Osteoarthritis Finger 2014

8/9/2019 Osteoarthritis Finger 2014

http://slidepdf.com/reader/full/osteoarthritis-finger-2014 1/69

GI@GHKPGJIX HBG\^\MGHKDNX D‗K\PB\JXN @NX @JGMPX DJIM

Hbrgstgki @ufjitgnr, F@, Ub@Hnitrn `n dk Fkgi, Muk`ndjupn

Kvnh d‗kg`n `ns Ur Dn _gnt nt @r \judjt



GD W K UD^XGN^\X K\PB\J• Krtbrjsn `çmçiçrktgvn1

GU@, GUU, FU

• Krtbrjsn fçtkljdgqun1 FU• Krtbrjsn pjst-trkufktgqun1

• \bgzkrtbrjsn vki Xkksn Kii\bnuf @gs ;727

;> kis



GD W K UD^XGN^\X U\ÇXNIPKPGHDGIG[^NX @N D‗K\PB\JXN

• @judnur

• Gfpjtnihn ojihtgjiinddn

• \kg`nur

• Pufçokhtgji• Máin nstbçtgqun



FKGX DK HBG\^\MGN IN M^Ç\GP UKX D‗K\P

• Kfçdgjrktgji nstbçtgqun

• Kfçdgjrktgji ojihtgjiinddn

• Mkgi sur dk `judnur

• Kldktgji `‗uin tufnur

@ n o k í j i m ç i ç r k d n d k h b g r u r m g n n s t g i ̀ g q u ç n k p r â s

ç h b n h ` n s k u t r n s t r k g t n f n i t s



Fjlgdgtçijrfkdn

Fjlgdgtçojihtgjiinddn« fgigfkdn ³

Ujssglgdgtçshbgrurmghkdns

GU@ 5/5/25>% `n

d‗nirjudnfnitù `jgmt

Krtbrj`âsn 9prjtbâsn

GUU 5/5/;;5

8>% `nd‗nirjudnfnit

ù `jgmtKrh ?5µ

fgigfuf

@çinrvktgji,krtbrj`âsn,prjtbâsn

FU<5/5/=5 (gi`nx)

ju 75(kurghudkgrn)

?5% `nd‗nirjudnfnit

`jgmtKrh fgigfuf

?5µ

Urjtbâsn 99krtbrj`âsn



P\KGPNFNIP HBG\^\MGHKD @N

D‗K\PB\JXN GU@NI @NBJ\X @^ CWXPN F^HJÊ@N (P^FN^\) NP @NX IJ@JXGPÇ

@‗BNLN\@NI (NXPBÇPG[^N)



U\GIHGUKDN GI@GHKPGJI KDDÇM^@J^DN^\

• Dk ojihtgji nstsjuvnit ljiin kvnh

hjrrnhtgji `n dk`çskxktgji GU@ ni

nxgji

• @nfki`n nstbçtgqunhkhbçn +++



D‗K\PB\J@ÂXN GU@ NX

D‗GIPN\_NIPGJI BKLGP^ND• \nhtgtu`n : (pdusnstbçtgqun) ju dçmârn

nxgji : (pdus ojihtgjiinddn)

• Uks `n `gooçrnihnojihtgjiinddn ni prktgqun,dns pktgnitns prçoârnit nirnhtgtu`n

• Udusgnurs tnhbigquns `nxktgji



K\PB\J@ÂXN GU@1 U\GIHGUNX PNHB

• _jgn `‗kljr` `jrskdn• Xnhtgji ù tni`ji nxtnisnur

• \çsnhtgji `ns dgmkfnits dktçrkux +++

• Kldktgji `ns jstçjpbytns (y hjfprgskitçrgnurs) nt rnfj`ndkmn krtghudkgrn(ko inr dn `jgmt pjur ui lut nstbçtgqun)

• Ogxktgji

• In pks juldgnr dk hjfprnssgji pjst-jp



M\NOON JXXN^XN :• Ujur çvgtnr dn rkhhjurhgssnfnit• Ujur hjrrgmnr uin hdgij`khtydgn

• I‗kfçdgjrn pks dn tkux `n hjisjdg`ktgji



U\ÇHK^PGJIX PNHBIG[^NX• In pks ni`jffkmnr dk

fktrghn (prjhbn `n d‗gihgsgji)

• Dns gihgsgjis pudpkgrnspnuvnit átrn `judjurnusns

• Orkmgdgtç hutkiçn `jrskdn(rgsqun gionhtgnux sg skgddgn ù

fktçrgnd)• Máin å dk prgsn sg skgddgn ù

fktçrgnd sur U8



\ÇX^DPKPX-HJFUDGHKPGJ

• 75 Kz å d‗Gistgtut `n dk Fkgi (</8 `‗krtbrjsns)

• 75% `n hjisjdg`ktgji - ;5% `n psnu`krtbrjsns

• Dgttçrkturn• Bnrlnrt shrnw17>% Dkfks Mjfnz H. A Xjutb Jr tbjp Kss.

