Rheumatoid arthritis of the hand and wrist
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| Format: | Buch |
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| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1996
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| Schriftenreihe: | Hand clinics
12,3 |
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| Online-Zugang: | Inhaltsverzeichnis |
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| 245 | 1 | 0 | |a Rheumatoid arthritis of the hand and wrist |c Leonard K. Ruby ... guest ed. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 1996 | |
| 300 | |a VIII S., S. 463 - 632 |b Ill. | ||
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| 338 | |b nc |2 rdacarrier | ||
| 490 | 1 | |a Hand clinics |v 12,3 | |
| 650 | 2 | |a Main | |
| 650 | 2 | |a Poignet | |
| 650 | 2 | |a Polyarthrite rhumatoïde | |
| 650 | 4 | |a Arthritis, Rheumatoid | |
| 650 | 4 | |a Hand | |
| 650 | 4 | |a Rheumatoid arthritis |x Treatment |x Evaluation | |
| 650 | 4 | |a Wrist | |
| 650 | 0 | 7 | |a Rheumatoide Arthritis |0 (DE-588)4076708-5 |2 gnd |9 rswk-swf |
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Datensatz im Suchindex
| _version_ | 1819731029380825088 |
|---|---|
| adam_text | RHEUMATOID ARTHRITIS OF THE HAND AND WRIST
CONTENTS
Preface xi
Leonard K. Ruby and Charles Cassidy
Medical Aspects of Rheumatoid Arthritis: Diagnosis and Treatment 463
Elena M. Massarotti
Rheumatoid arthritis commonly affects the hand and wrist. The differen¬
tial diagnosis of inflammatory conditions affecting the hand is broad. A
proper diagnostic approach necessitates a thoughtful interpretation of the
presenting clinical features, laboratory tests, synovial fluid analysis, and
radiographic data. Early, aggressive medical therapy with a combination
of antiinflammatory and remittive agents may reduce mortality in selected
patients and prevent the consequences of uncontrolled synovial prolifera¬
tion. Despite proper medical therapy, joint destruction often results and
surgical treatment of the joint deformities may be required for restoration
of function.
The Wrist in Rheumatoid Arthritis 477
Jules S. Shapiro
In the rheumatoid wrist, cartilage loss, synovial expansion with erosive
disease and ligamentous laxity, result in loss of carpal height and stability
and development in varying amounts of ulnar/palmar translocation and
supination of the carpus on the distal forearm. This results in a painful
wrist which influences deformity development distally. The aims of sur¬
gery are relief of pain and adequate stability while retaining as much
motion as possible consistent with the degree of destruction present. A
variety of procedures from soft tissue reconstruction to total arthrodesis
are available to achieve these aims.
HAND CLINICS VOLUME 12 • NUMBER 3 • AUGUST 1996 V
The Distal Radioulnar Joint in Rheumatoid Arthritis 499
John E. Blank and Charles Cassidy
This article outlines the relevant pathoanatomy and kinematics, clinical
and radiographic findings, and treatment alternatives for the rheumatoid
distal radioulnar joint. A summary of the authors preferred techniques is
presented.
Metacarpophalangeal Joints in Rheumatoid Arthritis of the Hand 515
Craig R. Stirrat
Metacarpophalangeal joint involvement is a well recognized problem in
patients with rheumatoid arthritis. The joint destruction and deformity
from the disease follow a progression of increasing digital volar subluxa
tion and ulnar deviation. With early involvement, soft tissue procedures
may be important in improving hand function and limiting progression.
In late stage involvement, the silicone rubber implant arthroplasty devel¬
oped by Swanson is a valuable procedure for reconstruction. The outcomes
of the implant procedure have been well studied and enable the hand
surgeon to discuss with the patient the likely improvement following MP
joint surgery.
Finger Deformities in Rheumatoid Arthritis 531
Louis Rizio and Mark R. Belsky
Swan neck and boutonniere deformities are the most common finger de¬
formities in rheumatoid arthritis. These deformities result from the effects
of rheumatoid synovitis acting on the joints and the soft tissues that
determine joint function. A thorough understanding of the digital exten¬
sor flexor mechanism is needed to appreciate the pathologic anatomy of
the imbalance and the techniques available for reconstruction.
The Rheumatoid Thumb 541
Andrew B. Stein and Andrew L. Terrono
Involvement of the thumb is common in patients with rheumatoid arthri¬
tis. Six classic types of deformity have been described, but other patterns
of deformity can also be encountered. Surgical treatment must be individu¬
alized for each patient and includes synovectomy, tenodesis, tendon trans¬
fer, arthrodesis, and arthroplasty.
