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Muscles of the Forearm that Move the Hand and Fingers01:16

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Updated: Jun 5, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
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Published on: April 5, 2024

[Hand and wrist surgery].

E Vögelin1, P M Villiger

  • 1Universitätsklinik für Plastische und Handchirurgie, Handchirurgie und Chirurgie der peripheren Nerven, Inselspital, Freiburgstr. 10, 3010, Bern, Schweiz. esther.voegelin@insel.ch

Zeitschrift Fur Rheumatologie
|January 27, 2011
PubMed
Summary
This summary is machine-generated.

Rheumatoid arthritis surgery is urgent for conditions like carpal tunnel syndrome and tenosynovitis before joint damage occurs. Surgical intervention aims to preserve joint function and correct deformities for better outcomes in rheumatoid arthritis patients.

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Area of Science:

  • Orthopedic Surgery
  • Rheumatology
  • Hand Surgery

Background:

  • Rheumatoid arthritis (RA) can lead to severe hand and wrist complications.
  • Conditions like carpal tunnel syndrome and tenosynovitis require timely intervention.
  • Joint instability and deformities can arise despite medical management.

Purpose of the Study:

  • To outline urgent surgical indications in rheumatoid arthritis.
  • To emphasize the timing of synovectomy for optimal outcomes.
  • To detail reconstructive options for established deformities.

Main Methods:

  • Review of surgical indications for RA-related hand and wrist conditions.
  • Discussion of synovectomy's role in guiding medical treatment.
  • Description of reconstructive procedures for deformities and joint destruction.

Main Results:

  • Carpal tunnel compression, caput ulnae syndrome, and tenosynovitis are urgent surgical indications.
  • Synovectomy should precede joint instability and destructive arthritis.
  • Surgical correction of deformities requires supple and intact joints.

Conclusions:

  • Early surgical intervention is crucial for managing RA complications.
  • Timing of procedures like synovectomy impacts treatment effectiveness.
  • Various surgical options exist for correcting deformities and managing destructive arthritis in RA.