THE RHEUMATOID WRIST

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PAPP S.R.; ATHWAL G.S.; PICHORA D.R.

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Paper Information

Journal: IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY Year:2005 | Volume:4 | Issue:3 (11) Page(s): 1-14

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Information Journal Paper

Title

THE RHEUMATOID WRIST

Author(s)

PAPP S.R. | ATHWAL G.S. | PICHORA D.R. | Issue Writer Certificate

Keywords

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Abstract

Wrist involvement is common in patients with rheumatoid arthritis. Individual patient assessment is important in determining functional deficits and treatment goals. Patients with persistent disease despite aggressive medical management are candidates for surgery. Soft-tissue procedures offer good symptomatic relief and functional improvement in short term. Extensor and flexor tendons may rupture because of synovial infiltration and bony irritation. When rupture occurs, direct repair usually is not possible. However, when joints that are motored by the ruptured tendon are still functional, tendon transfer or grafting may be considered. Because of the progressive nature of the disease, dislocation and end-stage arthritis often require stabilization with bony procedures. The distal radioulnar joint is usually affected first and is commonly treated with either the Darrach or the Sauvé-Kapandji procedure. Partial wrist fusion offers a compromise between achieving stability of the affected radiocarpal joint and maintaining motion at the midcarpal joint. For pancarpal arthritis, total wrist fusion offers reliable pain relief at the cost of motion. Total wrist arthroplasty is an alternative that preserves motion; however, the outcomes of total wrist replacement are still being evaluated.

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APA: Copy

PAPP, S.R., ATHWAL, G.S., & PICHORA, D.R.. (2005). THE RHEUMATOID WRIST. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 4(3 (11)), 1-14. SID. https://sid.ir/paper/85422/en

Vancouver: Copy

PAPP S.R., ATHWAL G.S., PICHORA D.R.. THE RHEUMATOID WRIST. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2005;4(3 (11)):1-14. Available from: https://sid.ir/paper/85422/en

IEEE: Copy

S.R. PAPP, G.S. ATHWAL, and D.R. PICHORA, “THE RHEUMATOID WRIST,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 4, no. 3 (11), pp. 1–14, 2005, [Online]. Available: https://sid.ir/paper/85422/en

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