Rheumatoid Arthritis and Atypical Arthritidies-Comprehensive Review 2014: Rheumatoid Arthritis Hand and Wrist

Comprehensive Review 2014: Rheumatoid Arthritis Hand and Wrist

Video Transcription

Video Summary

This video discusses rheumatoid arthritis (RA) and its common deformities. It explains that the carpus in RA tends to fall off ulnar and volar, leading to ulnar drift at the MP joints, sagittal band stretch, and dislocation of the proximal phalanges in a palmarward direction. The thumb commonly develops a boutonniere deformity, while the finger IP joints can be swan-necked or have a boutonniere deformity. The video also mentions the common surgeries performed in RA, including wrist fusions, tendon reconstruction or transfers, thumb MP fusion, MP arthroplasties, IP joint fusions, and synovectomies. It discusses the importance of stability in the wrist when correcting MP joint deformities. The video also covers the diagnosis of RA, treatment options, and considerations for surgery in patients with RA.

Keywords

rheumatoid arthritis

common deformities

ulnar drift

boutonniere deformity

MP joint deformities

surgery in RA patients