Your contact partners
in this area:
Prof. <br /> Dr. med. habil.<br /> Georg Matziolis
Dr. med. habil.
Georg Matziolis

Senior Consultant of the Clinic for Orthopaedics and Accident Surgery

Acting holder of the Chair for Orthopaedics of the FSU Jena at the Waldkrankenhaus Eisenberg

036691 8-1002

Specialist Registrar Dr. med. Andreas Wagner
Specialist Registrar Dr. med. Andreas Wagner

Head of department hand and foot surgery

Specialist for Orthopaedics and Accident Surgery, Rheumatology, Hand Surgery, Special Orthopaedic Surgery, Physical Therapy and Chirotherapy.

Wear of the hand and finger joints (arthrosis)

Arthrosis refers to joint wear beyond the age-related extent. The causes may be strain, malpositioning of the joints, bone disease or genetic pre-disposition.

In the hand area, arthrosis mainly occurs in three forms:

  • as Heberden's nodes on the end joints of the fingers
  • as Bouchard's nodes on the middle joints of the fingers
  • as rhizarthritis on the thumb saddle joint

In this case, thickening occurs on the outer or middle finger joints. Patients complain of stiffness of the fingers in the morning and pain when carrying out simple movements such as opening a bottle. Later, complaints may worsen and also occur when the hand is immobilised. These are accompanied by a restriction of freedom of movement of the fingers, the joints can then only be bent to a limited extent.

Various conservative measures are available to us to treat arthrosis on the hand and finger joints:

At the beginning of the illness, specific physiotherapeutic exercises or medicinal therapy may help. If these steps do not lead to success, the complaints persist over a long period or serious deformations of the finger joints occur, the doctor will recommend an operative form of therapy.

Possible forms of therapy:

  • Stiffening of the joints
  • Artificial joints
Overview of specialist areas:
Nerve bottleneck syndrome

With nerve bottleneck syndromes, surrounding tissue presses against the supplying nerves and thus damages them. The most well-known of them is carpal tunnel syndrome: Patients suffer from pain, feelings of numbness and a reduction of strength in the hand. 

More information.


Rheumatoid arthritis is the most frequent inflammatory-rheumatic disorder: It is characterised by painful swellings of the joints and as it progresses leads to destruction of joints and increasing restriction of movement.

More information.

To top

In the case of arthrosis, thickening occurs on the outer and middle finger joints.

In the case of arthrosis, thickening occurs on the outer and middle finger joints.