Tendon reconstruction for the rheumatoid hand.

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Abstract

[Indexed for MEDLINE] 12. Hand Clin. 2008 Aug;24(3):307-14, vii. doi: 10.1016/j.hcl.2008.03.005. The rheumatoid thumb. Chacko AT(1), Rozental TD. Author information: (1)Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Stoneman 10, Boston, MA 02215, USA. Rheumatoid arthritis of the thumb is a common source of disability. Obtaining an understanding of the underlying biologic and physical manifestations of rheumatoid arthritis is essential in the choice of treatment of the disease. In the early stages of the disease, conservative and less invasive measures can be used. In the more advanced stages, arthrodesis and arthroplasty are often used. Isolated interphalangeal involvement is best managed with arthrodesis. Metacarpophalangeal involvement in low-demand patients can be treated with arthroplasty, whereas arthrodesis can be used in more active patients. Patients who have carpometacarpal joint damage are best treated with trapezium resection arthroplasty. DOI: 10.1016/j.hcl.2008.03.005