Hand Rheumatoid Arthritis: Difference between revisions
No edit summary |
No edit summary |
||
Line 10: | Line 10: | ||
== Introduction == | == Introduction == | ||
Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting the hand joints and leading to impairment in hand functions. | Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting the hand joints and leading to impairment in hand functions. | ||
Most common clinical presentation of RA is polyarthritis of small joints of hands: proximal interphalangeal (PIP), metacarpophalangeal (MCP) joints and wrist. | Most common clinical presentation of RA is polyarthritis of small joints of hands: proximal interphalangeal (PIP), metacarpophalangeal (MCP) joints and wrist. | ||
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> | |||
Adults with RA should have access to specialist physiotherapy, with periodic review (NICE guideline)<ref>NICE [https://www.nice.org.uk/guidance/ng100/chapter/Recommendations Rheumatoid arthritis in Adults:Management] Available from:https://www.nice.org.uk/guidance/ng100/chapter/Recommendations (last accessed 20.3.2020)</ref> | |||
== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == |
Revision as of 07:33, 19 March 2020
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (19/03/2020)
Original Editor - Your name will be added here if you created the original content for this page.
Lead Editors
Introduction[edit | edit source]
Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting the hand joints and leading to impairment in hand functions.
Most common clinical presentation of RA is polyarthritis of small joints of hands: proximal interphalangeal (PIP), metacarpophalangeal (MCP) joints and wrist.
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]
Adults with RA should have access to specialist physiotherapy, with periodic review (NICE guideline)[2]
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. For anatomy see Wrist and Hand
- Synovium - In patients with rheumatoid arthritis, the synovium is strongly thickened and inflamed.
- RA affects the joints of the hand and wrist including
- Wrist joint
- Metacarpal joints
- 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)
- ↑ NICE Rheumatoid arthritis in Adults:Management Available from:https://www.nice.org.uk/guidance/ng100/chapter/Recommendations (last accessed 20.3.2020)