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We were inspired by reading the article entitled ‘2018 update of the EULAR recommendations for the management of hand osteoarthritis’ by Kloppenburg et al.1 This up-to-date guideline will inform all health professionals and patients about optimal management by shared decision-making and may help advance research of hand osteoarthritis (OA). In overarching principles, this recommendation highlighted that the primary goal of managing hand OA is to control pain and stiffness and to optimise hand function and quality of life. This guideline also emphasised that management of hand OA should be individualised, taking into account its localisation and severity as well as comorbidities. The comorbidities should be thoroughly evaluated for individualised management of hand OA. Particularly, systemic diseases such as cardiac disease and/or hypertension, diabetes and depression are commonly accompanied with OA.2 Apart from systemic diseases, various localised upper extremity musculoskeletal diseases (UEMDs) also contribute to greater pain and poor performance-based physical function in people with hand OA. However, there have been few small studies in which carpal tunnel syndrome (CTS) or rotator cuff tear (RCT) has been commonly associated with hand OA.3 …
YSS and H-OK contributed equally.
Contributors Conception of the work: YSS, H-OK, S-IL. Acquisition of data: YSS, H-OK, CHL, CHY, YHC, MK, HL. Analysis or interpretation of data: YSS, H-OK, S-IL. Drafting: YSS, H-OK. Revision of the work: YSS, S-IL. All authors read and approved the final manuscript.
Funding This work was supported by grants (NRF-2015R1A5A2008833) from the National Research Foundation of Korea (NRF) funded by the Korean government (http://www.nrf.re.kr/index) and the Centre for Farmer’s Safety and Health, Ministry of Agriculture, Food and Rural Affairs, Republic of Korea.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Provenance and peer review Not commissioned; internally peer reviewed.