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Abstract
Degenerative joint disease commonly affects the distal interphalangeal (DIP) joints,
causing articular destruction and marginal bone formation. Treatment for pain relief
and function is most often done through arthrodesis. The case of a 70-year-old concert
violinist with left index finger DIP joint osteoarthritis is presented. Arthritis
in the involved joint caused pain and deformity and interfered with the patient's
ability to play music. Trial arthrodesis with K-wires proved impossible because of
the patient's need for continued mobility. Swanson hinge implant arthroplasty was
performed on the affected DIP joint. The patient eventually achieved an excellent
result and was able to return to playing the violin professionally. Treatment and
therapy guidelines are presented.
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Copyright
© 1998 Hanley & Belfus, Inc. Published by Elsevier Inc. All rights reserved.
