Post-traumatic osteoarthritis (PTOA) is a type of osteoarthritis that develops after an injury to a joint. In the hand, PTOA can cause pain, stiffness, and decreased range of motion. It can also affect grip strength and dexterity, making it difficult to perform everyday tasks.
While any joint in the hand can be affected by PTOA, it is most commonly seen in the thumb, index finger, and middle finger. Injuries that can lead to PTOA in the hand include fractures, dislocations, and ligament tears.
PTOA in the hand occurs when the cartilage that cushions the joint wears away, leading to bone-on-bone contact. This can cause pain and inflammation, as well as the formation of bone spurs.
Symptoms of PTOA in the hand include:
If you are experiencing any of these symptoms after an injury to your hand, it is important to see a doctor. They can diagnose PTOA with an X-ray or MRI and recommend appropriate treatment options.
Treatment options for PTOA in the hand vary depending on the severity of the condition. Mild cases may be treated with nonsteroidal anti-inflammatory drugs (NSAIDs) and physical therapy to improve range of motion and strength. Injections of corticosteroids or hyaluronic acid may also be used to reduce pain and inflammation.
In more severe cases, surgery may be necessary to remove bone spurs or realign the joint. Joint replacement surgery may also be an option in advanced cases of PTOA.
It is important to seek treatment for PTOA in the hand as early as possible to prevent further damage and improve overall hand function. With proper treatment, individuals with PTOA in the hand can return to their normal activities with less pain and improved function.