The articular index of Doyle et al is an assessment of the principal joints affected by osteoarthritis. This can be used to evaluate the severity of osteoarthritis in a patient and to monitor the effect of therapeutic interventions over time.
total number of joint units evaluated: 22
|
Joint(s) |
Testing Method |
Number of Units |
|
distal interphalangeal (IP) joints for fingers 2-5, both hands, scored individually |
pressure |
8 |
|
proximal interphalangeal (IP) joints for fingers 2-5, both hands, scored individually |
pressure |
8 |
|
metacarpophalangeal (MP) joints for fingers 2-5, both hands, as a group |
pressure |
2 |
|
interphalangeal (IP) joint of thumbs |
pressure |
2 |
|
metacarpophalangeal (MP) joint of thumbs |
pressure |
2 |
|
first carpometacarpal joint |
pressure |
2 |
|
wrist |
pressure |
2 |
|
elbow |
pressure |
2 |
|
shoulder |
pressure |
2 |
|
acromioclavicular joints, together as a pair |
pressure |
1 |
|
sternoclavicular joints, together as a pair |
pressure |
1 |
|
cervical spine |
movement |
1 |
|
lumbar spine |
movement |
1 |
|
hips |
movement |
2 |
|
knees |
pressure |
2 |
|
ankles |
movement |
2 |
|
talocalcaneal |
movement |
2 |
|
midtarsal |
movement |
2 |
|
metatarsophalangeal (MTP) joint, great toe |
pressure |
2 |
|
metatarsophalangeal (MTP) joints, toes 2-5 as a group |
pressure |
2 |
|
Grading Test Findings |
Points |
|
no tenderness |
0 |
|
patient complains of pain |
1 |
|
patient complains of pain and winces |
2 |
|
patient complains of pain, winces and withdrew joint |
3 |
total index =
= SUM(points for all 48 units)
Interpretation:
• minimum index: 0
• maximum index: 144
• The higher the score, the worse the osteoarthritis.
• A decrease in the index indicates improvement, while an increase indicates worsening of the osteoarthritis.
Specialty: Surgery, orthopedic, Immunology/Rheumatology
ICD-10: ,
