Chapter

Rheumatoid arthritis of the elbow

David Clark

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: http://dx.doi.org/10.1093/med/9780199550647.003.05.04

Series: Oxford Textbooks

Rheumatoid arthritis of the elbow

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50% of RA patients have elbow involvement

Females affected 3 times more than males

Peak incidence 60-70 years of age

Radiological severity assessed using the Larson radiological grading system

No single test used to diagnose RA

The management of RA requires a multidisciplinary approach

Anti-TNF drugs are used when disease-modifying agent combinations have failed to control symptoms

Intra-articular and intramuscular cortisone is an effective way of controlling fl are-ups

Total elbow arthroplasty is indicated in severe RA where there is failure of medical management to control symptoms

10 year survival rates of total elbow replacement between 80 % (unlinked) and 92 % (linked).

Chapter.  4880 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Rheumatology

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