Role of Trauma in Psoriatic Arthritis

Excerpt

Trauma has long been thought to play a triggering role in various types of inflammatory arthritis including rheumatoid arthritis (RA), gout, chondrocalcinosis, and the spondyloarthritides (SpA), especially psoriatic arthritis (PsA).

The first article on trauma in PsA appeared in 1959². Buckley and Raleigh described the case of a patient who developed acroosteolysis without associated articular inflammation after trauma. The observed bony lysis was explained as a result of a “deep Koebner’s” effect. A similar case was reported by Miller and coworkers in 1971². The case of a patient with psoriasis who developed a post-traumatic erosive arthritis in his right hand...