<5583;<,;>0-;>7• Bnrlnrt shrnw178% Nd-Bk`g`g X , Bki` Xurm <558321<;-<0• Khutrkc shrnw122% Lrutus AU. ki` kd. A Bki` Xurm(Kf) <55?38;1 2>-27• Cgrshbinr jr Bnrlnrt127,0% Xtnri UA. A Bki` Xurm(Kf) ;77<3;=1;;87-;;0• Cgrshbinr wgrn17?% Qkvgtskijs M. Bki` Xurm. ;777301>;->>



HJFUDGHKPGJIX

• 2 snpsgs (/75) (8 psnu`krtbrj`âsns)

• ;5 rkg`nurs GUU (0 tçijdysns)

• 8 fkuvkgsns pjsgtgjis (sulduxktgji, nxuf,...)

• < içhrjsns hutkiçns• < hjd-`n-hymin k fgigfk



D‗KDPN\IKPG_N1 DK U\JPBÂX

• Fkuvkgsn rçputktgji

• Xnhtgji jldgmktjgrn `nd‗nxtnisnur `‗j÷gffjlgdgsktgji pjstjp

• Untgtn tkgddn `ns gfpdkitsqug sjit pnu stkldns ntsjufgs å `n mrjssnshjitrkgitns fçhkigquns

• Fjlgdgtç dgfgtçn ku ikd





Xgdghjigtn kvnh orkhturn (;>`‗çvjdutgji)



GU@ NP U\JPBÂXN1 ÎN GI@GHKPGJI Å\NHJIXG@Ç\N\ :

• în sçrgn `n ;8; hks `jit <2 kvnh snhtgji `nd‗nxtnisnur nt 70 skis.

• \nhud >= fjgs• Fjlgdgtç 5/;;/>5µ

• >% `n hjfpdghktgjis snudnfnit

Xgnrkcjwscg K;, Qwngond H,Xgrjtkcjvk F,Xkunrdki` X,Nddgjt @. Ajgit rnpdkhnfnit gi ;8; pkgioudjstnjkrtbrgtgh ki` pjst-trkufktgh `gstkd gitnrpbkdkimnkd ajgits. A Bki` Xurm Nur _jd. <5;< Fky38=(0)1850-7.



P\KGPNFNIP HBG\^\MGHKD @

D‗K\PB\JXN GUUNI @NBJ\X @NX CWXPNX (P^FN^\)



\KUUND KIKPJFJ-UBWXGJDJMG[^• D‗GUU gitnrvgnit pjur 85% `n dk fjlgdgtç

mdjlkdn ù `jgmt - 5/;;5-;<5µ(bypnrnxtnisgji <5µ hbnz dkxns)

• Krh ojihtgjiind ?5µ (5-8?-2?µ)

• \kg`nur orçqunitn nt máikitn

• Kxn `n nxgji å 0 ff ni kfjit `nd‗gitnrdgmin

• Hjitrkgitns fçhkigquns ojrtns (? ojgs dnpgihb 6 ? x =5I)



\KUUND KIKPJFJ-UBWXGJDJMG[^

• GUU Gi`nx pdus fjlgdn ntpdus —utgdn‖ qun d‗GUU `nd‗kurghudkgrn

D GUU NXP XPKLDN NP NIPJ^\ÇN



D‗GUU NXP XPKLDN NP NIPJ^\ÇN DGMKFNIPX U^GXXKIPX

• Gisnrtgji dktçrkdn `ns dgmkfnitsdktçrkux (8>% `n dk bkutnur `nU;)

• Gisnrtgji kitçrgnurn `nsdgmkfnits dktçrkux kvnh dkpdkqun pkdfkgrn (hrgtghkd hjrinr)



D‗GUU

• Dk lki`ndnttn hnitrkdn s‗gisârn `grnhtnfnit surlksn `n U< sur ui rniojrhnfnit (! mniju)



