Abstract
Hand osteoarthritis (HOA) has a high prevalence and occurs either as a single entity or as part of a generalised osteoarthritis. To improve diagnosis and management of HOA in daily practice, the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT) has published recommendations which are based on expert opinions and a systematic literature search. The typical clinical signs and symptoms are well known; nevertheless, for accurate diagnosis further background knowledge is necessary. The 10 EULAR recommendations given for the diagnosis of HOA summarise risk factors, demographic aspects, signs and symptoms, subgroups, radiographic changes and laboratory tests as well as differential diagnosis. The management of HOA requires a patient-orientated strategy with a multidisciplinary approach. 11 EULAR recommendations focus on pharmacological therapies, occupational and physiotherapy as well as patient education and surgical intervention. Efficacy and safety of local steroids, paracetamol, non-steroidal anti-inflammatory drugs as well as symptomatic slow-acting drugs for osteoarthritis (SYSADOA) are discussed.
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