Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[The rheumatic hand]

N Gschwend1

  • 1Schulthess Klinik, Orthopädie, Zürich.

Der Orthopade
|May 20, 1998
PubMed
Summary
This summary is machine-generated.

Rheumatic arthritis (RA) frequently affects the hand, causing functional and psychological distress. Surgical interventions like synovectomy, arthroplasty, and arthrodesis, alongside tendon procedures, aim to improve function when conservative treatments fail.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Shoulder instability after primary shoulder joint replacement.

Der Orthopade·2017
Same author

Der Orthopade·2017
Same author

The rheumatic hand.

Der Orthopade·2017
Same author

[Paul Grammont : 1940-2013].

Der Orthopade·2013
Same author

[Contemporary rheumatosurgery: possibilities, risks, results.].

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca·2010
Same author

[Not Available].

Operative Orthopadie und Traumatologie·2006
Same journal

[Fast-track hip and knee joint arthroplasty].

Der Orthopade·2022
Same journal

[Outpatient care through cross-sector prehabilitation and rehabilitation concepts in outpatient hip and knee arthroplasty].

Der Orthopade·2022
Same journal

[Preoperative management in fast-track arthroplasty].

Der Orthopade·2022
Same journal

[Perioperative management in fast-track arthroplasty].

Der Orthopade·2022
Same journal

[Pain therapy and anaesthesiological procedures in fast-track arthroplasty].

Der Orthopade·2022
Same journal

[Discharge readiness versus discharge-Results of the PROMISE study].

Der Orthopade·2022
See all related articles

Area of Science:

  • Orthopedics
  • Rheumatology
  • Hand Surgery

Background:

  • Rheumatic arthritis (RA) commonly impacts the hand, leading to significant functional impairment and psychological burden.
  • External appearance can indicate RA, highlighting the need for specialized care.

Purpose of the Study:

  • To review surgical interventions for rheumatic arthritis affecting the hand.
  • To emphasize the importance of a multidisciplinary team approach in managing RA hand deformities.

Main Methods:

  • Discussion of surgical procedures including synovectomy, arthroplasty, and arthrodesis for joint involvement.
  • Evaluation of operative treatments for hand tendons, such as tenosynovectomy and rupture repair.
  • Consideration of radiosynoviorthesis as an alternative to operative synovectomy in early RA stages.

Related Experiment Videos

Main Results:

  • Operative synovectomy is indicated when radiosynoviorthesis fails or in advanced RA (Larsen 3), with better outcomes at the wrist.
  • Synovectomy improves clinical function and pain, though radiological changes may be less pronounced.
  • Arthroplasty is suitable for advanced joint destruction (especially metacarpophalangeal and proximal interphalangeal joints), requiring intact tendons.
  • Arthrodesis remains valuable for the wrist due to limitations in artificial joint options.
  • Tendon interventions and correction of deformities like buttonhole and swan neck offer good prognoses with appropriate techniques.

Conclusions:

  • Surgical management of RA in the hand requires a tailored approach based on disease stage and specific joint/tendon involvement.
  • Effective treatment relies on a collaborative team effort and prioritizing surgical interventions after conservative therapy failure.