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Anales Médicos de la Asociación Médica del Centro Médico ABC

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Revista de la Asociación Médica del Centro Médico ABC
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1999, Number 4

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An Med Asoc Med Hosp ABC 1999; 44 (4)

Treatment of rheumatoid thumb deformities

Fernández VJM, Procell VCR
Full text How to cite this article

Language: Spanish
References: 10
Page: 169-172
PDF size: 342.04 Kb.


Key words:

, Rheumatoid arthritis, deformities of the thumb, Boutonniere deformitie, swan neck deformitie.

ABSTRACT

The thumb finger is affected in 60% of the patients with rheumatoid arthritis; their daily life activities is compromised. Boutonniere and swan neck are the most frequent deformities. We studied 70 patients with rheumatoid arthritis from 1971 to 1999 in the ABC Hospital; 42 of these patients had deformities of the thumb, and they were classified according to Nalebuff. Orthopaedic treatment was given to 27 patients and 15 where treated surgically according to Flatt obtaining good results.


REFERENCES

  1. Brewerton DA. Pathological anatomy of rheumatoid arthritis. Sem Arthritis Rheum 1967; 5: 327-363.

  2. Nalebuff EA. Diagnosis, classification and management of rheumatoid thumb deformities. Bull Hosp Joint Dis 1968; 29: 119-137.

  3. Swanson AB. Disabling arthritis at the base of the thumb. Treatment by resection of the trapezium and flexible (silicone) implant arthroplasty. J Bone Joint Surg 1972; 54 A: 456-471.

  4. Kessler I. Aetiology and management of adduction contracture of the thumb in rheumatoid arthritis. Am J Occup Ther 1970; 24: 294-297.

  5. Adrian E Flatt. The care PF the arthritic hand. 5th ed. USA: Quality Medical Publishing, 1995: 337-341.

  6. Nalebuff EA. Metacarpophalangeal surgery in rheumatoid arthritis. Surg Clin North Am 1969; 49: 823-832.

  7. Ratliff AHC. Deformities of the thumb in rheumatoid arthritis. Hand 1971; 3: 138-143.

  8. Clayton ML. Surgery of the thumb in rheumatoid arthritis. J Bone Joint Surg 1962: 44 A: 13761386.

  9. Millender LH, Nalebuff EA, Amadio P et al. Interpositional arthroplasty for the rheumatoid carpometacarpal joint disease. J Hand Surg 1978; 3: 533-541.

  10. Green DP. Operative hand surgery. 2nd ed. New York: Churchill Livingstone 1988: 1744-1749.




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C?MO CITAR (Vancouver)

An Med Asoc Med Hosp ABC. 1999;44