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Related Experiment Videos

[Acromelic arthritis: a new entity].

F Welby1, J-Y Alnot

  • 1Service de chirurgie orthopédique et traumatologique, Unité membre supérieur, Hôpital Bichat Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris (France). france.welby@avc.aphp.fr

Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|December 11, 2007
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

Development of the Limb Synovial Joints01:07

Development of the Limb Synovial Joints

Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
Functional Classification of Joints01:09

Functional Classification of Joints

Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses  or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...

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Surgery for acromelic arthritis in the wrist, hand, and forefoot significantly reduces pain and improves function. Early surgical intervention is recommended for better joint stabilization in this slow-progressing rheumatoid arthritis variant.

Area of Science:

  • Rheumatology
  • Orthopedic Surgery
  • Medical Imaging

Background:

  • Acromelic arthritis is a rare rheumatoid arthritis variant.
  • Characterized by bone and joint destructions in the wrist, hand, and forefoot.
  • Often presents with isolated acromelic involvement.

Purpose of the Study:

  • To evaluate long-term surgical outcomes in patients with acromelic arthritis.
  • To describe the efficacy of surgical procedures on wrist, hand, and forefoot joints.
  • To assess functional and radiographic results following surgical intervention.

Main Methods:

  • A cohort of 93 patients with acromelic arthritis underwent 202 surgical procedures.
  • Procedures included dorsal wrist surgery (Sauvé-Kapandji, radio-lunate arthrodesis) and forefoot surgery.

Related Experiment Videos

  • Mean follow-up was 7 years, with pain as the primary indication for surgery.

    • Main Results:

    • Patients reported high satisfaction and significant pain reduction post-surgery.
    • Radiographic lesions progressed, but Larsen's stage remained stable in 73% of cases.
    • Forefoot surgery led to full recovery of walking autonomy.

    Conclusions:

    • Acromelic arthritis is a slow-progressing form of rheumatoid arthritis.
    • Surgery can effectively stabilize joint function and improve quality of life.
    • Earlier surgical intervention is advised for optimal joint function preservation.