Data Trace Editor – See: Rheumatoid Arthritis – Epidemiology: – forefoot is involved twice as often as the hindfoot; – initially, RA involves the forefoot, then the midtarsal joints, and finally the hindfoot; – sites of involvement: – ankle joint is frequently spared; … Read more
– See: Rheumatoid Hand – Sites of Triggering in the Rheumatoid Patient: – A1 pulley (as w/ convential trigger finger) – FDS decussation (may require excising slip of sublimis or an intratendinous nodule); – nodule in FDP near A2 can cause finger to lock into extension; – Non Operative … Read more
– Rhomboid Major: origin: spinous process of 2nd to 5th thoracic vertebrae; insertion: medial border of scapula from spine to inferior angle; action: adducts scapula and elevation of medial border; the inferior fibers aid in rotating the glenoid cavity inferior; nerve supply: dorsal scapular (C4, C5); … Read more
– See: – Rheumatoid Arthritis – Rheumatoid Hand – RA Disease in the Wrist – Discussion: – tenosynovitis may present w/ difficulty w/ active PIP flexion, carpal tunnel symptoms, trigger finger, & deQuervain’s syndrome; – tenosynovitis will manifest as dorsal wrist swelling and may be isolated … Read more
– See: Traumatic Gamekeeper’s Thumb – Discussion: – characterized by abduction deformity of MCP joint; – results from attenuation of ulnar collateral ligament; – there is also an adduction contracture of the metacarpal; – Exam: – stability of the MCP joint should be tested by applying an ulnarly directed force to joint, both … Read more
– Discussion: – the foot is the initial manifestation of RA in 15% of patients; – initially, RA involves the forefoot, then the midtarsal joints, and finally the hindfoot; – forefoot is involved twice as often as the hindfoot; – although forefoot & hindfoot disease can coexist, commonly pt’s have one or the other; – … Read more
– See: Rheumatoid Arthritis – Pathoanatomy: – RA Disease in the Wrist – Extensor Tendon Rupture – Tenosynovitis – diff dx: w/ RF negative tenosynovitis consider myobacterium marium infection; – Flexor Tendon Rupture – Ulnar drift – MP joint – PIP Joint – Boutonniere – Swan Neck Deformity – Thumb Deformities – Intrinsic Contracture – … Read more
– See: – Hyperpronation of Rheumatoid Foot; – Rheumatoid Arthrtis – Rheumatoid Foot – Discussion: – most commonly affected portion of the rheumatoid foot; – typical forefoot deformities are hallux valgus, hyperextension of MP joints, and flexion ofthe IP joints of the … Read more
– Discussion: – RF is term used to describe group of autoantibodies w/ anti-IgG activity; – about 80-90% of RA pts have antibodies to the Fc region of IgG; – this antibody, called rheumatoid factor (anti-IgG), will also occur in bacterial endocarditis, schistosomiasis, leprosy, osteomyelitis, and other chronic infections; … Read more
– See: – Boutonniere Injuries – Menu – Thumb Boutonniere Deformity – Discussion: – rheumatoid boutonniere deformity begins w/ PIP synovitis & elongation capsule; – inflammation leads to lengthening of central extensor slip and triangular ligament (becoming dysfunctional) and volar displacement of the lateral bands … Read more