In short, rheumatoid arthritis is an inflammatory disease which attacks joints in the body. It can affect the alignment and positioning of those joints, even to the extent that they become stuck in a bent position or become dislocated. Bone erosion caused by RA may make the ends of bones rough and irregular. Patients may eventually notice that their fingers begin to shift toward the direction of their elbow.
In previous posts, we have discussed different types of surgery used in patients living with rheumatoid arthritis, including synovectomy, tendon repair, and carpal tunnel release . Today’s discussion centers around joint replacement and implants.
What is Joint Replacement?
One would think that this is a simple question, right? Take the joint out and put a fake or replacement one in. But in researching this subject, I found it rather difficult to find information which went much beyond this simple concept without become ...
Definition Colles' fracture is a break across the end of the main bone of the forearm (the radius). A Colles' fracture causes the wrist to become extended and shortened. Alternative Names Transverse wrist fracture; Dinner-fork deformity of the wrist Considerations Wrist fractures are common among children and the elderly. Children's bones are soft and tend to get buckle (torus) fractures. These are incomplete fractures on one side of the bone. Because bones become brittle with age, a complete fracture is more likely in adults and among the elderly. This is called a Colles' fracture. Fractures that are not severe may be placed in a splint and sling, or a lightweight, fiberglass cast. If the bone is no longer straight because of the fracture, it must be reduced (straightened). The health care provider may be able to use local anesthesia and reduce the fracture. In other cases, surgery may be needed. The break may need to be fixed with a plate and screws, pins, or other metal or plastic hardware. Ol...
Alternative Names Pain - wrist Prevention To prevent carpal tunnel syndrome: Adjust your keyboard so that you do not have to bend your wrist upward while typing. Take frequent breaks from activities that require wrist movement. Work with an occupational therapist. To prevent gout attacks: Limit alcohol. Lose weight if you are overweight. Drink plenty of water. Eat lower amounts of liver, anchovies, sardines, and herring. Your doctor may prescribe medication. References Swigart CR. Hand and wrist pain. In: Harris ED, Budd RC, Genovese MC, Firestein GS, Sargent JS, Sledge CB, eds. Kelley's Textbook of Rheumatology . 7th ed. Philadelphia, Pa: Saunders Elsevier; 2005:chap 44. Wright PE II. Carpal tunnel, ulnar tunnel, and stenosing tenosynovitis. In: Canale ST, Beatty JH, eds. Campbell 's Operative Orthopaedics . 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 73. Mercier LR. The forearm, wrist, and hand. In: Mercier LR, ed. Practical Orthopedics . 6th ed. Philadelphia, Pa: Mosby Elsevier; 2008:chap 7.
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