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Canadian Family Physician logoLink to Canadian Family Physician
. 1994 Jul;40:1303–1309.

Rheumatoid hand. Practical approach to assessment and management.

T E Towheed 1, T P Anastassiades 1
PMCID: PMC2380144  PMID: 8086845

Abstract

Rheumatoid arthritis is a systemic inflammatory disease with a predilection for the synovial tissues. Its diverse involvement can be demonstrated in the hand, where several anatomical structures can be affected simultaneously. Proper management requires attention to this principle, and a complete diagnostic evaluation will help to identify correctly the cause of the patient's functional limitation and pain. We present a practical approach to managing rheumatoid arthritis in the hand.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brighton S. W., Lubbe J. E., van der Merwe C. A. The effect of a long-term exercise programme on the rheumatoid hand. Br J Rheumatol. 1993 May;32(5):392–395. doi: 10.1093/rheumatology/32.5.392. [DOI] [PubMed] [Google Scholar]
  2. Burke F. The effects of rheumatoid diseases of the hand. Clin Rheum Dis. 1984 Dec;10(3):435–448. [PubMed] [Google Scholar]
  3. Ellis M. Splinting the rheumatoid hand. Clin Rheum Dis. 1984 Dec;10(3):673–696. [PubMed] [Google Scholar]
  4. Ertel A. N. Flexor tendon ruptures in rheumatoid arthritis. Hand Clin. 1989 May;5(2):177–190. [PubMed] [Google Scholar]
  5. Helal B. The flexor tendon apparatus in the rheumatoid hand. Clin Rheum Dis. 1984 Dec;10(3):479–500. [PubMed] [Google Scholar]
  6. Millender L. H., Nalebuff E. A. Preventive surgery - tenosynovectomy and synovectomy. Orthop Clin North Am. 1975 Jul;6(3):765–792. [PubMed] [Google Scholar]
  7. Ouellette E. A. The rheumatoid hand: orthotics as preventative. Semin Arthritis Rheum. 1991 Oct;21(2):65–72. doi: 10.1016/0049-0172(91)90039-3. [DOI] [PubMed] [Google Scholar]
  8. Stirrat C. R. Treatment of tenosynovitis in rheumatoid arthritis. Hand Clin. 1989 May;5(2):169–175. [PubMed] [Google Scholar]
  9. Tubiana R., Toth B. Rheumatoid arthritis: clinical types of deformities and management. Clin Rheum Dis. 1984 Dec;10(3):521–548. [PubMed] [Google Scholar]

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