Treatment of the Thumb in the Rheumatoid Hand.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosure The author was involved in the development of the CapFlex-PIP implant and receives royalties from KLS Martin (Tuttlingen, Germany). 11. Hand Clin. 2011 Feb;27(1):105-13. doi: 10.1016/j.hcl.2010.10.004. Tendon reconstruction for the rheumatoid hand. Schindele SF(1), Herren DB, Simmen BR. Author information: (1)Department of Upper Extremity and Handsurgery, Schulthess Clinic, Lengghalde 2, CH-8008 Zurich, Switzerland. stephan.schindele@kws.ch Tendon involvement in rheumatoid arthritis is frequent and might even be the first sign of the disease. In long-standing untreated conditions, especially in combination with bony erosions, tenosynovitis may lead to tendon fraying and finally tendon rupture. Tendon reconstruction includes tendon grafting and tendon transfer. Direct repair is almost never possible in patients with rheumatoid arthritis, because the inflammatory process produces extensive tendon damage over a long distance. In patients with significant impaired joint function, additional joint treatment should be planned at the same time as tendon reconstruction. Copyright © 2011 Elsevier Inc. All rights reserved. DOI: 10.1016/j.hcl.2010.10.004