Extensor Tendon Rupture in Rheumatoid Arthritis: A Survey of Patients Between 2005 and 2010 at Five Korean Hospitals

Gong, Hyun Sik; Lee, Joon Oh; Baek, Goo Hyun; Kim, Byung Sung; Kim, Jin Young; Lee, Jae Seong; Song, Choel Ho

doi:10.1142/s0218810412500074

Cited by 8 publications

(6 citation statements)

References 22 publications

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“…Our results statistically confirmed the importance of early surgical treatment of tendon ruptures of the rheumatoid wrist, particularly before the rupture of 3 or more extensor tendons, to increase the likelihood of good surgical outcomes 19 .…”

Section: Discussionsupporting

confidence: 78%

Number of Ruptured Tendons and Surgical Delay as Prognostic Factors for the Surgical Repair of Extensor Tendon Ruptures in the Rheumatoid Wrist

Sakuma

Ochi²,

Iwamoto³

et al. 2014

J Rheumatol

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Section: Discussionsupporting

confidence: 78%

Number of Ruptured Tendons and Surgical Delay as Prognostic Factors for the Surgical Repair of Extensor Tendon Ruptures in the Rheumatoid Wrist

Sakuma

Ochi²,

Iwamoto³

et al. 2014

J Rheumatol

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“…Synovitis is the hallmark of patients with RhA. This frequently affects extensor tendons of the hand more than the flexor counterparts [7]. The surgical management of tenosynovitis is tenosynovectomy, which is safe and effective in restoring function in patients with RhA.…”

Section: Tendon Rupture and Tenosynovitismentioning

confidence: 99%

The Rheumatoid Hand -An Orthopaedic Trainee's Current Treatment Perspective

Chikkalur¹

2018

OROAJ

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“…Synovitis is the hallmark of patients with RA. Tenosynovitis of the extensor tendons of the hand is more frequent than the flexor tendons [ 20 ]. Diffuse tenosynovitis is present in a relevant percentage of patients (30%) [ 1 ].…”

Section: Tenosynovitis and Tendon Rupturesmentioning

confidence: 99%

Current Concepts in the Management of Rheumatoid Hand

Longo

Petrillo

Denaro

2015

International Journal of Rheumatology

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Rheumatoid arthritis (RA) is a chronic inflammatory disease caused by a T cell-driven autoimmune process, which majorly involves the diarthrodial joints. It affects 1% of the US population, and approximately 70% of patients with RA develop pathologies of the hand, especially of the metacarpophalangeal joints (MCP). Furthermore, also the extensor and flexor tendons of the fingers are frequently involved. The first line of treatment should be conservative. Three general classes of drugs are currently available for RA: nonsteroidal anti-inflammatory agents (NSAIDs), corticosteroids, and disease modifying antirheumatic drugs (DMARDs). Encouraging results have been obtained using DMARDs. However, when severe deformities occur or when patients are unresponsive to medical management and injections therapy, surgical intervention should be performed to relieve pain and restore function. Several surgical options have been described for the management of MCP joint deformities, including soft tissue procedures, arthrodesis, and prosthetic replacement. Tendons ruptures are generally managed with tendon transfer surgery, while different surgical procedures are available to treat fingers deformities. The aim of the present review is to report the current knowledge in the management of MCP joint deformities, as well as tendons damage and fingers deformities, in patients with RA.

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Extensor Tendon Rupture in Rheumatoid Arthritis: A Survey of Patients Between 2005 and 2010 at Five Korean Hospitals

Abstract: RA patients who once experienced a tendon rupture are still at risk of sequential tendon ruptures despite recent advancement of medical treatment. Education of the risks of sequential tendon ruptures and timely consultation to hand surgeons continue to be necessary in RA patients.

Cited by 8 publications

References 22 publications

Number of Ruptured Tendons and Surgical Delay as Prognostic Factors for the Surgical Repair of Extensor Tendon Ruptures in the Rheumatoid Wrist

Number of Ruptured Tendons and Surgical Delay as Prognostic Factors for the Surgical Repair of Extensor Tendon Ruptures in the Rheumatoid Wrist

The Rheumatoid Hand -An Orthopaedic Trainee's Current Treatment Perspective

Current Concepts in the Management of Rheumatoid Hand

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