Nonsurgical management of the boutonniere deformity
| Autor: | Douglas M. Mitchell, Naomi L. Gilbert, Nancy S. Palchik, Thomas D. Palella, Amy J. Schulz, Robert F. Dedrick |
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| Rok vydání: | 1990 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty business.industry Immunology medicine.disease Early initiation Rheumatology Tendon Surgery medicine.anatomical_structure stomatognathic system Rheumatoid arthritis Internal medicine medicine Physical therapy Upper limb Immunology and Allergy Pharmacology (medical) business Boutonniere deformity |
| Zdroj: | Arthritis Care & Research. 3:227-232 |
| ISSN: | 1529-0131 0004-3591 |
| DOI: | 10.1002/1529-0131(199012)3:4<227::aid-anr1790030412>3.0.co;2-m |
| Popis: | The present study examined the effectiveness of a 6-week experimental program of splinting and joint protection education in reducing the progression of the early boutonniere deformity. Nine patients with mild or moderately reducible boutonniere deformities were randomized into experimental and control groups and followed for 1 year. Improvements in active extension of the proximal interphalangial joint for patients in the experimental program suggest that early initiation of a nonsurgical intervention can reduce or reverse progression of the boutonniere deformity in some patients with rheumatoid arthritis. Although the number of patients was small, we conclude that early splinting and joint protection education may limit the anatomical and functional derangements of boutonniere deformity in the rheumatoid hand. |
| Databáze: | OpenAIRE |
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