Assessment of Progressive Hand and Wrist Deformities in the Rheumatoid Patient.
| Autor: | Lim JX; Department of Hand and Reconstructive Microsurgery, National University Health System, 1E Kent Ridge Road, Level 11, Singapore 119228, Singapore. Electronic address: limjinxi@gmail.com., Chung KC; University of Michigan Comprehensive Hand Center, Michigan Medicine, 1500 East Medical Center Drive 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Hand clinics [Hand Clin] 2025 Feb; Vol. 41 (1), pp. 25-35. Date of Electronic Publication: 2024 Oct 16. |
| DOI: | 10.1016/j.hcl.2024.07.003 |
| Abstrakt: | This article focuses on hand and wrist deformities arising from rheumatoid arthritis. The pathogenesis is synovitis and pannus formation, leading to direct tissue invasion and mass effect resulting in stretching and attenuation of ligaments. The typical deformity of a rheumatoid wrist is a dorsal subluxation of the ulna head (or more aptly, volar translation of the radius given that the ulna is fixed in position), with volar subluxation, ulnar translocation and supination of the carpus, eventually leading to carpal collapse. For each of these deformities, the pathogenesis is discussed, along with their assessment. Competing Interests: Disclosure None of the authors has a financial interest in any of the drugs, products, or devices mentioned in this discussion or the article being discussed. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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