[The rheumatoid hand].

Area of Science:

• Rheumatology
• Orthopedics
• Hand Surgery

Context:

• Rheumatoid arthritis (RA) predominantly affects the hand in 90% of cases.
• Untreated RA leads to joint damage, deformities, and significant loss of hand function, impacting daily living activities.
• Advances in disease-modifying antirheumatic drugs (DMARDs) have expanded treatment options over the past two decades.

Purpose:

• To highlight the critical role of early intervention in managing rheumatoid arthritis (RA) of the hand.
• To emphasize the necessity of surgical intervention for RA-related hand and wrist joint damage unresponsive to conservative treatments.
• To underscore the importance of a multidisciplinary approach involving patients, rheumatologists, physical therapists, and hand surgeons for optimal RA care.

Summary:

• RA frequently impacts the hands, leading to functional impairment without timely treatment.
• Early management with DMARDs and physical therapy is key to preventing deformity and disability.
• Surgical options are considered for persistent joint damage, necessitating a collaborative care model.

Impact:

• Improved patient outcomes through timely and appropriate medical and surgical management of RA.
• Preservation of hand function and activities of daily living for individuals with RA.
• Enhanced understanding of the multidisciplinary team's role in managing complex RA cases affecting the hand and wrist.