The rheumatoid wrist. Pathobiomechanics and therapy

Borisch, Nicola and Haussmann, P. (2002) The rheumatoid wrist. Pathobiomechanics and therapy. ORTHOPADE, 31 (12). 1159-+. ISSN 0085-4530

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Abstract

A stable and pain-free wrist is a prerequisite for normal hand function. Since the wrist joint is involved early in rheumatoid disease and progress is rapid, operative treatment is of major importance. It is indicated not only for treatment of established osseous changes with instability, deformation, and extensor tendon ruptures but for early treatment of drug-resistant synovitis and monarthritis of the wrist. A considerable number of operative procedures is available: arthroscopic or open synovectomy of the radio- and midcarpal as well as the distal radioulnar joint, possibly with resection of the ulna head, partial arthrodeses, complete arthrodeses, and arthroplasty. When choosing the procedure, type and stage of wrist changes as well as the patho-biomechanic situation have to be considered. The individual course of the disease and patient requirements have to be taken into account. Thus,for long periods of time a pain-free stable wrist can be preserved, albeit sometimes with only limited but functional mobility.

Item Type: Article
Uncontrolled Keywords: ; rheumatoid wrist; pathobiomechanics; synovectomy; partial arthrodesis; arthroplasty
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 28 Sep 2021 13:44
Last Modified: 28 Sep 2021 13:44
URI: https://pred.uni-regensburg.de/id/eprint/39638

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