Hand conditions as sequelae of infection with COVID-19: a literature review

J Hand Surg Eur Vol. 2024 Feb;49(2):284-289. doi: 10.1177/17531934231192832. Epub 2023 Sep 11.

Abstract

Patients have attended our clinics with various hand pathologies after contracting COVID-19 or receiving vaccination. We postulate the virus stimulates a systemic inflammatory response that triggers these pathologies and conducted a search of the literature for associated conditions. Twenty publications were included for this review. Three studies identified skeletal muscle inflammation, and several identified reactive arthritis post-infection. Rheumatoid arthritis post-infection was also recognized, along with crystalline arthropathy. Carpal tunnel syndrome was seen in two cases. There is a current paucity in published scientific material regarding COVID-19 sequalae in the hand. This review aims to stimulate discussion in how a virus can induce pathological processes causing common hand pathologies.

Keywords: COVID-19; arthritis; hand pathology; myositis; peripheral neuropathy.

Publication types

  • Review

MeSH terms

  • Arthritis, Rheumatoid* / complications
  • COVID-19* / complications
  • Carpal Tunnel Syndrome* / etiology
  • Hand
  • Humans
  • Inflammation