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Semin Musculoskelet Radiol 2021; 25(02): 294-303
DOI: 10.1055/s-0041-1730948
Review Article

Osteoarthritis of the Wrist: Pathology, Radiology, and Treatment

Jan-Peter Grunz 
1   Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany
,
Carsten Herbert Gietzen 
1   Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany
,
Georgios Christopoulos 
2   Department of Diagnostic and Interventional Radiology, Rhön-Klinikum Campus Bad Neustadt, Bad Neustadt an der Saale, Germany
,
Jörg van Schoonhoven
3   Clinic for Hand Surgery, Rhön-Klinikum Campus Bad Neustadt, Bad Neustadt an der Saale, Germany
,
Florian Goehtz 
3   Clinic for Hand Surgery, Rhön-Klinikum Campus Bad Neustadt, Bad Neustadt an der Saale, Germany
,
Rainer Schmitt 
1   Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany
4   Department of Radiology, University Hospital, LMU Munich, Munich, Germany
,
Nina Hesse
4   Department of Radiology, University Hospital, LMU Munich, Munich, Germany
› Institutsangaben Financial Disclosure Jan-Peter Grunz was financially supported by the Interdisciplinary Center of Clinical Research Würzburg (grant number Z-2/CSP-06). He also reports personal fees from Siemens Healthcare GmbH, outside of the submitted work.
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Abstract

Osteoarthritis (OA) is a degenerative disease that can manifest in any synovial joint under certain conditions. It leads to destruction of articular cartilage and adjacent bone, as well as formation of osteophytes at the edges of afflicted joint surfaces. Regarding the wrist, typical degenerative arthritis affects particular joints at a specific patient age, due to asymmetric load distribution and repetitive microtrauma. However, in the presence of instability or systemic diseases, early-onset degeneration can also impair the range of motion and grip strength in younger patients. Although advanced stages of OA display characteristic signs in radiography, the detection of early manifestations frequently requires computed tomography or magnetic resonance imaging (in some cases with additional arthrography). If a wrist becomes unstable, timely diagnosis and precise treatment are essential to prevent rapid disease progression. Therefore, close collaboration between radiologists and hand surgeons is obligatory to preserve the carpal function of patients.

Keywords

osteoarthritis - cartilage - carpal instability - wrist

Supplementary Material



Publikationsverlauf

Artikel online veröffentlicht:
09. August 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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