rheumatoid arthritis ulnar deviation

Rheumatoid arthritis with ulnar deviation of the metacarpal-phalangeal... | Download Scientific DiagramNo resultsNo resultsProcessing results.... What causes ulnar drift in rheumatoid arthritis (RA)? AnswerWith the loss of MP stability, other forces in the MP produce the characteristic ulnar drift. For example, the collapse of the wrist contributes to the ulnar drift. Debilitated radiocarpal ligaments cause radial rotation of metacarpals and carpus on the radio, resulting in the ulnar deviation of the MP joint through the Z mechanism. This phenomenon describes the consequence of an imbalance of opposing forces in a joint; when a particular articulation is continually waning in one direction, the joints on each side will adopt the opposite position if there are no physical impediments present. [] In addition, extended tendons can be moved or delocated in the ulnar direction and contribute to the ulnar drift. The normal shift in ulnar of the fourth and fifth tendons of the extender during the bending of the MP joints is exaggerated when the radial side of the transverse lamina fibers is stretched as a result of synovial proliferation. Related questions:Longo UG, Petrillo S, Denaro V. Current concepts in rheumatoid hand management. Int J Rheumatol. 2015. 2015:648073. Nalebuff EA, Feldon PG, Millender LH. Rheumatoid arthritis in the Hand and the Wrist. Green DP, ed. Green Operating Hand Surgery. 2nd edition, New York, NY: Churchill Livingstone; 1988. Okura C, Ishikawa H, Abe A, et al. The long-term patient reported results of elbow, wrist and hand surgery for rheumatoid arthritis. Int J Rheum Dis. 2018 Sep. 21 (9):1701-8. Fischer P, Sagerfors M, Brus O, Pettersson K. Revision Arthroplasty of the Wrist in Patients With Rheumatoid Arthritis, Mean Follow-Up 6.6 Years. J Hand Surg Am. 2018 May. 43 (5):489.e1-e7. . Ishikawa H, Abe A, Kojima T, et al. General benefits provided by orthopedic surgery in patients with rheumatoid arthritis. Mod Rheumatol. 2018 Apr 16. 1-9. Hsueh JH, Liu WC, Yang KC, Hsu KC, Lin CT, Chen LW. Spontaneous Extender of Tendon Rupture in the rheumatoid Wrist: Risk Factors and Preventive Role of Extended Tenosynovectomy. Ann Plast Surg. 2016 Mar. 76 Suppl 1:S41-7. . Lee DM, Weinblatt ME. Rheumatoid arthritis. Lancet. 2001 Sep 15. 358(9285):903-11. . Elherik FK, Dolan S, Antrum J, Unglaub F, Howie CR, Breusch SJ. Functional results and reported by the patient of metacarpo-falangeal arthroplasty Swanson in the rheumatoid hand. Arch Orthop Trauma Surg. 2017 May. 137 (5):725-31. Nalebuff EA. The deformity of the rheumatoid swan. Hand Clin. 1989 May. 5(2):203-14. . Welsh RP, Hastings DE. Deformity in the swan neck in rheumatoid arthritis of the hand. Hand. 1977 Jun. 9(2):109-16. Lister RG. Rheumatoid. Lister RG, ed. The hand: Diagnosis and Indications. 3a ed. New York, NY: Churchill Livingstone; 1993. van der Giesen FJ, van Lankveld WJ, Kremers-Selten C, et al. Effectiveness of two fingertips for the deformity of the swan neck in patients with rheumatoid arthritis: a randomized and cross-sectional trial. Rheum arthritis. 2009 Aug 15. 61(8):1025-31. Bickel KD. The dorsal approach of the silicone implant arthroplasty of the proximal interfalangeal joint. J Hand Surg Am. 2007 Jul-Aug. 32(6):909-13. . Sirotakova M, Figus A, Jarrett P, Mishra A, Elliot D. Correction of the deformity of the swan neck in rheumatoid arthritis using a new lateral extender technique. J Hand Surg Eur Vol. 2008 Dec. 33(6):712-6. . by Bruin M, van Vliet DC, Smeulders MJ, Kreulen M. Long-term results of lateral band translocation to correct the deformity of the swan neck in cerebral palsy. J Pediatr Orthop. 2010 Jan-Feb. 30(1):67-70. Wheen DJ, Tonkin MA, Green J, Bronkhorst M. Long-term results after the tenosynovectomy digital flexor in rheumatoid arthritis. J Hand Surg [Am]. 1995 Sep. 20(5):790-4. Lee HI, Lee KH, Koh KH, et al. Long-term results of the synoctomy of the arthroscopic wrist in rheumatoid arthritis. J Hand Surg Am. 2014 Jul. 39(7):1295-300. . Berhouet J, Roulet S, Marteau E, Bacle G, Meghrani N, Laulan J. Combined Sinovectomy and extended carpi radialis longus transfer to realign and stabilize the rheumatoid wrist. Orthop Traumatol Surg Res. 2018 Nov 29. Vincent KA, Szabo RM, Agee JM. The Sauve-Kapandji procedure for the reconstruction of the rheumatoid radioulnar joint. J Hand Surg [Am]. 1993 Nov. 18(6):978-83. . Ikeda M, Kawabata A, Suzuki K, Toyama M, Egi T. Results of the Sauve-Kapandji procedure for radioulnar distal joint disorder with rheumatoid arthritis or osteoarthritis: follow-up results for one year. Mod Rheumatol. 2018 May. 28 (3):490-4. . Michael Neumeister, MD, FRCSC, FACS President, Professor of the Division of Plastic Surgery, Director of the Program of Hand/Microsurgery Scholarships, Head of Microsurgery and Research, Institute of Plastic and Reconstruction Surgery, School of Medicine of the University of South Illinois Michael Neumeister, MD, FRCSC, FACS is a member of the following medical societies: , , , , , , , , , , , , , , , , , Disclosure: Nothing to reveal. John A Kare, Assistant Professor of Emergency Medicine, Charles R Drew University of Medicine and Science; Research Director, Department of Emergency Medicine, Martin Luther King Jr/Charles R Drew Medical Center John A Kare, MD is a member of the following medical societies: , , Disclosure: Nothing to reveal. Robert J Nowinski, DO Assistant Professor Orthopedic Surgery Clinic, Ohio State University College of Medicine and Public Health, Ohio University College of Osteopathic Medicine; Private Practice, Orthopedic and Neurological Consultants, Inc, Columbus, Ohio Robert J Nowinski, DO is a member of the following medical societies: , , , , , , Disclosure: Received scholarship funds or research from Tornier for others; Received Tornier fees to speak and teach. Roberto Sandoval, MD Consulting Staff, Department of Emergency Medicine, Anaheim Memorial Medical Center, La Palma Intercommunity Hospital Roberto Sandoval, MD is a member of the following medical societies: , Disclosure: Nothing to reveal. Joseph E Sheppard, MD Professor of Clinical Orthopedic Surgery, Chief of Hand and Higher Extremity Service, Department of Orthopedic Surgery, Center for Health Sciences, University of Arizona, University Doctors Joseph E Sheppard, MD is a member of the following medical societies: , , Disclosure: Nothing to reveal. Roman V Voytsekhovskiy, MD Fellow in Hand Surgery, Department of Orthopedic Surgery, Rush University Medical CenterDisclosure: Nothing to reveal. Eleby R Washington, III, MD, FACS Associate Professor, Department of Surgery, Division of Orthopedics, Charles R Drew University of Medicine and Science Eleby R Washington, III, MD, FACS is a member of the following medical societies: , , , , Disclosure: Nothing to reveal. Bradon J Wilhelmi, MD Leonard J Weiner Professor and Chief of Plastic Surgery, Plastic Surgery Residency Program Director, Hiram C Polk Jr Department of Surgery, University of Louisville School of Medicine Bradon J Wilhelmi, MD is a member of the following medical societies: , , , , , , , , , , , , , Disclosure: Nothing to reveal. Francisco Talavera, PharmD, PhD Associate Professor, University of Nebraska Medical Center College of Pharmacy; Chief Editor, Medscape Drug ReferenceDisclosure: Received Medscape's salary for employment. Medscape. David W Chang, MD, Associate Professor of FACS, Department of Plastic Surgery, MD Anderson Cancer Center, University of Texas Medical School in Houston Disclosure: Nothing to reveal. Joseph A Molnar, MD, PhD, FACS Medical Director, Libras Care Center, Associate Director of the Burning Unit, Professor, Department of Plastic and Reconstruction Surgery and Regenerative Medicine, Wake Forest University School of Medicine Joseph A Molnar, MD, PhD, FACS is a member of the following medical societies: , , , , , , , , Divulgación: Received donations / research funds from the Clinical Cell for Co-Researcher; Honorary Received from Integrating Life Sciences to Speak and Teaching; Received Healogics's Fees for Consulting Board, Anthony Staff Anthony E Sudekum, MD is a member of the following medical societies: , , Disclosure: Nothing to reveal. Robert R Schenck, MD emeritus professor, Department of Plastic Surgery, Rush Medical Faculty; Emeritus Director, Hand Surgery Section, Department of Plastic Surgery, Rush University Medical Center Robert R Schenck, MD is a member of the following medical societies: , , , , , , , , Disclosure: Nothing to reveal. The authors and editors of Medscape Reference appreciate the contributions of the previous author Minh-Doan Nguyen, MD, to the development and writing of a source article. Find us aboutMembershipWebMD NetworkEditions

