Indications for upper extremity surgery in rheumatoid arthritis patients

In selected circumstances, especially those associated with pain and mechanical instability, early surgical therapy is indicated for patients with rheumatoid arthritis. Close consultation between the rheumatologist and surgeon enables identification of focused goals attainable by synovectomy, ligame...

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Bibliographic Details
Published inSeminars in arthritis and rheumatism Vol. 23; no. 2; pp. 125 - 134
Main Author Seyfer, Alan E.
Format Journal Article
LanguageEnglish
Published Philadelphia, PA Elsevier Inc 01.10.1993
Elsevier
Subjects
Arm - surgery
Arthritis, Rheumatoid - surgery
Arthrodesis
Arthroplasty
Biological and medical sciences
Diseases of the osteoarticular system
Humans
Inflammatory joint diseases
Medical sciences
Synovectomy
Tendons - surgery
Rheumatoid
reconstruction
synovitis
surgery
Human
Indication
Diseases of the osteoarticular system
Autoimmune disease
Inflammatory joint disease
Review
Hand
Wrist
Chronic
Treatment
Surgery
Shoulder
Rheumatoid arthritis
Upper limb
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Summary:In selected circumstances, especially those associated with pain and mechanical instability, early surgical therapy is indicated for patients with rheumatoid arthritis. Close consultation between the rheumatologist and surgeon enables identification of focused goals attainable by synovectomy, ligament or tendon reconstruction, joint replacement, or arthrodesis. If these goals are met, the result can be a gratifying return of function and independence. This article describes some of the more common deformities of the hand, wrist, and elbow in patients with rheumatoid arthritis. Current surgical therapy, along with outcome and complications, is also discussed. Emphasis is placed on decisions and indications for surgical evaluation.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
ISSN:0049-0172
1532-866X
DOI:10.1016/S0049-0172(05)80018-6