DNX GIPN\_NIPGJIX UJXXGLUJ^\ D‗K\PB\JXN GUU

• Dk `çinrvktgji hjisnrvktgji `n dk fjlgdgtç

• D‗krtbrjpdkstgn (`n rçsnhtgji, gfpdkit, prjtbâsn)

• D‗krtbrj`âsn skhrg hn `n dk fjlgdgtç



@ÇIN\_KPGJI

• Lut1 snhtgjiinr dns dnts inrvnux

`nstgiçs å d‗GUU qug ikgssnit `nsinros hjddktçrkuxSXbudtz \. nt kd. A Bki` Xurm ;7203Lrkmk-Xgdvk nt Hkdhkmijttj. ABX Lr <55;3 Hbni W. nt kd. ABX Kf<555V

UGU

U;

U<

Ojuhbnr M, Djim Urntz U ki` Nrbkr` D. Dk `çinrvktgji krtghudkgrn, uinrçpjisn sgfpdn å `ns prjldâfns hjfpdnxns `n hbgrurmgn `n dk fkgi.Hbgrurmgn ;7723 ;<81 ;28-;22.



DGPPN\KP^\N

Ìmn Kfçdgjrktgji @judnur \nhud

Ojuhbnr nt kd. ;772 ?= 2> % ?,> kis<? fjgs

Lrkmk-Xgdvk A. <55; ?8 7< % == fjgs

Fnrc, \u`gmgnr. <55< 25 % 88 fjgs

Hbkffks, <55= 75 % ;< fjgs



@ÇIN\_KPGJI• Pnhbigqun sgfpdn, suants anuins,

• GUU fjlgdn nt kxçn

• \çsudtkts —kdçktjgrns‖

• K okgrn prçhjhnfnit sur `ns krtghudktgjisfjlgdns



GUU rkg`n nt `judjurnusn :

• Unddnmrgig _, Lurtji \. Jstnjkrtbrgtgs jo tbn prjxgfgitnrpbkdkimnkd ajgit jo tbn bki`1 Krtbrjpdksty jrousgji: A Bki` Xurm ;7753 ;>-K1 ;70-<57.

Â



K\PB\J@ÂXN GUU

• Xurtjut d‗gi`nx (0 x pdus `n hjfpdghktgjiskvnh uin krtbrjpdkstgn)

• Ujsgtgji `n ojihtgji `n 85 å >5µ `n d‗gi`nx åd‗kurghudkgrn

• \gsqun `‗kppkrgtgji `‗ui syi`rjfn ùquk`rgmn

Â



DN U\JLDÂFN @N D‗GUU NXP HND‗KHHÂX Å D‗K\PGH^DKPGJI UJ^\

FGXN NI UDKHN @N U\JPBÂXNX

• Ujstçrgnurn (qug` ù tni`ji nxtnisnur :)

• Dktçrkdn (qug` ù dmt hjddktçrkd :)

• Kitçrgnurn (dns çhbgssnurs, pdkqun pkdfkgrn

_jgr hjurs sur dns vjgns `‗kljr`



GIOD^NIHN @N DK _JGN @‗KL

• Udus `n rçhg`gvn ù hjd-`n-hymin pkr vjgnkitçrgnurn pjur Dgishbng`, pks pjur Dgi

• Fáfn fjlgdgtç pkr vjgn kitçrgnurn jupjstçrgnurn pjur dns gfpdkits ni sgdghjin nt pjur

dns prjtbâsns ni pyrjhkrljin (Bnrrni)



U\JPBÂXNX1 < HBJGR JUUJX

• Gfpdkit ni sgdghjin (fjlgdgtç kux `çpnis `nd‗kiktjfgn)

• \nstkurktgji `‗uin pbysgjdjmgn « ijrfkdn ³• Ogxktgji jssnusn sjdg`n `‗ui gfpdkit +/- hjitrkg

• \nsurokíkmn



GFUDKIP NI XGDGHJIN

• Odnxgji nitrn tgmn nt hjrps, nxgji `kis dk hbkrigârn å p`n 0>µ

• Kvkitkmns1 \çsudtkts iji nxhnptgjiinds fkgs rnprjùhtgldnt rnprgsns okhgdns, Pjdçrkihn fçhkigqun

• Gihjivçignits1 pks `n stklgdgtç gitrgisâqun (<2µ vs 0µ `nstklgdgtç dktçrkdn), pks `n xktgji jssnusn, orkmgdgtç `n



DNX \ÇX^DPKPX @ÇUNI@NIP @NX GI@GH

• JK prgfgtgvn1 kttngitn gsjdçn,hjfpnisktgji pkr dns `jgmtsvjgsgis1 85 å 05µ `n fjlgdgtç

