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Related Concept Videos

Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Bones of the Upper Limb: Radius01:09

Bones of the Upper Limb: Radius

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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...
9.1K
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

548
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
548
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
489
Muscles of the Forearm that Move the Hand and Fingers01:16

Muscles of the Forearm that Move the Hand and Fingers

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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...
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Related Experiment Video

Updated: May 6, 2026

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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[The rheumatoid hand].

Julien Henry1, Eric Roulot, Cécile Gaujoux-Viala

  • 1Université Pierre et Marie Curie-Paris 6, groupe hospitalier La Pitié-Salpêtrière, AP-HP, service de rhumatologie, 75651 Paris cedex, France.

Presse Medicale (Paris, France : 1983)
|October 19, 2013
PubMed
Summary

Rheumatoid arthritis (RA) commonly impacts the hands, causing damage and disability. Early treatment with disease-modifying antirheumatic drugs (DMARDs) and physical therapy is crucial for controlling RA and preventing loss of function.

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:

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  • 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.