Extensor Tendon Problems in Rheumatoid Arthritis 551
Robert Lee Wilson and Michelle C. DeVito
A prophylactic extensor tenosynovectomy can prevent tendon rupture
and is indicated when the tenosynovitis does not respond to medical
management or when an increase in size occurs. Tendon reconstruction
can be achieved with either a tendon transfer or a tendon graft. A single
extensor rupture is an indication for surgical treatment to prevent further
tendon damage by eliminating the cause. Reconstruction of the wrist and
metacarpal phalangeal joints may need to be performed before, during, or
after treatment of the tendon problems, and careful planning is required.
v} CONTENTS
Rheumatoid Flexor Tenosynovitis and Rupture 561
Donald C. Ferlic
Rheumatoid flexor tenosynovitis at the wrist can cause locking, limitation
of motion, nerve compression, and rupture of tendons. To prevent and
treat these conditions, a flexor tenosynovectomy, combined with nerve
decompression and tendon reconstruction as indicated, is necessary. If
tendons are ruptured, the flexor pollicis longus and profundus to the index
finger are most commonly affected. On the fingers flexor tenosynovitis can
also cause locking, decrease in range of motion and rupture tendons.
Flexor tenosynovitis of the fingers should be treated with decompression
of the tendons health with preservation of the pulley system.
Juvenile Rheumatoid Arthritis 573
Barry P. Simmons, John T. Nutting, and Richard A. Bernstein
Juvenile rheumatoid arthritis (JRA) affects up to 250,000 children in the
United States, but its initial diagnosis is often complex and difficult. This
article reviews presentation and management options. Recent studies have
demonstrated success with various drug regimens. The authors also re¬
view the surgical approaches to the hand and wrist in JRA.
Surgery of Systemic Lupus Erythematosus Arthritis of the Hand 591
Edward A. Nalebuff
Systemic lupus erythematosus (SLE) is one of a group of three uncommon
arthritic diseases, including psoriatic arthritis and sderodermn, th.it super¬
ficially resemble rheumatoid arthritis (RA). These diseases frequently in¬
volve the hand and wrist and therefore are significant to the hand surgeon.
SLE has certain specific characteristics that separate it from the other two
conditions. Each of these diseases has distinct features affecting the nature
of the deformities as well as the treatment indicated to adequately care
for these patients.
Surgery of Psoriatic Arthritis of the Hand 603
Edward A. Nalebuff
Psoriatic arthritis is an uncommon form of arthritis that poses specific
problems for the hand surgeon. Although there are similarities between
this form of arthritis and the more common rheumatoid or degenerative
arthritis, this particular entity is unique, and physicians or surgeons treat¬
ing these patients should be aware of the differences to advise or carry
out appropriate treatment. Before embarking upon specifics, it is fitting to
review some of the fundamentals of this condition.
An Approach to Complex Rheumatoid Hand and Wrist Problems 615
William F. Blair
Each component of a strategy using multiple, concurrent operations
should be clearly indicated. The strategy should be adopted only by
surgeons experienced in each component of the reconstruction, ft is im¬
portant that elements in the postoperative hand therapy program not be
CONTENTS Vli
contradictory. An advantage of this strategy is that the total time devoted
to surgical procedure, recovery, and rehabilitation for the patient is re¬
duced. Presumably, the cost of comprehensive procedures are reduced.
When appropriately indicated by a hand surgeon experienced in all techni¬
cal components, a strategy of rheumatoid hand reconstruction using multi¬
ple, concurrent operations can be highly effective.
Index 629
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| institution | BVB |
| language | English |
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| physical | VIII S., S. 463 - 632 Ill. |
| publishDate | 1996 |
| publishDateSearch | 1996 |
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| publisher | Saunders |
| record_format | marc |
| series | Hand clinics |
| series2 | Hand clinics |
| spellingShingle | Rheumatoid arthritis of the hand and wrist Hand clinics Main Poignet Polyarthrite rhumatoïde Arthritis, Rheumatoid Hand Rheumatoid arthritis Treatment Evaluation Wrist Rheumatoide Arthritis (DE-588)4076708-5 gnd Fingergelenk (DE-588)4154431-6 gnd Handgelenk (DE-588)4128709-5 gnd |
| subject_GND | (DE-588)4076708-5 (DE-588)4154431-6 (DE-588)4128709-5 (DE-588)4143413-4 |
| title | Rheumatoid arthritis of the hand and wrist |
| title_auth | Rheumatoid arthritis of the hand and wrist |
| title_exact_search | Rheumatoid arthritis of the hand and wrist |
| title_full | Rheumatoid arthritis of the hand and wrist Leonard K. Ruby ... guest ed. |
| title_fullStr | Rheumatoid arthritis of the hand and wrist Leonard K. Ruby ... guest ed. |
| title_full_unstemmed | Rheumatoid arthritis of the hand and wrist Leonard K. Ruby ... guest ed. |
| title_short | Rheumatoid arthritis of the hand and wrist |
| title_sort | rheumatoid arthritis of the hand and wrist |
| topic | Main Poignet Polyarthrite rhumatoïde Arthritis, Rheumatoid Hand Rheumatoid arthritis Treatment Evaluation Wrist Rheumatoide Arthritis (DE-588)4076708-5 gnd Fingergelenk (DE-588)4154431-6 gnd Handgelenk (DE-588)4128709-5 gnd |
| topic_facet | Main Poignet Polyarthrite rhumatoïde Arthritis, Rheumatoid Hand Rheumatoid arthritis Treatment Evaluation Wrist Rheumatoide Arthritis Fingergelenk Handgelenk Aufsatzsammlung |
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