– 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: 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
– Discussion: – RA may cause symptoms because of pressure and location; – nodules may be cosmetically unacceptable; – nodulosis occurs in 20-25% of patients with RA – associated with strong seropositivity; – implies aggressive disease with poor prognosis; – may occur in benign … 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
– See: – Caput Ulnae Syndrome – Rheumatoid Hand – Wrist Arthrodesis – Discussion: – wrist involvement w/ RA is common; – findings inlude peri-articular osteoporosis, destructive osteolysis, arthritis of distal RU joint, and carpal arthrosis; – final pattern is … 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: – 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
– 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: – Rheumatoid Hand – MP Ulnar Drift – Deformites of MP Joints; – approximately 40% of pts w/ RA will have intrinsic contracture; – in some cases the intrinsic contracture will result from MP joint dislocation, and in other cases, the intrinsic contracture will … Read more
– See: – Rheumatoid Boutonniere – RA – Swan Neck Deformity – Arthrodesis: of PIP – expect improved key pinch strength w/ fusion of PIP joint of index finger; – arthroplasty of PIP joint of index is least successful … Read more