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2017, Number 1

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Revista Cubana de Ortopedia y Traumatología 2017; 31 (1)

Surgical treatment of boutonniere and swan-neck deformities in rheumatoid arthritis thumb

Cabrera VNJ, Bernal GMJ, Álvarez PL, Moure DFJ, Nápoles PM

Language: Spanish
References: 17
Page: 24-37
PDF size: 336.13 Kb.


ABSTRACT

Introduction: Rheumatoid arthritis is a systemic disease, in which joint deformities are common; these deformities are observed in the thumb where the most frequent are Boutonniere and swan-neck deformities.
Objective: Assess the results of the application of surgical techniques in these deformities.
Method: A longitudinal prospective intervention study was conducted at Frank País International Orthopedic Scientific Complex from January 2011 to December 2012. Twenty patients with this diagnosis were treated in the Upper Limb Service for External Miniaturization and Microsurgery. The evaluation of the patients was performed according to the scale prepared for this particular study group.
Results: 10% of the cases obtained excellent results, 75% obtained good results and 15% had moderate results.
Conclusions: The surgical techniques used in the treatment of this condition showed encouraging results.


REFERENCES

  1. Green DP. Operative hand surgery. 2nd ed. New York: Churchill Livingstone; 2009. p. 1744-74.

  2. Kessler I. Etiology and management of adduction contracture of the thumb in rheumatoid arthritis. Am J Occup Ther. 1970;24:294-7.

  3. Brewerton DA. Pathological anatomy of rheumatoid arthritis. Sem Arthritis Rheum. 1967;5:327-63.

  4. Fernández Vázquez JM, Porcell Villalobos CR. Tratamiento del pulgar en la artritis reumatoidea. Ed. Anales Médicos.1999;44(4):172.

  5. Campbell WSC. Cirugía Ortopédica. Memphis, Tennessee: Ed. Elsevier; 2008. p. 4231.

  6. Ratliff AHC. Deformity of the thumb in rheumatoid arthritis. Hand Clinic. 2000;138-43.

  7. Millerden LH, Nalebuff EA, Amadio P, Philips C. Interpositional arthroplasty for rheumatoid carpometacarpal joint disease. J Hand Surg (Am). 1978;3:533-41.

  8. Nalebuff EA. Surgery of rheumatoid thump. Bone Joint Surg. 1962;44:119-37.

  9. Thompson RC Jr. Master de mano. Washington: Ed. Lippincott-Raven Publisher; 1999. p. 567.

  10. Cooney WP, Bussey R, Dobyns JH, Linscheid RL. Clin Orthop. 1987;214:136-47.

  11. Hochberg MC, Chane RW, Dwosh I, Lindsey S, Pincus T, Wolfe F. The American College of Rheumatology. 1991 revised criteria for the classification of global functional status in rheumatoid arthritis. Arthritis Rheum. 1992; 35:498-502.

  12. Nalebuff EA. Diagnosis, classification and management of rheumatoid thumb deformities. Bull Hosp Joint Dis. 1968;29:119-37.

  13. 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:456-71.

  14. Nalebuff EA. Metacarpophalangeal surgery in rheumatoid arthritis. Surg Clin North Am. 1969;49:823-32.

  15. Manual Merck, diagnóstico y tratamiento. Madrid, España: Ed. Elsevier; Tomo II. Sección 4-5. p. 312.

  16. Flatt AE. The care PF the arthritic hand. 5th ed. USA: Quality Medical Publishing; 1995. p. 337-41.

  17. Stein AB, Terrono AL. The rheumatoid thumb. Hand Clin. 2007;12:541-50.




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