Unusual and memorable
Unusual and memorable
| The first 150 words of the full text of this article appear below. |
A 36 year old Royal Marine developed unilateral erosive nodal osteoarthritis after frostbite. In 1984 during winter military exercises while in Norway, inadvertently separated from his comrades, he lost his right hand inner glove suffering severe frostbite of his right (dominant) hand. Treated conservatively a slow recovery ensued with return of normal sensation. He first noticed discomfort in his right hand three months later. Fusiform deformities of the PIPJs associated with reduced flexion were noted and radiographs showed soft tissue changes only. In 1996, marked nodal osteoarthritis changes involving all the PIPJs and DIPJs of the right hand were noted (fig 1). Apart from mild arthralgia and slight diminution in the range of flexion he denied any specific problems and continues to operate firearms without difficulty. Current radiographs (fig 2) demonstrate advanced osteodegenerative change, together with small punched out, well corticated, juxta-articular erosions involving all PIPJs and DIPJs of the right hand only.
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This article has been cited by other articles:
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Kahn, J E, Lidove, O, Laredo, J D, Bletry, O
(2005). Frostbite arthritis. Ann Rheum Dis
64: 966-967
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