• JK pjst-trkufktgqun1 tni`jiskttngits / rkg`nur prç-nxgstkitn







HJ^\LN @N X^\_GN

75% å 7 kis25% å ;5 kis=?% å ;< kis07% å ;? kis

• ;?% `ns gfpdkits sjit orkhturçs(<>% dn sjit prjlkldnfnit kussg)

• ;8% `n rnprgsns hbgrurmghkdns



XÇ\GNX FGRPNX• Pkcgmkwk (<550)1 =5 gfpdkits, 02 pktgnits, =2 f `n rnhud (8-;7 kis)

• 05 onffns, ìmn fjyni >> kis

• 88 U\, ;0 JK, ;; JK pjst-trkufk, ;< krtbrgtns• ;2/=5 mkr`n uin gistklgdgtç (<;µ)

• ;55% rçhg`gvn `ns hjd-`n-hymin, >5% `‗kfçdgjrktgji `ns ljutjiigârn

• Fjlgdgtç 85µ (+>µ) S5-;2-02µV

• =5% `n mkgi int sur dk `judnur



XN\GN FGRPN (DGI, ;77>• 8? pktgnits, ?7 gfpdkits, pkr vjgn kitçrgnurn

• \nhud 8,0 kis (;-2 kis)

• ;2 JK, ;5 JK pjst-trkufk, > U\, < Usjrgksgs, ; shdçrj`nrfgn

• ;5 gi`nx, <? fkanur, <0 kiiudkgrn, 7 kurghudkgrn

• Fjlgdgtç 0?µ, fngddnurs rçsudtkts `kis d‗krtbrjsn

• ;=% hjfpdghktgjis

[



XÇ\GN JK UJXP-P\K^FKPG[^N

i rnhud fjlgdgtç Ox `gvnrs

Gsndgi <>Xwkisji >-<8 5-<5-25µ <5 % ;;% snpsgs, <>%

gistklgdgtç

Fktbjudgi <; Xuttnr 0 5-;5-?>µ ;5 % ;>µ dkxgtç

Bkmn ;?Xwkisji 0 >5µ 0µ dkxgtç < kldktgjis, 0

tçijdysns

Xwkisji ;>8Xwkisji > >=µ <,> % ;;% rnprgsns

!



K^P\NX \ÇX^DPKPX

• \çhg`gvn `ns `çojrfktgjis <;% Xwkisji, <=%@rynr, 2?% K`kfsji (krtbrgtn gi kffktjgrn)

• ;8 hks `n dyfpbk`çijpktbgn `jit 0 dyfpbjfnsiji-bj`mcgigni

• Hjfpdghktgjis sjus-nstgfçns (<% `n hjfpdghktgjipuldgçns `kis uin rnvun `n dk dgttçrkturn)

\ n s t n n

i h j r

n d k r ç

o ç r n i

h n !



DNX K^P\NX U\JPBÂXNX• Urjtbâsns hjitrkgitns

• Xjgt dk xktgji jssnusn nstjltniun nt dk hbkrigârn hkssn

• Xjgr dk hbkrigârn tgnit nt ui`nshnddnfnit jssnuxgitnrvgnit



Ujst-jp

K `gstkihn



U\JPBÂXNX Å PGMN NI PGP• Fjddnr (;777), ;< pts, << GUU, <= fjgs `n rnhud, ;8 U\,

JK, ;psjrgksgs

• 0;/00 gfpdkits sjit gitçmrçs,• Fjlgdgtç >?µ (5-;;-?=µ)

• @çojrfktgji ù sgdghjin <=%, orkhturn ;2%• Gistklgdgtç ;;% `kis d‗krtbrjsn vs 82% U\

Â Å



U\JPBÂXNX Å OGRKPGJIJXXN^XN NI UJDWÇPBWDÂIN

• @AJK 81 8% `n `nshnddnfnits hbnz ;;5pktgnits (rnhud okgldn)

• în sçrgn `n <= hks (<5 GUU)1 ljiinstklgdgtç kxgkdn, mkr`n dk fjlgdgtç fkgss‗niojihn `kis dns `gkpbysns

0 kis

Â Í



DNX U\JPBÂXNX @N \NX^\OKÍ

• G`çn1 hjisnrvnr dk stklgdgtçdgmkfnitkgrn (`jih h/g sg dns

dgmkfnits sjit kttngits)• ^tgdgsktgji pjssgldn ù pyrjhkrljin

(fgnux tjdçrç å djim tnrfn :)





