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(Opera Glass Hand)

Robert L. Swezey, MD; Stanley J. Alexander, MD

Arch Intern Med. 1971;128(2):269-272.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The opera glass hand or main en lorgnette deformity has been recognized since the term was coined by Marie and Leri in 1913.¹ They described the telescoped phalanges with overlying infolded skin caused by extensive reabsorption of the phalangeal articular bone.¹ Reports of main en lorgnette deformity have been given under other titles such as arthritis mutilans, absorptive arthritis, and resorptive osteopathy.^2-4 These terms have usually been used to describe a destructive rheumatoid arthritis, or a variant thereof, which affects the hands as well as other joint areas. In 1953 Silver and Steinbrocker mentioned resorptive arthropathy in degenerative joint disease,³ and Crain, in 1961, described a resorptive, inflammatory arthritis involving the terminal interphalangeal joints without evidence of rheumatoid disease. Some of Crain's patients had been receiving intraarticular steroids into the affected joints.⁵ An appreciation of the extensive juxte-articular erosion in the distal interphalangeal (DIP) joints in cases of severe osteoarthritis . . . [Full Text PDF of this Article]

Author Affiliations
Los Angeles

From the Department of Physical Medicine and Rehabilitation and the Section of Rheumatic Disease and Clinical Immunology, Department of Medicine, University of Southern California School of Medicine, Los Angeles.

Footnotes
Received for publication March 24, 1970; accepted April 16, 1971.

Reprint requests to Los Angeles Country-University of Southern California Medical Center, 1200 N State St, Box 723, Los Angeles 90033 (Dr. Swezey).

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