COVID-19 is an emerging and rapidly evolving situation. Account name Save an appointment to archive E-mail citation Add to Collections Add to My Bibliography Your search saved Create a file for external dating management software Your RSS Feed Full text links Actions Share Page navigation Ulnar's derivative in rheumatoid arthritis: a review of biomechanical etiology Membership Ulnar's derivative in rheumatoid arthritis: a review of biomechanical etiology Authors Membership Summary The aim of this article is to summarize the current understanding of the biomechanical factors that cause ulnar derivation in the hands of patients with rheumatoid arthritis. This was done by reviewing the literature of articles published on the mechanical etiology of the ulnar drift. There are several theories about the cause of the ulnar drift, however, still lacks conclusive evidence. Current mechanical factors that are postulated to play a role include: collateral ligaments failure, intraarticular pressure changes, degenerative changes in carpian anatomy and metacarpia, induced muscle hypoxia changes in wrist tension and exacerbating activities of daily life. Although the current theories on ulnar drift almost universally include at least partially mechanical logic, the causes can be multifactorial. Significant research is needed to clarify the relative importance of mechanical factors leading to concurrent significant ulnar drift with advanced rheumatoid arthritis. Keywords: Biomechanics; Epidemiology; Hand; Quality of life; Rheumatoid arthritis; Ulnar derivation. Copyright © 2015 Elsevier Ltd. All rights reserved. Similar articles Cited by 1 article Types of publication MeSH Terms Related information Link Out - more resources Total Text SourcesMedicalNCBI Literacy resources National Library of Medicine

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