|►Carpal tunnel syndrome|
|►Carpal tunnel release|
The hand in rheumatoid arthritis
Rheumatoid arthritis often attacks the hand causing both pain and deformity; function however is commonly well preserved. Surgery is aimed and maintaining function and relieving pain.
A typical rheumatoid hand
showing swollen knuckles
(MCP joints) and deformed
The surgical management of the rheumatoid hand is extremely complex and a variety of different procedures may be required. The more commonly used procedures are:
Repair of ruptured tendons
Tendons often rupture because of rheumatoid infiltration causing 'dropped finger'
Replacement of metacarpo-phalangeal joints
Knuckle joints often become deformed and painful
Fusion of unstable joints
Unstable wrist and thumb joints may be surgically stiffened
|© J M Britton 2007|