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Wheeless' Textbook of Orthopaedics
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Rheumatoid Arthritis



- Discussion:
    - ARA criteria for RA
    - pathogenesis
    - differential diagnosis:
            - spondyloarthropathies & related chronic seroneg arthritides;
            - systemic lupus erythematosus;
            - scleroderma;
            - dermatomyositis;
            - juvenile rheumatoid arthritis:

- Clinical Aspects:

- Laboratory Aspects

- Radiographic Aspects


- Treatment of RA:
    - Medical Management of RA:
    - Surgical Treatment:
            - cervical spine
            - hand
            - wrist
            - elbow and shoulder:
                    - frequently there is concomitant shoulder and elbow arthritis and the long term prognosis of both joints
                           needs to be considered if any surgical procedure is indicated;
                    - note that standard shoulder and elbow arthroplasties will leave a narrow bridge of bone between the tips of the
                           two medullary stems (which increases the risk of a stress riser and fracture);
                    - ref: Ipsilateral Total Shoulder and Elbow Arthroplasties in Patients Who Have Rheumatoid Arthritis. DRJ Gill JBJS Vol 81-A. No 8. Aug 1999 p 1128.
            - hip
            - foot








- Outside Links:
       - Focus On ... Rheumatoid Arthritis



References:









Original Text by Clifford R. Wheeless, III, MD.