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Arthritis and Rheumatism

Surgical cleaning of dip joints

09/13/2007

Question:

I wonder if you could give me the following information, please:

Is surgical cleaning (removal of bone spur and washing of cartilage) a good option for bone spurs accompanying early (diagnosed) osteoarthritis of the DIP joints?

Answer:

It is not my customary practice to refer an individual to an Orthopaedic surgeon for early osteoarthritis of the end knuckle of the finger (distal interphalangeal (DIP) joint) with or without a bone spur. Typically, I would refer someone for surgical evaluation with the clinical combination of more advanced osteoarthritis, moderate-to-severe pain symptoms, and functional loss.

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Response by:

Raymond  Hong, MD, MBA, FACR Raymond Hong, MD, MBA, FACR
Formerly, Assistant Professor of Medicine
School of Medicine
Case Western Reserve University