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[The rheumatoid wrist].

M Chammas1

  • 1Service de chirurgie orthopedique et chirurgie de la main, h6pital Lapeyronie, CHU de Montpellier, 34295 Montpellier cedex 05, France. m-chammas@chu-montpellier.fr

Chirurgie De La Main
|January 10, 2006
PubMed
Summary

Rheumatoid Arthritis (RA) frequently affects the wrist, impacting hand function. Surgical goals focus on a painless, stable, and correctly positioned wrist to restore function, not necessarily normal anatomy.

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Area of Science:

  • Orthopedics
  • Rheumatology
  • Hand Surgery

Context:

  • Rheumatoid Arthritis (RA) commonly involves the wrist, causing significant functional impairment.
  • Wrist presentation, evolution, and impact on hand function in RA are highly variable.

Purpose:

  • To outline the indications and goals for surgical intervention in rheumatoid wrist disease.
  • To discuss the pathogenesis, deformity patterns, and surgical techniques for the rheumatoid wrist.

Summary:

  • Surgical treatment for the rheumatoid wrist is indicated for chronic pain, synovitis, tenosynovitis, limited supination, and risk of deformity or complications.
  • The primary surgical objective is to achieve a painless, stable, and correctly positioned wrist, prioritizing function over normal anatomy.
  • Surgical decision-making is informed by understanding RA's natural progression, joint status, bone stock, and deformity characteristics.

Impact:

  • Provides a comprehensive overview of surgical considerations for the rheumatoid wrist.
  • Aids clinicians in structured medical and surgical management of RA patients with wrist involvement.
  • Highlights the importance of functional restoration in rheumatoid wrist surgery.

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