Rheumatoid Hand and Wrist Problems

Watts, Adam C.; Talwalkar, Sumedh; Gwylliam, Lynda

doi:10.1007/978-1-4471-6557-6_7

Cited by 1 publication

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“…Chronic RA can cause severe dysfunction and disability in the hand and wrist. RA can also lead to changes in the wrist, such as narrowed joint space, scapholunate dislocation, synovial inflammation of tendons, thickened flexor retinaculum, and production of pannus, which can lead to secondary CTS [4] .…”

Section: Introductionmentioning

confidence: 99%

Carpal Tunnel Syndrome in Rheumatoid Arthritis: Assessment of Different Anatomical Causes in Non-Clinically Deformed Wrist

2023

The Egyptian Journal of Hospital Medicine

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Background: Carpal tunnel syndrome (CTS) can affect 4-50% of rheumatoid arthritis (RA) patients. Pain and paresthesia in the first three digits are the commonest symptoms of CTS and can progress to hand weakness in the late stage.Objective: This study aimed to determine the most prevalent anatomical cause of CTS in non-clinically deformed RA. Patients and methods: This case-control study included convenience sample of 100 female RA patients with CTS and clinically non-deformed wrists who were recruited from the Outpatient Clinics, Faculty of Medicine, Ain Shams University Hospitals over a period of three months. Results: The patients' average age was 44.68 ± 6.97 years. Musculoskeletal ultrasound showed that 42% of the patients had tenosynovitis, 30% of the patients had thickened flexor retinaculum, 22% of the patients had increased power Doppler (PD) signal, and 6% of the patients had bone erosions. There was a significant association between tenosynovitis and age, duration of RA, and moderate CTS, compared to patients with thickened flexor retinaculum, increased PD signal, and bone erosions. Conclusion:There was an inflammatory pattern present in the ultrasound spectrum of CTS in RA patients, such as tenosynovitis and/or synovitis. Tenosynovitis was a key factor in the onset of CTS in RA.

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Section: Introductionmentioning

confidence: 99%

Carpal Tunnel Syndrome in Rheumatoid Arthritis: Assessment of Different Anatomical Causes in Non-Clinically Deformed Wrist

2023

The Egyptian Journal of Hospital Medicine

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show abstract

Rheumatoid Hand and Wrist Problems

Cited by 1 publication

References 130 publications

Carpal Tunnel Syndrome in Rheumatoid Arthritis: Assessment of Different Anatomical Causes in Non-Clinically Deformed Wrist

Carpal Tunnel Syndrome in Rheumatoid Arthritis: Assessment of Different Anatomical Causes in Non-Clinically Deformed Wrist

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