Related Experiment Video
Updated: Jun 5, 2026
06:31
Erosion Identification in Metacarpophalangeal Joints in Rheumatoid Arthritis using High-Resolution Peripheral Quantitative Computed Tomography
Published on: October 6, 2023
The rheumatoid metacarpophalangeal joint
1Pulvertaft Hand Centre, Royal Derby Hospital, Uttoxeter Road 28 Midland Place, Derby DE22 3NE 5, UK. frank.burke@virgin.net
Hand Clinics
|December 24, 2010
Summary
Rheumatoid metacarpophalangeal joint deformities cause significant disability. Surgical reconstruction in selected patients can improve function and prolong independence, with combined clinic selection recommended.
Area of Science:
- Orthopedic Surgery
- Rheumatology
- Hand Therapy
Background:
- Rheumatoid metacarpophalangeal (MCP) joint deformities are a major source of functional impairment and disability in patients with rheumatoid arthritis.
- These deformities significantly impact daily activities, leading to reduced quality of life and independence.
Purpose of the Study:
- To discuss commonly used reconstructive surgical techniques for rheumatoid metacarpophalangeal joint deformities.
- To highlight the benefits associated with these surgical interventions.
- To recommend a multidisciplinary approach for optimal patient selection.
Main Methods:
- Review of established reconstructive surgical techniques for MCP joint deformities.
- Discussion of patient selection criteria and the role of combined clinics.
- Analysis of functional outcomes and benefits of surgical intervention.
Main Results:
- Surgical intervention offers a viable solution for improving function in carefully selected patients.
- Various reconstructive techniques provide benefits in addressing MCP joint deformities.
- A combined clinic approach involving rheumatologists and hand therapists enhances case selection.
Conclusions:
- Surgical reconstruction is effective in managing rheumatoid metacarpophalangeal joint deformities.
- Careful patient selection is crucial for successful outcomes.
- Multidisciplinary collaboration improves the management of these debilitating conditions.
Related Concept Videos
01:09Bones of the Upper Limb: Radius
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a short...
The radius has a nail-shaped head, and a short...
01:09Functional 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...
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...
01:23Knee Joint
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
01:16Muscles of the Forearm that Move the Hand and Fingers
The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi radialis,...
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi radialis,...
01:15Bones of the Upper Limb: Ulna
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side of the...
01:10Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...