Hand Rheumatoid Arthritis: Difference between revisions
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== Introduction == | == Introduction == | ||
The hand is one of the main elements of the rehabilitation of patients with rheumatoid arthritis (RA) due to deformities, which occur in approximately 90% of patients. It is a serious problem, both in the psychological and functional aspect, connected with muscle strength reduction, a limited range of motion and non-acceptance of the changes in the shape of the limb.<ref>Księżopolska-Orłowska K, Sadura-Sieklucka T, Kasprzak K, Gaszewska E, Rodkiewicz-Bogusławska A, Sokołowska B. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241364/ The beneficial effects of rehabilitation on hand function in patients with rheumatoid arthritis]. Reumatologia. 2016;54(6):285. Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241364/ (last accessed 20.3.2020)</ref> | |||
Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting the hand joints and leading to impairment in hand functions. The hand is one of the main elements of the rehabilitation of patients with rheumatoid arthritis (RA) due to deformities, which occur in approximately 90% of patients. It is a serious problem, both in the psychological and functional aspect, connected with muscle strength reduction, a limited range of motion and non-acceptance of the changes in the shape of the limb.<ref>Księżopolska-Orłowska K, Sadura-Sieklucka T, Kasprzak K, Gaszewska E, Rodkiewicz-Bogusławska A, Sokołowska B. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241364/ The beneficial effects of rehabilitation on hand function in patients with rheumatoid arthritis]. Reumatologia. 2016;54(6):285. Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241364/ (last accessed 20.3.2020)</ref> | |||
Most common clinical presentation of RA is polyarthritis of small joints of hands: proximal interphalangeal (PIP), metacarpophalangeal (MCP) joints and wrist. | |||
== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
The hand contains a complex range of structures which permit a wide variety of movements, many of which are essential for day-to-day tasks. | |||
Joints in the Hand | |||
* Metacarpophalangeal Joint (MCPJ) – condyloid joints comprised of the articulation between metacarpal and proximal phalanx in each of the 5 digits. | |||
* Interphalangeal Joints – between the phalanges and there are two in each digit. The thumb is an exception, and has only oneinterphalangeal joint. The two joints are the: | |||
** Proximal Interphalangeal Joints (PIPJ) | |||
** Distal Interphalangeal Joints (DIPJ) | |||
== Mechanism of Injury / Pathological Process == | == Mechanism of Injury / Pathological Process == | ||
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Introduction[edit | edit source]
Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting the hand joints and leading to impairment in hand functions. The hand is one of the main elements of the rehabilitation of patients with rheumatoid arthritis (RA) due to deformities, which occur in approximately 90% of patients. It is a serious problem, both in the psychological and functional aspect, connected with muscle strength reduction, a limited range of motion and non-acceptance of the changes in the shape of the limb.[1]
Most common clinical presentation of RA is polyarthritis of small joints of hands: proximal interphalangeal (PIP), metacarpophalangeal (MCP) joints and wrist.
Clinically Relevant Anatomy[edit | edit source]
The hand contains a complex range of structures which permit a wide variety of movements, many of which are essential for day-to-day tasks.
Joints in the Hand
- Metacarpophalangeal Joint (MCPJ) – condyloid joints comprised of the articulation between metacarpal and proximal phalanx in each of the 5 digits.
- Interphalangeal Joints – between the phalanges and there are two in each digit. The thumb is an exception, and has only oneinterphalangeal joint. The two joints are the:
- Proximal Interphalangeal Joints (PIPJ)
- Distal Interphalangeal Joints (DIPJ)
Mechanism of Injury / Pathological Process[edit | edit source]
add text here relating to the mechanism of injury and/or pathology of the condition
Clinical Presentation[edit | edit source]
add text here relating to the clinical presentation of the condition
Diagnostic Procedures[edit | edit source]
add text here relating to diagnostic tests for the condition
Outcome Measures[edit | edit source]
add links to outcome measures here (see Outcome Measures Database)
Management / Interventions[edit | edit source]
add text here relating to management approaches to the condition
Differential Diagnosis[edit | edit source]
add text here relating to the differential diagnosis of this condition
Resources[edit | edit source]
add appropriate resources here
References[edit | edit source]
- ↑ Księżopolska-Orłowska K, Sadura-Sieklucka T, Kasprzak K, Gaszewska E, Rodkiewicz-Bogusławska A, Sokołowska B. The beneficial effects of rehabilitation on hand function in patients with rheumatoid arthritis. Reumatologia. 2016;54(6):285. Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241364/ (last accessed 20.3.2020)
