Show Summary Details
Page of

Rheumatoid arthritis of the hand and wrist 

Rheumatoid arthritis of the hand and wrist
Rheumatoid arthritis of the hand and wrist

J. Stothard

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2022. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 05 July 2022

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



Steroid injections are often very useful


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

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.