteoarthritis, such as narrowing of the joint space the formation of bony outgrowths (osteophytes or “nodes”), and the development of dense, hard areas of bone along the joint margins. Treatment for osteoarthritis of the hand Treatment is designed to relieve pain and restore function. Anti-inflammatory or other analgesic medication may be of benefit in relieving pain. Brief periods of rest may help if the arthritis has flared up. You may also be advised to wear finger or wrist splints at night for elected activities. Often soft sleeves may be of some benefit when the rigid splints are too restrictive, especially when the arthritis is affecting the joint at the base of your thumb. Heat modalities in the form of warm wax or paraffin baths might help and when severe swelling is present, cold modalities may be of help. It is important to maintain motion in the fingers and use the hand as productively as possible. Hand therapy is often helpful with these exercises splints, and modalities. A cortisone injection can often provide relief of symptoms, but does not cure the arthritis. Surgery is usually not advised unless these more conservative treatments fail. Surgery is indicated when the patient either has too much pain or too little function. In most cases, the patient knows best and actually tells the doctor when it is time for surgery. The goal is to restore as much function as possible and to eliminate the pain or reduce it to a tolerable level. One type of surgery is joint fusion in which the arthritic surface is removed and the bones on each side of the joint are fused together, eliminating motion from the problem joint. Joint fusion may be used to relieve pain and correct deformities that interfere with functionality. Another approach is joint reconstruction in which the degenerated joint surface is removed in order to eliminate the rough irregular bone-to-bone contact that causes pain and restricts motion. Once the degenerated portion of the joint surface is removed, it may be replaced with rolled-up soft tissue, such as a tendon or with a joint replacement implant. Which type of surgery is used depends on the particular joint(s) involved, your activities, and your own needs. Your hand surgeon can help you decide which type of surgery is the most appropriate for you.
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Bol i oticanje u zglobu prsta. Bolovi u zglobovima prstiju šake – uzroci, simptomi, liječenje | Kreni zdravo! FormCraft - WordPress form builder Sve o najčešćim bolestima šake: Kako prepoznati simptome i kako ih najbolje liječiti Iako je šaka relativno mali dio našeg tijela, ona je zapravo sastavljena od mnogo različitih kostiju, mišića i ligamenata koji omogućuju velik broj finih pokreta. A kada se bilo koji od tih brojnih sastavnih dijelova šake ozljedi, ošteti ili se pak razvije određena bolest, može se javiti bol, oticanje, ukočenost, utrnulost i mnoštvo drugih simptoma koji utječu na kvalitetu našeg života. Kako biste na vrijeme prepoznali oštećenja, bolest i ozljede šake, te pravovremeno započeli s liječenjem, u nastavku donosimo sve o najčešćim bolestima, njihovim simptomima i najboljim načinima liječenja. Polagano progresivna trajna zglobna bol Rendgen Ponekad CT ili MR Obrada Akutnu monoartikularnu zglobnu bol je potrebno brzo dijagnosticirati jer neke njezine uzroke, osobito infekciju septični artritis i odlaganje kristala treba brzo liječiti. Obradom treba utvrditi da li je uzrok simptoma zglob ili periartikularna tkiva i da li postoji upala. Ako postoji upala ili ako dijagnoza nije jasna, treba tražiti simptome i znakove poliartikularnih i sistemskih bolesti te treba pregledati sve zglobove. Također treba zabilježiti vremenski raspored npr. Bolesnika treba ciljano pitati o spolnim odnosima bez zaštite moguća gonokokna infekcija te o ubodima krpelja ili stanovanju u području endemskom za Lymesku bolest. Anatomija šake U šaci postoje tri glavne skupine kostiju: Falange ili članci — 14 kostiju koje se nalaze u prstima svake ruke, kao i u prstima svake noge. Svaki prst ima tri falange distalnu, srednju i proksimalnudok palac ima samo dvije. Metakarpalne kosti ili kosti zapešća — 5 kostiju koje čine srednji dio šake. Karpalne kosti ili kosti pešća — 8 kostiju koje stvaraju zglob. Karpalne kosti povezane su s dvije kosti ruke, ulnarnom kosti i radijusom, tj. Close Zašto se javljaju bolovi u zglobovima? Uz kosti, unutar šake mogu se naći i brojni mišići, ligamenti i ovojnice. Mišići su strukture bol i oticanje u zglobu prsta se mogu stezati, a omogućuju kretanje kostiju u ruci. Ligamenti su fibrozna tkiva koja pomažu povezati zglobove u ruci, a omotači su cjevaste strukture koje okružuju dio prstiju. Koji su uobičajeni problemi sa šakom? Bolovi u zglobovima prstiju šake – uzroci, simptomi, liječenje Postoje mnogi problemi sa šakom koji mogu ometati svakodnevne aktivnosti, a oni uključuju različita oboljenja, kao i ozljede. U nastavku saznajte koji su to problemi te uz koje simptome se pojavljuju. Artritis Artritis je upala zglobova i može se javiti na više područja šake i zapešća. Artritis šake može biti vrlo bolan, a dvije glavne vrste su primarni generalizirani osteoartritis i erozivni ili reumatoidni artritis. Reumatoidni artritis Reumatoidni artritis, stanje koje može napadati zglobove u cijelom tijelu, obično zahvaća zglobove i okolne tetive zapešća i prstiju. Može uzrokovati natečenost zglobova, bolnost i deformaciju, što može ometati normalnu funkciju ruke i značajno utjecati na kvalitetu života osobe. Bol u zglobovima Osteoartritis Osteoartritis je jedan od najčešćih oblika artritisa u šakama, a može biti uzrokovan normalnom uporabom šake ili se može razviti nakon ozljede. Osteoartritis se obično razvija na jednom od tri mjesta: na bazi palca, na krajnjem zglobu najbližem vrhu prsta ili na srednjem zglobu prsta. Vaša težina utječe i na visinu vašeg tlaka! Besplatno ga pravilno izmjerite i izračunajte indeks tjelesne mase Osteoartritis, jednu od najraširenijih ženskih bolesti prati bol, smanjena pokretljivost, pa čak i potpuna ukočenost oboljelih zglobova. Za mnoge žene problemi počinju već ujutro, odmah nakon ustajanja. Vrat teško pokreću, uz osjećaj pucketanja i bol. Poznat i kao degenerativni artritis, česta je pojava i kod muškaraca i kod žena, a može dovesti i do povećanja zglobova, ometajući normalan rad šake i značajno utječući na kvalitetu života osobe. Znakovi i simptomi osteoartritisa bol i oticanje u zglobu prsta Ukočenost Koštane čvoriće na srednjim ili krajnjim zglobovima prsta Bol i moguće oticanje u dnu palca Gubitak snage u prstima i stisku šake Liječenje osteoartritisa uključuje:. - Zajednički boli palac - Postoji više mogućih uzroka, neki od njih su bezazleni, a neki mogu upućivati i na ozbiljnije zdravstvene probleme. - Teva tablete za bolove u zglobovima - MSD priručnik simptoma bolesti: Zglobna bol, monoartikularna - Obiteljsko zdravlje: Bol u šaci: u potrazi za pravim uzrokom - Bolovi u zglobovima prstiju šake - forreststanley.com - Artroza – bolna točka žena - forreststanley.com - Bolovi u zglobovima prstiju šake – uzroci, simptomi, liječenje | Kreni zdravo!