Rheumatoid Arthritis Upper Limb Flashcards

1
Q

What is RA?

A
  • Synovitis & tenosynovitis
  • Erosion of the joints
  • Joint instability and tendon rupture
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2
Q

Signs & symptoms of longstanding RA?

A
  • Deformed
  • Painful
  • Occasionally malfunctioning hands
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3
Q

Clinical examination of RA would show?

A
  • Volar MCPJ subluxation
  • Ulnar deviation
  • Swan neck deformity
  • Boutonniere deformity
  • Z-shaped thumb
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4
Q

Treatment of RA?

A

-Tenosynovectomy (excision of synovial tendon sheath)

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5
Q

What might prevent tendon rupture?

A

Tenosynovectomy

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6
Q

Treatmnet of extensor tendon rupture?

A

Direct surgical repair not possible

  • Tendon transfers
  • Joint fusions
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