Clutton's joints

Term describing the finding of symmetrical joint swelling seen in patients with congenital syphilis

Medical condition

Clutton's joints

Clutton's joints
Specialty	Rheumatology
Differential diagnosis	Congenital syphilis

Clutton's joints is a term describing the finding of symmetrical joint swelling seen in congenital syphilis. It most commonly affects the knees, presenting with synovitis and joint effusions (collections of fluid within the joint capsules) lasting up to a year. It has also been reported affecting the ankles, elbows, wrists and fingers. It is usually painless, although pain in the absence of trauma can occur in a few cases. There is usually no disability associated with the joint swelling, and recovery is usually complete. It occurs between 5 and 20 years of age in both sexes.^{[citation needed]}The condition was described in 1886 by Henry Hugh Clutton in The Lancet.^[1]

References

^ RODIN P (September 1961). "Clutton's Joints: A BRIEF REVIEW OF THE LITERATURE, AND AN UNUSUAL CASE TREATED WITH INTRA-ARTICULAR HYDROCORTISONE". Br J Vener Dis. 37 (3): 204–6. doi:10.1136/sti.37.3.204. PMC 1047420. PMID 14493118.

Classification	D ICD-10: M03.1

v t e Signs and symptoms relating to infectious diseases
Bacterial disease	syphilis Hutchinson's teeth Hutchinson's triad Westphal's sign Clutton's joints Dennie–Marfan syndrome
Viral disease	measles Koplik's spots
Parasitic disease	African trypanosomiasis Winterbottom's sign
General	Meningism Fever Liebermeister's rule Faget sign

Musculoskeletal examination

Leg

Hip examination	Galeazzi test Allis test Barlow maneuver Ober's test Ortolani test Patrick's test Thomas test Trendelenburg's sign
Knee examination	Ballottement Clarke's test Drawer test Lachman test Patellar tap Pivot-shift test Valgus stress test meniscus Apley grind test McMurray test ligament and meniscus Unhappy triad
Foot and ankle	Hubscher's maneuver Mulder's sign Thompson test
General	Straight leg raise Lasègue's sign Gait abnormality Trendelenburg gait Unequal leg length Gower's sign

Arm

Shoulder examination	Apprehension test Jobe's test Neer Impingement Test Yergason's test rotator cuff Hawkins–Kennedy test Watson's test
Elbow examination	Cozen's test Elbow extension test
Hand and wrist	Durkan's test Finkelstein's test Froment's sign Lunotriquetral shear test Phalen maneuver Tinel sign Watson's test
General	Bethlem sign