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Related Experiment Videos

Functional disability in the rheumatoid hand.

J V Kemble

    The Hand
    |October 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Rheumatoid arthritis hand deformity impacts function, with dominant hands worsening faster. Surgical intervention for rheumatoid arthritis requires deformity correction to sustain hand function benefits.

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    Area of Science:

    • Orthopedics
    • Rheumatology
    • Hand Surgery

    Background:

    • Rheumatoid arthritis commonly affects hand function due to progressive deformity.
    • Understanding the relationship between specific deformities and functional loss is crucial for treatment planning.

    Purpose of the Study:

    • To correlate hand function with measured deformities in rheumatoid arthritis patients.
    • To evaluate the long-term efficacy of synovectomy and the role of deformity correction.

    Main Methods:

    • Radiographic and operative assessment of metacarpophalangeal joints in 61 rheumatoid arthritis patients.
    • Correlation analysis between hand function and various hand deformities.
    • Evaluation of functional outcomes following synovectomy.

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    Main Results:

    • Specific rheumatoid arthritis hand deformities are linked to reduced function, while others are not.
    • The dominant hand shows more rapid functional decline compared to the non-dominant hand.
    • Synovectomy provides temporary functional improvement, necessitating concurrent deformity management.

    Conclusions:

    • Hand function in rheumatoid arthritis is significantly influenced by specific deformities.
    • Dominant hand involvement requires careful consideration due to faster deterioration.
    • Effective management of rheumatoid arthritis hand function necessitates addressing both inflammation and structural deformity concurrently.