Rheumatoid arthritis of the hand and wrist

J. Stothard

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI:

Series: Oxford Textbooks

Rheumatoid arthritis of the hand and wrist

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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

Chapter.  7804 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Rheumatology

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