U\JLDÂFNX• @go hudtç `n pjsn1 Xnudns 88% çtkgnit hjrrnhtnfnit pjsçns `kis uin ç

hk`kvçrgqun (Bjbni`jroo) dgç å d‗khhâs dgfgtç (" >5%) å d‗krtghudktgji (]ng)

• Pkux çdnvç `n hjfpdghktgjis (9 <5-<>%) jldgmnkit å uin rnprgsn

• \çsudtkts (ui pnu) fngddnurs å hjurt tnrfn

Bjbni`jroo L;, Qbkim ],Lurcbkrt CA,Fôddnr DU,\gns H. Gisnrtgji jo tbn Kshnisgji UyrjHkrlji UGU tjtkd ajgit gi bufki hk`kvnr imnrs1 kikdysgs jo gfpdkit pjsgtgjis ki` fkdpjsgtgjis. . Krhb Jr tbjp Prkufk Xurm. <5;> Onl3;8>(<)1<28-75]ng @B,Xtrkuhb \A.@jrskd surmghkd kpprjkhbns tj tbn prjxgfkd gitnrpbkdkimnkd ajgit1 k hjfpkrktgvn kikt ABki` Xurm Kf. <5;0 Aui387(?)1;52<-=



\NX^\OKÍKMN• Lrkvj (<55=), >5 hks, 9 <

kis `n rnhud

• Fjlgdgtç 05 ! 0=µ• Ugihb 8 ! 0 cm

• Mrksp ;7 ! <> Cm

• @judnur ?,8 " ;,</;5• <2% `n mnstns

hjfpdçfnitkgrns, 2% `n rnprgsns



\NX^DPKPX (CJUWDJ_)Gi `nmrnns

Urn JU Ujst JU 9 8 ynkrs

\JF imnr ;?5 ;25 * ;2> *

\JF UGU 08 ?5 * >7 *

Nxtnisgji @no << ;? is ;; is

Odnxgji ?> =? * =5 *



HJIHD^XGJI• Gfpdkit nt prjtbâsn å d‗GUU `jiinit

• @ns rçsudtkts sktgsokgskits sur dk `judnur

• în fjlgdgtç fj`nstn (85-0>µ)

• î tkux `n hjfpdghktgjis çdnvç (surtjut `kis d‗krtbrjsn pjst- trkufktgqun)

• în survgn dgfgtçn `kis dn tnfps

• Gd rnstn ui mrki` nspkhn pjur `ns kfçdgjrktgjis tnhbigquns



P\KGPNFNIP HBG\^\MGHK@N D‗K\PB\JXN FU



UBWXGJDJM• Krtghudktgji hji`ydgniin

• 8 `nmrçs `n dglnrtç

• Odnxgji/nxtnisgji ;55-;;5µ - 05µ

• Dktçrkdnfnit 0>µ

• \jtktgji 85µ



\KUUND KIKPJFG[^N• Pátn1 hji`ydn å surokhn grrçmudgârn

nt ksyfçtrgqun `kis dns trjgs pdkis+++

• Ubkdkimn1 Xurokhn nddgpsjê`n fjgisçtniùn å rkyji `n hjurlurn pdusgfpjrtkit qun hndug ù hji`ydnfçtkhkrpgni

• Xurokhn `n hjitkht krtghudkgrnfkxgfkdn djrs `n d‗nxtnisgji nt `ndk nxgji å 75µ

\ÐDN P\ÂX GFUJ\PKIP @NX DGMKFN



\ÐDN P\ÂX GFUJ\PKIP @NX DGMKFN

• Dkxgtç dktçrkdn ni nxtnisgji, Xtklgdgtç ni nxgji



DNX PNHBIG[^NX

• Gispgrçns `n dk U\ hkr

d‗krtbrjsn prgfgtgvn `n dk FUnst rkrn (rnhbnrhbçhbji`rjhkdhgijsn,bçfjhbrjfktjsn,…)

