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Updated: Jul 25, 2026
06:31
Erosion Identification in Metacarpophalangeal Joints in Rheumatoid Arthritis using High-Resolution Peripheral Quantitative Computed Tomography
Published on: October 6, 2023
Finger deformities in rheumatoid arthritis
1Department of Orthopaedic Surgery, Tufts University School of Medicine, Boston, Massachusetts, USA.
Hand Clinics
|August 1, 1996
Summary
Rheumatoid arthritis commonly causes swan neck and boutonniere deformities in finger joints. Surgical decisions require careful evaluation of the patient
Area of Science:
- Orthopaedics
- Rheumatology
- Hand Surgery
Background:
- Rheumatoid arthritis frequently leads to swan neck and boutonniere deformities affecting the interphalangeal joints.
- These deformities significantly impact hand function and patient quality of life.
Purpose of the Study:
- To emphasize practical treatment strategies for interphalangeal joint deformities caused by rheumatoid arthritis.
- To highlight the critical factors influencing the decision-making process for reconstructive surgery.
Main Methods:
- Review of existing classifications for swan neck and boutonniere deformities.
- Emphasis on comprehensive patient evaluation, including disease process, functional status, and adjacent joint involvement.
- Discussion of the complexities in surgical timing for hand, foot, and large joints.
Main Results:
- The decision for reconstructive surgery necessitates a thorough assessment of the patient's overall condition and treatment plan.
- Effective management requires meticulous consideration of potential surgical complications.
- Successful outcomes depend on integrated care involving multiple medical specialists.
Conclusions:
- Coordinated, multidisciplinary team approach is essential for optimal patient care.
- Open communication between patients and all treating specialists is paramount.
- Careful surgical planning and timing are crucial for improving patient function in rheumatoid arthritis patients with hand deformities.
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