Osteoarthritis Finger 2014
Short Description
Descripción: arthrose des doigts...
Description
GI@GH KPGJIX HBG\^\MGH GI@GHK HBG\^\MGHKDNX KDNX @KIX D‗K\PB\JXN @NX @JGMP @JGMPXX DJIMX DJIMX
Hbrgstgki @ufjitgnr, F@, Ub@ Hnitrn `n dk Fkgi, Muk`ndjupn
GD W K UD^XGN^\X K\ K\PB\JXNX PB\JXNX •
Krtbrjsn `çmçiçrktgvn1 GU@, GUU, FU
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Krtbrjsn fçtkljdgqun1 FU
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Krtbrjsn pjst-trkufktgqun1
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\bgzkrtbrjsn
vki Xkksn Kii \bnuf @gs ;727 ;> kis
GD W K UD^ UD^XGN XGN^\X ^\X U\ÇX U\ÇXNIP NIPK KPGJI PGJIXX HDGIG[^NX @N D‗K\PB\JXN •
@judnur
•
Gfpjtnihn ojihtgjiind ojihtgjiinddn dn
•
\kg`nur
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Pufçokhtgji
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Máin nstbçtgqun
FKGX DK HBG\^\MGN IN M^Ç\GP UKX D‗K\PB\JXN @ n o k í íj i j i m ç çi i ç çr r k k d d n n d k ç h k h b h b b n b g gr nh h ` n r u u r r m g g n ns s k u n n s u t s t t r rn t g i n s s t r i ` `g g q r q u k k uç g gt t n nstbçtgqun ç n n f n k fn i p r i t râ t s â s s s
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Kfçdgjrktgji
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Kfçdgjrktgji ojihtgjiinddn
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Mkgi sur dk `judnur
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Kldktgji `‗uin tufnur
GU@
GUU
FU
Fjlgdgtç ijrfkdn
Fjlgdgtç ojihtgjiinddn « fgigfkdn ³
5/5/25
>% `n Krtbrj` tbrj`âsn âsn 9 d‗nirjudnfnit Kr prjtbâsn `u `jgmt
8>% `n d‗nirjudnfnit 5/5/;;5 `u `jgmt Krh ?5µ fgigfuf ?5% `n kis `‗çvjdutgji)
GU@ NP U\JPBÂXN1 ^IN GI@GHKPGJI Å \NHJIXG@Ç\N\ : •
^in sçrgn `n ;8; hks `jit = fjgs
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Fjlgdgtç 5/;;/>5µ
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>% `n hjfpdghktgjis snudnfnit Xgnrkcjwscg K;, K;, Qwngond H, H , Xgrjtkcjvk F, F, Xkunrdki` X, X, Nddgjt @. @. Ajgit Ajgit rnpdkhnfnit gi ;8; pkgioud A Bki` Xurm Nur µ
;5 %
;>µ dkxgtç
Bkmn
;? Xwkisji
0
>5µ
Xwkisji
;>8 Xwkisji
>
>=µ
0µ dkxgtç < kldktgjis, 0 tçijdysns < ,> %
;;% rnprgsns
t n s n \
! n i h n ç r ç o r ç d k n j r h n i
K^P\NX \ÇX^DPKPX
•
\çhg`gvn `ns `çojrfktgjis `çojr fktgjis µ)
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^i tkux `n hjfpdghktgjis çdnvç (surtjut `kis d‗krtbrjsn pjst trkufktgqun) ^in survgn dgfgtçn `kis dn tnfps
Gd rnstn ui mrki` nspkhn pjur `ns kfçdgjrktgjis tnhbigquns
P\KGPNFNIP HBG\^\MGH P\KGPNFNIP HBG\^\MGHKD KD @N D‗K\PB\JXN FU
•
UBWXGJDJMGN
Krtghudkt Kr tghudktgji gji hji`ydgniin •
8 `nmrçs `n `n dglnrtç dglnr tç •
Odnxgji/nxtnisgji
; 55 -;; 5µ - 0 5µ
•
Dktçrkdnfnit
0 >µ
•
\jtktgji
8 5µ
\KUU \K UUND ND KI KIK KPJF JFG[^N G[^N •
Pátn1 hji`ydn å surokhn grrçmudgârn nt ksyfçtrgqun `kis dns trjgs pdkis +++
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Ubkdkimn1 Xurokhn nddgpsjê`n fjgis çtni`un å rkyji `n hjurlurn pdus gfpjrtkit gfpjr tkit qun hndug `u hji`ydn fçtkhkrpgni
