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Rheumatoid arthritis of the hand and wrist 

Rheumatoid arthritis of the hand and wrist
Chapter:
Rheumatoid arthritis of the hand and wrist
Author(s):

J. Stothard

DOI:
10.1093/med/9780199550647.003.006005
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date: 18 September 2020

RA is common

Medical treatment is the mainstay and newer anti-TNF drugs are reducing morbidity and thus referral for surgery

Assessment is primarily clinical

Investigations – Primarily radiographs

Treatment

Non-operative

Steroid injections are often very useful

Operative

Site and condition specific

In general

DRUJ – excision ulna head

Wrist – partial fusion, arthrodesis, arthroplasty

MP joints – synvestomy, arthroplasty

PIP joints – soft tissue rebalancing, arthrodesis

DIP joints – arthrodesis

Thumb MP and IP joints – arthrodesis

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