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Hand Function and Imaging Outcomes

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Hand Function

Abstract

Hands are critical for daily functioning for humans but are also a common part of the skeleton to be involved in arthritic processes. Several modalities are available for imaging the hand in confirming the diagnosis, disease progression monitoring, as well as for predicting future function in arthritic conditions. Simple radiography (X-rays), the long-standing gold standard for hands imaging, is cheap, easily available, and well validated for diagnosis and monitoring various arthritic processes by documenting primarily changes in the bones. However, to visualize the pathology in the soft tissues (synovium, tendons, ligaments, etc.) and cartilage, modern imaging modalities such as ultrasonography (US)—gray scale and Doppler—computerized tomography (CT), and magnetic resonance imaging (MRI) are required. US, CT, and MRI have also been shown to be more sensitive for diagnosing and monitoring early stages of arthritis than simple X-rays. Dual energy X-ray absorptiometry and digital X-ray radiogrammetry assess disease progression in RA by quantifying changes in hand bone density. Finally, serial hand imaging by any modality is a surrogate measure for future hand function, the important outcome from a patient’s point of view. This chapter reviews the evidence for correlations between hand imaging by different modalities with hand function.

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  1. Arthritis and Rheumatic Diseases, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd OP09, Portland, OR, 97239, USA

    Atulya A. Deodhar

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  1. Department of Physical Medicine and Rehabilitation, Marmara University Medical School, Istanbul, Istanbul, Turkey

    Mehmet Tuncay Duruöz

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Deodhar, A.A. (2014). Hand Function and Imaging Outcomes. In: Duruöz, M. (eds) Hand Function. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9449-2_16

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