Case reports of posttraumatic development or exacerbation of both seronegative and seropositive inflammatory arthropathies
| STUDY | SEX AND AGE | NATURE OF TRAUMA | JOINTS INVOLVED | TIME BETWEEN TRAUMA AND ONSET OF CLINICAL FEATURES | LABORATORY RESULTS, ABNORMALITIES, AND ASSOCIATED FEATURES |
|---|---|---|---|---|---|
| Williams and Scott (1967)1 | Man, aged 31 y | Hit third left finger while planing wood | Third left PIP joint | Immediate swelling of third left PIP joint; 1 y later erosive polyarthritis | Positive Rose-Waaler test results, rheumatoid nodule |
| Williams and Scott (1967)1 | Man, aged 51 y | Hit third right finger while sawing wood | Third right PIP joint | Persistent swelling several wk later; then 3 mo later polyarthritis developed | Positive Rose-Waaler test results |
| Williams and Scott (1967)1 | Woman, aged 54 y | Hit second and third right fingers with pliers | Second and third right PIP joints | Immediate involvement of second right PIP joint; 2 mo later third right PIP joint involved | Scalp psoriasis, elevated ESR |
| Wisnieski (1984)2 | Man, aged 23 y | Struck knee while rock climbing | Right knee | 7 d | Negative RF test results, positive HLA-B27 test results, elevated ESR |
| Wisnieski (1984)2 | Man, aged 55 y | Had contusions from MVA | Knees, wrists, ankles | Onset 3 wk after MVA; episodic over next 35 y | Keratoderma blennorrhagica, positive HLA-B27 test results, elevated ESR, possible psoriasis |
| Masson et al (1985)3 | Man, aged 28 y | Experienced trauma to base of spine at L5, metacarpal | Hand, spine, sacroiliac joints | 2 d of hand swelling; 10 d later neck and lower thoracic inflammatory symptoms; 30 d later sacroiliitis | Urethritis, positive HLA-B27 test results, scintigraphy confirmed bilateral sacroiliitis |
| Masson et al (1985)3 | Man, aged 21 y | Experienced multiple fractures from MVA | Left knee, both hips; later multiple other joints and sacroiliitis | Knees and hips involved within 3 mo; other sites within 4 mo | Elevated ESR, x-ray scan showed sacroiliitis, positive HLA-B27 test results |
| Masson et al (1985)3 | Man, aged 24 y | Had slight injury to right wrist | Right wrist, both knees, cervical spine | 15 d for wrist; other joints involved within 21 d | Conjunctivitis, elevated ESR, positive HLA-B27 test results |
| Olivieri et al (1988)4 | Girl, aged 13 y | Fell during a race, striking the right hip | Right hip, both ankles, left elbow | 3 d | Elevated CRP, positive HLA-B27 test results, rapid progressive loss of right hip joint space, erosions seen |
| Olivieri et al (1988)4 | Woman, aged 25 y | Struck by falling bookcase and had multiple contusions | Sacroiliac joints, right hip, lumbar spine | Immediate, but worsening over 2 mo to time of assessment | Elevated ESR and CRP, positive HLA-B27 test results, substantial right hip erosive damage at 2 mo |
| Olivieri et al (1989)5 | Man, aged 41 y | Ran over by car and had hand surgery | Knee effusions | ≥ 5 d | Elevated ESR, negative test results for RF and ANA, diarrhea, fever, urethritis concurrent with knee arthritis |
| Olivieri et al (1989)5 | Man, aged 25 y | Landed on extended knees after parachute jump | Knees | Same day, resolved after 2 IA corticosteroid injections | Elevated ESR, positive HLA-B27 test results, negative test results for RF and ANA |
| Langevitz et al (1990)6 | Woman, aged 40 y | Fell on outstretched hand | Left wrist | 3 y | Negative test results for HLA-B27, RF, and ANA; developed psoriasis in interval |
| Goupille et al (1991)7 | Man, aged 58 y | Fell on right shoulder | Right knee initially, 2 mo later both knees, feet, and wrists | Right knee pain and swelling developed 1 wk after injury | Conjunctivitis, psoriasis developed postinjury, elevated CRP, ESR, CSF, and WBC count |
| Olivieri et al (1991)8 | Woman, aged 20 y | Had MVA | Right SC joint | Immediate | Psoriasis, elevated ESR and CRP, positive HLA-B27 test results |
| Doury (1993)9 | Man, aged 45 y | Fell on knees | Knees | Knees immediately involved; polyarthritis developed after 1 mo | Psoriasis developed postinjury on knee, elevated ESR, negative HLA-B27 test results |
| Sandorfi and Freundlich (1997)10 | Woman, aged 30 y | Fell down stairs and injured right ankle | Right ankle, then later left ankle as well | Right ankle immediately involved; left ankle a few wk later; toe dactylitis a few mo later | Psoriasis developed postinjury, negative test results for ANA, RF, and HLA-B27 |
| Sandorfi and Freundlich (1997)10 | Man, aged 40 y | Slipped and fell while jumping out of a truck | Wrists | Wrists immediately involved and persistently swollen; 4 y later dactylitis and PIP erosions developed | Psoriasis developed at site of injury, conjunctivitis 1 y later, positive test results for ANA and RF |
| Sandorfi and Freundlich (1997)10 | Man, aged 23 y | Had MVA and injured right hand | Right third digit, persistent swelling | Immediate swelling of right third digit; 3 y later asymmetric PIP and MCP involvement | Psoriasis |
| Sandorfi and Freundlich (1997)10 | Man, aged 24 y | Fell down stairs and injured lower back | Left sacroiliac joint | Immediate pain; 2 y later MRI showed sacroiliitis | Positive HLA-B27 test results |
| Padula et al (1999)11 | Man, aged 60 y | Experienced contusive trauma to left hand while chopping wood | Left-hand flexor tenosynovitis, digit dactylitis | 1 wk | Long-standing psoriasis |
| Current case (2012) | Man, aged 39 y | Suffered crush injury of right hand | Third- and fourth-digit dactylitis | Immediate for right third digit; right fourth digit swollen within 2 wk | Negative test results for RF, ANA, and HLA-B27, elevated CRP, psoriasis |
ANA—antinuclear antibody, CRP—C-reactive protein, CSF—cerebrospinal fluid, ESR—erythrocyte sedimentation rate, HLA-B27—human leukocyte antigen–B27, IA—intra-articular, MCP—metacarpophalangeal, MRI—magnetic resonance imaging, MVA—motor vehicle accident, PIP—proximal interphalangeal, RF—rheumatoid factor, SC—sternoclavicular, WBC—white blood cell.