– See: – Caput Ulnae Syndrome – Rheumatoid Hand – Wrist Arthrodesis – Discussion: – wrist involvement w/ RA is common; – findings inlude peri-articular osteoporosis, destructive osteolysis, arthritis of distal RU joint, and carpal arthrosis; – final pattern is … Read more
– See: – Rheumatoid Arthritis – Rheumatoid Hand – RA Disease in the Wrist – Discussion: – tenosynovitis may present w/ difficulty w/ active PIP flexion, carpal tunnel symptoms, trigger finger, & deQuervain’s syndrome; – tenosynovitis will manifest as dorsal wrist swelling and may be isolated … Read more
– See: Rheumatoid Hand – Sites of Triggering in the Rheumatoid Patient: – A1 pulley (as w/ convential trigger finger) – FDS decussation (may require excising slip of sublimis or an intratendinous nodule); – nodule in FDP near A2 can cause finger to lock into extension; – Non Operative … Read more
– Discussion: – the foot is the initial manifestation of RA in 15% of patients; – initially, RA involves the forefoot, then the midtarsal joints, and finally the hindfoot; – forefoot is involved twice as often as the hindfoot; – although forefoot & hindfoot disease can coexist, commonly pt’s have one or the other; – … Read more
– See: Rheumatoid Arthritis – Pathoanatomy: – RA Disease in the Wrist – Extensor Tendon Rupture – Tenosynovitis – diff dx: w/ RF negative tenosynovitis consider myobacterium marium infection; – Flexor Tendon Rupture – Ulnar drift – MP joint – PIP Joint – Boutonniere – Swan Neck Deformity – Thumb Deformities – Intrinsic Contracture – … Read more
– See: – Rheumatoid Hand – MP Ulnar Drift – Deformites of MP Joints; – approximately 40% of pts w/ RA will have intrinsic contracture; – in some cases the intrinsic contracture will result from MP joint dislocation, and in other cases, the intrinsic contracture will … Read more
– See: – Rheumatoid Boutonniere – RA – Swan Neck Deformity – Arthrodesis: of PIP – expect improved key pinch strength w/ fusion of PIP joint of index finger; – arthroplasty of PIP joint of index is least successful … Read more
– See: – Boutonniere Injuries – Menu – Thumb Boutonniere Deformity – Discussion: – rheumatoid boutonniere deformity begins w/ PIP synovitis & elongation capsule; – inflammation leads to lengthening of central extensor slip and triangular ligament (becoming dysfunctional) and volar displacement of the lateral bands … Read more
– See: – FDP rupture – FPL rupture – Teno-synovectomy – Discussion: – when flexor tendon ruptures occur, there are two usual causes: – attrition or direct invasion by tenosynovitis; – these occur in carpal canal due to invasion or attrition; – scaphoid bone … Read more
Discussion: Quantitative gait analysis in patients with medial patellar instability following lateral retinacular release. The diagnosis and treatment of medial subluxation of the patella after lateral retinacular release. Medial subluxation of the patella as a complication of lateral retinacular release Hemarthrosis as a major complication after arthroscopic subcutaneous lateral retinacular release: a prospective study. [Prevention … Read more