[Hand and wrist surgery].
- Vögelin E Universitätsklinik für Plastische und Handchirurgie, Handchirurgie und Chirurgie der peripheren Nerven, Inselspital, Freiburgstr. 10, 3010, Bern, Schweiz. esther.voegelin@insel.ch
- Villiger PM
- 2011-01-27
Published in:
- Zeitschrift fur Rheumatologie. - 2011
English
Despite improved medical treatment of rheumatoid arthritis, carpal tunnel compression, caput ulnae syndrome and palmar and dorsal tenosynovitis with potential tendon rupture represent urgent surgical indications. While diagnostic and therapeutic synovectomy may guide medical treatment, it should be performed before joint instability and destructive arthritis are established. Swan-neck and Boutonniere deformities as well as ulnar or radial drift of metacarpophalangeal (MCP) joints or the wrist can only be corrected when the involved joints are supple and intact. In the presence of destructive arthritis, partial and total wrist fusion, arthroplasties of the MCP joints and arthrodeses of the distal interphalangeal joints are recommended.
- Language
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- English
- Open access status
- green
- Identifiers
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- DOI 10.1007/s00393-010-0681-6
- PMID 21267737
- Persistent URL
- https://sonar.ch/global/documents/144026
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