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Xurokhn `n hjitkht krtghudkgrn fkxgfkdn djrs `n d‗nxtnisgji nt `n dk nxgji å 75µ
\ÐDN P\ÂX GFUJ\P GFUJ\PKIP KIP @NX DGMKFN DGMKFNIPX IPX
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Dkxgtç dktçrkdn dktçr kdn ni nxtnisgji, Xtklgdgtç ni nxgji
DNX PNHBIG[^NX •
Gispgrçns `n dk U\ hkr d‗krtbrjsn d‗kr tbrjsn prgfgtgvn prgfgtgvn `n dk FU nst rkrn (rnhbnrhbç hbji`rjhkdhgijsn, bçfjhbrjfktjsn,…)
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Gfpdkits ju prjtbâsns
DNX GFUDKIPX NI XGDGHJIN •
Xwkisji (;7??) rnstn dk rçoçrnihn •
Xjit `gspjigldns1 Xwkisji (]rgmbt), (]rgmb t), Xjot Xcndntkd gfpdkit (nx-Xuttnr (nx-X uttnr33 Kvkitk),
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Inunx (@n Uuy), Urnnx Urnnx (Kvkitk) Xgdghjin FU (Kshnisgji) sjit prç-çhbgns å 85µ
\ÇX^D \ÇX ^DP PKPX Å DJIM PN\ PN\FN FN @NX GFUD GFUDKIP KIPXX @N X]KIXJI
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Fkdmrç dns hbnfgsns ni tgtkin dk fgmrktgji `n d‗gfpdkit nst giçduhtkldn. Nddn nst prjvjquçn pkr d‗noont pgstji
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Dns orkhturns sjit çmkdnfnit orçqunitns
XÇ\GN @N ;>; GFUDKIPX •
Odnxgji khtgvn fjyniin 1
?7,>µ (5µ - 75µ) •
@çhgt fjyni `‗nxtnisgji `‗nxtnis gji 1 ;5,7µ (5 ‘ 85µ)
•
Khtgvn rkimn rki mn jo fjtgji 1 >?,0 (5µ - 75µ)
DK OG OGRK RKPG PGJI JI PG PGP PKI KINN •
Bkmnrt, pugs Dui`ljrm nt Fjddnr rkppjrtnit dnur nxpçrgnihn kvnh dk xktgji jssnusn `n tgmns ni tgtkin •
Prâs ljiin ljiin xktgji å djim djim tnrfn tnr fn (9 75%)
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Fkgs orkhturn `n dk pgâhn gitnrfç`gkgrn (?2%)
DNX U\JPBÂXNX @N \NX^\OKÍKMN •
Gitrj`ugtns pkr Dgishbng` ni ;7=7
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Lut dgfgtnr dns hjitrkgitns sur dns pgâhns prjtbçtgquns ni dns trkisoçrkit sur dns dgmkfnits nt dns tni`jis
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Dgfgtn `n okhtj dns gi`ghktgjis
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Fktçrgku Fktçr gku khtund1 pyrjhkrljin pyrjhkrljin
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=5% `n survgn sur vgn å ;? kis `n rnhud
82 WNK\X JD@ DK@ DK@W W ]GPB LJ LJPB PB BKI@ JUN\K JUN\ KPN@ 1 FU GGGG-GGG GGG P\N P\NK KPN@ LW UW\JH UW\JHK\LJ K\LJI I U\JXPBNXGXX (@R ;772- XGI ;777) U\JXPBNXG
DK HJFLGIKGXJI @NX < _JGNX @N \NHBN\HBN : •
Hji`kfgin (@AJ ( @AJK) K) gitrj`ugt dn prnfgnr (;72>) dn hjihnpt `n dk xktgji `‗uin tgmn ni prnss-t
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\nprgs pkr @gks kvnh `ns rçsudtkts trâs gitçrnsskits å > kis `n rnhud
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Hjflgikgsji `‗uin xktgji jssnusn nt `‗ui rnsurokíkmn
@AJK, ;5 K
\NMGXP\N IJ\ IJ\_ÇMGNI _ÇMGNI
\nvun ;77>
HJFUDGHKPGJIX @NX U\JPBÂXNX HJIP\KGIPNX \nvun ;77>
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@nshnddnfnit
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Orkhturn `n dk hbkrigârn
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Gitjdçrkihn kux `çlrgs
\nvun
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