• Gfpdkits ju prjtbâsns



DNX GFUDKIPX NI XGDGH• Xwkisji (;7??) rnstn dk rçoçrnihn

• Xjit `gspjigldns1 Xwkisji(]rgmbt), Xjot Xcndntkd gfpdkit(nx-Xuttnr3 Kvkitk),

• Inu nx (@n Uuy), Urn nx(Kvkitk) Xgdghjin FU (Kshnisgji)sjit prç- çhbgns å 85µ

\ÇX^DPKPX Å DJIM PN\FN @NX GFUDK



\ÇX^DPKPX Å DJIM PN\FN @NX GFUDK@N X]KIXJI

• Fkdmrç dns hbnfgsns ni tgtkin dkfgmrktgji `n d‗gfpdkit nstgiçduhtkldn. Nddn nst prjvjquçn

pkr d‗noont pgstji• Dns orkhturns sjit çmkdnfnit

orçqunitns



XÇ\GN @N ;>; GFUDKIPX

• Odnxgji khtgvn fjyniin 1?7,>µ (5µ - 75µ)

• @ç hgt fjyni`‗nxtnisgji 1 ;5,7µ (5 ‘85µ)

• Khtgvn rkimn jo fjtgji 1>?,0 (5µ - 75µ)



DK OGRKPGJI PGPKIN• Bkmnrt, pugs Dui`ljrm nt Fjddnr

rkppjrtnit dnur nxpçrgnihn kvnh dkxktgji jssnusn `n tgmns ni tgtkin

• Prâs ljiin xktgji å djim tnrfn(9 75%)

• Fkgs orkhturn `n dk pgâhngitnrfç`gkgrn (?2%)





• Gitrjùgtns pkr Dgishbng` ni ;7=7

• Lut dgfgtnr dns hjitrkgitns sur dns pgâhns

prjtbçtgquns ni dns trkisoçrkit sur dnsdgmkfnits nt dns tni`jis

• Dgfgtn `n okhtj dns gi`ghktgjis

• Fktçrgku khtund1 pyrjhkrljin

• =5% `n survgn å ;? kis `n rnhud

82WNK\X JD@ DK@W ]GPB LJPB BKI@



82 WNK\X JD@ DK@W ]GPB LJPB BKI@JUN\KPN@ 1 FU GG-GGG P\NKPN@ LW UW\

U\JXPBNXGX (@R ;772- XGI ;777)

Hdghbçs @r Cjpydjv

DK HJFLGIKGXJI @NX JGNX @N \NHBN\H



DK HJFLGIKGXJI @NX < _JGNX @N \NHBN\H

• Hji`kfgin (@AJK) gitrjùgt dnprnfgnr (;72>) dn hjihnpt `n dkxktgji `‗uin tgmn ni prnss- t

• \nprgs pkr @gks kvnh `nsrçsudtkts trâs gitçrnsskits å > kis`n rnhud

• Hjflgikgsji `‗uin xktgjijssnusn nt `‗ui rnsurokíkmn

@AJK, ;5 K



\NMGXP\N IJ\_ÇMGNI

\nvun



;77>

HJFUDGHKPGJIX @NX U\JPBÂXNX HJIP\KGIP



HJFUDGHKPGJIX @NX U\JPBÂXNX HJIP\KGIP

• @nshnddnfnit

• Orkhturn `n dk hbkrigârn

• Gitjdçrkihn kux `çlrgs

\nvun;77>

HJFUDGHKPGJIX @NX\nvun

55



HJFUDGHKPGJIX @NXGFUDKIPX NI XGDGHJIN

• Orkhturn `n d‗gfpdkit (><-?=% å ;0 kis `n rnhud, 2<%kis)

• \çhg`gvn `ns `çojrfktgjis• ?<% `n rçhg`gvn ù hjup `n vnit

• 00% sulduxktgjis pkdfkgrns• Jssg hktgji

<55=

Uks `n hbkimnfnits kvnh dnsmrjffnts

HJFUDGHKPGJIX @NX U\JPBÂXNX @N



HJFUDGHKPGJIX @NX U\JPBÂXNX @N\NX^\OKÍKMN

• \çhg`gvn `ns `çojrfktgjis

• Duxktgjis/sulduxktgjis• Iji xktgji prgfkgrn ju

<kgrn

• Xulsg`nihn

HJIHD^XGJIX1 [^KI@ JUÇ\N\



HJIHD^XGJIX1 [^KI@ JUÇ\N\@KIX D‗K\PB\JXN @GMGPKD

• Gd i‗y k kuhuin `jiiçn vkdg`çn `kis dk dgttçrktu

pnrfnttkit `n hbjgsgr ui trkgtnfnit fç`ghkd pdutðqun hbgrurmghkd

• Dn lji snis austg n qu‗ui trkgtnfnit hjisnrvktnusjgt tjuajurs nsskyç gigtgkdnfnit



FN\HG @N _JP\N KPPNIPGJI

:

Documents

Osteoarthritis Finger 2014