Heberden's node

The Heberden's node, Named after the London Doctor William Heberden (1710-1801), is a Idiopathic Osteoarthritis the digital distal (distal interphalangeal, DIP) with the formation of Heberden nodes. The disease is largely genetic, but also hormonal.

Clinical picture

Are characterized by the Heberden nodes. These are two-humped, cartilaginous-bony growths on the extensor side of the base of the Fingerendglieder. They are often locally-accompanied by substantial inflammatory and destructive phenomena: Gelenkverplumpung and deviation from the Thumbpage, pain, loss of power, restriction of movement.

The Heberden's arthritis often affects the interphalangeal joints of Forefinger and Hypothenar. Often, the finger middle joints (proximal interphalangeal, PIP; Bouchard-Arthrose) - Then as a Heberden-Bouchard-Arthrose known - and Carpometacarpal joint (→ RhizarthrosisSurprised). Are also affected other joints or spine, is called a Polyarthrosis.

Epidemiology

The Heberden's arthritis affects about ten times more often women than men. Usually the disease begins in the Menopause. Of 100,000 women aged between 50 and 59 will suffer an estimated 190 to a hand osteoarthritis, of 100,000 men the same age group, only 27 are affected.

Diagnosis

It is a so-called View Diagnostics. The presence of Heberden nodes is characteristic, but one X-rayImage is not further testing is usually necessary. Prior to such Radiosynoviorthesis is usually a Bone scan made.

The Heberden's node must differential mainly by the rheumatoid arthritis be demarcated. In addition to the clinical picture and the X-ray image of the hands can in rare cases, certain blood tests and possibly a three-phase skeletalScintigram necessary. Other considerations include the GoutArthropathy and Psoriatic arthritis.

Therapy

For therapy, painkillers (to beAnalgesics) CortisoneInjections into the joint, surgical procedures (especially the stiff joints, Arthrodesis) And the Radiosynoviorthesis used. Also coming Physiotherapy, Occupational Therapy, Physical Therapy (especially cold application) and X-raylovely irradiation is used.